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Utility of the Aintree Intubation Catheter in fiberoptic tracheal intubation through the three types of intubating supraglottic airways: a manikin simulation study

PURPOSE: The purpose of this study was to examine the utility of the Aintree Intubation Catheter (AIC) with three types of supraglottic airway devices for tracheal intubation (ISGAs) using a manikin. METHODS: Participants were 21 anesthesiologists with more than 2 years of experience in clinical ane...

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Autores principales: Ueki, Ryusuke, Komasawa, Nobuyasu, Nishimoto, Kenta, Sugi, Takashi, Hirose, Munetaka, Kaminoh, Yoshiroh
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Springer Japan 2013
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4055839/
https://www.ncbi.nlm.nih.gov/pubmed/24132594
http://dx.doi.org/10.1007/s00540-013-1724-3
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author Ueki, Ryusuke
Komasawa, Nobuyasu
Nishimoto, Kenta
Sugi, Takashi
Hirose, Munetaka
Kaminoh, Yoshiroh
author_facet Ueki, Ryusuke
Komasawa, Nobuyasu
Nishimoto, Kenta
Sugi, Takashi
Hirose, Munetaka
Kaminoh, Yoshiroh
author_sort Ueki, Ryusuke
collection PubMed
description PURPOSE: The purpose of this study was to examine the utility of the Aintree Intubation Catheter (AIC) with three types of supraglottic airway devices for tracheal intubation (ISGAs) using a manikin. METHODS: Participants were 21 anesthesiologists with more than 2 years of experience in clinical anesthesia. Three types of ISGAs were passed through the glottis: Fastrack-Single Use (FSU; size 4), air-Q (size 3.5), and i-gel (size 4). Participants attempted fiberoptic tracheal intubation with the ISGAs in random order. Success rate of tracheal intubation, intubation time, and collision with the glottis were recorded. Participants also evaluated the subjective difficulty of the entire intubation process and passing the tracheal tube through the glottis using a Visual Analogue Scale. RESULTS: The FSU required a significantly longer time for intubation compared with the other two ISGAs (p < 0.05). AIC use did not significantly improve the success rate of intubation or shorten intubation times for any of the ISGAs. However, there were significantly more collisions with the glottis without AIC use for the FSU and air-Q compared to when they were used with the AIC (FSU, p = 0.015; air-Q, p = 0.025). CONCLUSION: Among the ISGAs tested, intubation took longer with the FSU, and the FSU had a higher failure rate than the other ISGAs. AIC significantly decreased the number of collisions with the FSU and air-Q. These findings suggest that the AIC is effective in reducing collisions with the tracheal tube and thus will reduce the risk of mechanical injury to the airway.
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spelling pubmed-40558392014-06-18 Utility of the Aintree Intubation Catheter in fiberoptic tracheal intubation through the three types of intubating supraglottic airways: a manikin simulation study Ueki, Ryusuke Komasawa, Nobuyasu Nishimoto, Kenta Sugi, Takashi Hirose, Munetaka Kaminoh, Yoshiroh J Anesth Original Article PURPOSE: The purpose of this study was to examine the utility of the Aintree Intubation Catheter (AIC) with three types of supraglottic airway devices for tracheal intubation (ISGAs) using a manikin. METHODS: Participants were 21 anesthesiologists with more than 2 years of experience in clinical anesthesia. Three types of ISGAs were passed through the glottis: Fastrack-Single Use (FSU; size 4), air-Q (size 3.5), and i-gel (size 4). Participants attempted fiberoptic tracheal intubation with the ISGAs in random order. Success rate of tracheal intubation, intubation time, and collision with the glottis were recorded. Participants also evaluated the subjective difficulty of the entire intubation process and passing the tracheal tube through the glottis using a Visual Analogue Scale. RESULTS: The FSU required a significantly longer time for intubation compared with the other two ISGAs (p < 0.05). AIC use did not significantly improve the success rate of intubation or shorten intubation times for any of the ISGAs. However, there were significantly more collisions with the glottis without AIC use for the FSU and air-Q compared to when they were used with the AIC (FSU, p = 0.015; air-Q, p = 0.025). CONCLUSION: Among the ISGAs tested, intubation took longer with the FSU, and the FSU had a higher failure rate than the other ISGAs. AIC significantly decreased the number of collisions with the FSU and air-Q. These findings suggest that the AIC is effective in reducing collisions with the tracheal tube and thus will reduce the risk of mechanical injury to the airway. Springer Japan 2013-10-17 2014 /pmc/articles/PMC4055839/ /pubmed/24132594 http://dx.doi.org/10.1007/s00540-013-1724-3 Text en © The Author(s) 2013 https://creativecommons.org/licenses/by/2.0/ Open AccessThis article is distributed under the terms of the Creative Commons Attribution License which permits any use, distribution, and reproduction in any medium, provided the original author(s) and the source are credited.
spellingShingle Original Article
Ueki, Ryusuke
Komasawa, Nobuyasu
Nishimoto, Kenta
Sugi, Takashi
Hirose, Munetaka
Kaminoh, Yoshiroh
Utility of the Aintree Intubation Catheter in fiberoptic tracheal intubation through the three types of intubating supraglottic airways: a manikin simulation study
title Utility of the Aintree Intubation Catheter in fiberoptic tracheal intubation through the three types of intubating supraglottic airways: a manikin simulation study
title_full Utility of the Aintree Intubation Catheter in fiberoptic tracheal intubation through the three types of intubating supraglottic airways: a manikin simulation study
title_fullStr Utility of the Aintree Intubation Catheter in fiberoptic tracheal intubation through the three types of intubating supraglottic airways: a manikin simulation study
title_full_unstemmed Utility of the Aintree Intubation Catheter in fiberoptic tracheal intubation through the three types of intubating supraglottic airways: a manikin simulation study
title_short Utility of the Aintree Intubation Catheter in fiberoptic tracheal intubation through the three types of intubating supraglottic airways: a manikin simulation study
title_sort utility of the aintree intubation catheter in fiberoptic tracheal intubation through the three types of intubating supraglottic airways: a manikin simulation study
topic Original Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4055839/
https://www.ncbi.nlm.nih.gov/pubmed/24132594
http://dx.doi.org/10.1007/s00540-013-1724-3
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