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The EasyTube during general anesthesia for minor surgery: A randomized, controlled trial

BACKGROUND: The EasyTube (EzT) is a supraglottic airway device that is used for emergency airway situations. Ventilation during general anesthesia should also be feasible, but literature on the EzT is scarce. We evaluated the EzT in comparison with the endotracheal tube (ETT) in its use during gener...

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Autores principales: Robak, Oliver, Vaida, Sonia, Gaitini, Luis, Thierbach, Andreas, Urtubia, Ricardo, Krafft, Peter, Frass, Michael
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Wolters Kluwer Health 2017
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5484212/
https://www.ncbi.nlm.nih.gov/pubmed/28640104
http://dx.doi.org/10.1097/MD.0000000000007195
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author Robak, Oliver
Vaida, Sonia
Gaitini, Luis
Thierbach, Andreas
Urtubia, Ricardo
Krafft, Peter
Frass, Michael
author_facet Robak, Oliver
Vaida, Sonia
Gaitini, Luis
Thierbach, Andreas
Urtubia, Ricardo
Krafft, Peter
Frass, Michael
author_sort Robak, Oliver
collection PubMed
description BACKGROUND: The EasyTube (EzT) is a supraglottic airway device that is used for emergency airway situations. Ventilation during general anesthesia should also be feasible, but literature on the EzT is scarce. We evaluated the EzT in comparison with the endotracheal tube (ETT) in its use during general anesthesia in a comparative study. METHODS: A total of 400 patients with American Society of Anesthesiologists (ASA) physical status I to II scheduled for minor surgery in 4 centers were randomized for ventilation via the ETT or EzT. RESULTS: In all patients, the EzT and the ETT could be inserted within 3 attempts. In all EzT patients, the inspiratory and expiratory minute volumes (6.64 ± 0.71 and 6.34 ± 0.69 L/min) were sufficient to reach target oxygenation values, similar to ETT patients (P  =  .59). Mean peak pressure, mean plateau pressure, and mean dynamic compliance did not differ between the groups. Sore throat and blood on the cuff after removal were the most frequent complications in both groups. CONCLUSION: Ventilation for up to 1 hour during general anesthesia in patients with ASA physical status I to II with the EzT is feasible and safe.
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spelling pubmed-54842122017-07-06 The EasyTube during general anesthesia for minor surgery: A randomized, controlled trial Robak, Oliver Vaida, Sonia Gaitini, Luis Thierbach, Andreas Urtubia, Ricardo Krafft, Peter Frass, Michael Medicine (Baltimore) 3300 BACKGROUND: The EasyTube (EzT) is a supraglottic airway device that is used for emergency airway situations. Ventilation during general anesthesia should also be feasible, but literature on the EzT is scarce. We evaluated the EzT in comparison with the endotracheal tube (ETT) in its use during general anesthesia in a comparative study. METHODS: A total of 400 patients with American Society of Anesthesiologists (ASA) physical status I to II scheduled for minor surgery in 4 centers were randomized for ventilation via the ETT or EzT. RESULTS: In all patients, the EzT and the ETT could be inserted within 3 attempts. In all EzT patients, the inspiratory and expiratory minute volumes (6.64 ± 0.71 and 6.34 ± 0.69 L/min) were sufficient to reach target oxygenation values, similar to ETT patients (P  =  .59). Mean peak pressure, mean plateau pressure, and mean dynamic compliance did not differ between the groups. Sore throat and blood on the cuff after removal were the most frequent complications in both groups. CONCLUSION: Ventilation for up to 1 hour during general anesthesia in patients with ASA physical status I to II with the EzT is feasible and safe. Wolters Kluwer Health 2017-06-23 /pmc/articles/PMC5484212/ /pubmed/28640104 http://dx.doi.org/10.1097/MD.0000000000007195 Text en Copyright © 2017 the Author(s). Published by Wolters Kluwer Health, Inc. http://creativecommons.org/licenses/by-nd/4.0 This is an open access article distributed under the Creative Commons Attribution-NoDerivatives License 4.0, which allows for redistribution, commercial and non-commercial, as long as it is passed along unchanged and in whole, with credit to the author. http://creativecommons.org/licenses/by-nd/4.0
spellingShingle 3300
Robak, Oliver
Vaida, Sonia
Gaitini, Luis
Thierbach, Andreas
Urtubia, Ricardo
Krafft, Peter
Frass, Michael
The EasyTube during general anesthesia for minor surgery: A randomized, controlled trial
title The EasyTube during general anesthesia for minor surgery: A randomized, controlled trial
title_full The EasyTube during general anesthesia for minor surgery: A randomized, controlled trial
title_fullStr The EasyTube during general anesthesia for minor surgery: A randomized, controlled trial
title_full_unstemmed The EasyTube during general anesthesia for minor surgery: A randomized, controlled trial
title_short The EasyTube during general anesthesia for minor surgery: A randomized, controlled trial
title_sort easytube during general anesthesia for minor surgery: a randomized, controlled trial
topic 3300
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5484212/
https://www.ncbi.nlm.nih.gov/pubmed/28640104
http://dx.doi.org/10.1097/MD.0000000000007195
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