Complications following the use of the Combitube, tracheal tube and laryngeal mask airway

Abstract

SummaryIn a prospective, randomised trial, 75 patients scheduled for routine surgery were randomly allocated to one of three groups to evaluate trauma and postoperative complications after insertion of the Combitube, tracheal tube or laryngeal mask airway. Insertion of the Combitube was associated with a higher incidence of sore throat (48% vs. 16% vs. 12% [p < 0.01]) and dysphagia (68% vs. 12% vs. 8% [p < 0.01]) compared with tracheal intubation or insertion of the laryngeal mask airway, respectively. Hoarseness was significantly less common in both the Combitube and the laryngeal mask groups (both 12%) than in the tracheal tube group (44%; p < 0.01). Haematoma occurred in 36% of the Combitube group compared with 4% in both the laryngeal mask and the tracheal tube groups (p < 0.01). The higher incidence of complications should be considered when using the Combitube.

Evaluation of the size 4 i‐gel™ airway in one hundred non‐paralysed patients*

“…Eighteen patients (18%) developed a sore throat and ⁄ or pain on swallowing, which persisted until 24 h in eleven patients (11%). This is similar to the cLMA, where the incidence of sore throat has variously been reported to be 12-28% [29,30]. This may be related to the low incidence of injury to the oropharyngeal mucosa in our study: blood was only detected on one i-gel (1%), compared to 12-15% for the cLMA [31,32] and 10% for the PLMA [2].…”

Laryngeal Tube Suction-D, Combitube, and Proseal Laryngeal Mask Airway: Randomized Clinical Trial

“…Consistent with findings by Oczenski et al, [13], and those previously mentioned [7,12,14], we found that LTS-D and PLMA resulted in a significantly reduced prevalence of dysphagia and sore throat compared to ETC. In other studies [12][13], ETC also exhibited a higher rate of other complications, including oral trauma and oropharyngeal mucosal hematoma, which were attributed to the rigidity of the tube and its higher oropharyngeal cuff pressures.…”

“…In other studies [12][13], ETC also exhibited a higher rate of other complications, including oral trauma and oropharyngeal mucosal hematoma, which were attributed to the rigidity of the tube and its higher oropharyngeal cuff pressures. However, oral direct injury related to the ETC device was not observed in the current study.…”

“…Our hypothesis related to the effectiveness [7,[12][13][14]. This clinical study has been designed to compare three supralaryngeal devices that have secondary channels (ETC, LTS-D, and PLMA) in the elective operating room setting.…”

Evaluation of the LMA Supreme™ in 100 non‐paralysed patients*

“…We studied 56 females and 44 males, with a median (range) age of 55 (18-86) years, weight of 71 (41-121) kg and body mass index of 25 (18)(19)(20)(21)(22)(23)(24)(25)(26)(27)(28)(29)(30)(31)(32)(33)(34)(35) kg.m )2 . The ASA physical status grading was Grade 1 (n = 59), Grade 2 (n = 39) and Grade 3 (n = 2).…”