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A Randomized Controlled Trial Comparing Ambu AuraGain and i-gel in Young Pediatric Patients
Supraglottic airway devices have been increasingly used because of their several advantages. Previous studies showed that the small-sized i-gel provides effective ventilation for young pediatric patients; however, few studies have reported the use of AuraGain in these patients. Herein, we compared t...
Autores principales: | , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
MDPI
2019
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6723277/ https://www.ncbi.nlm.nih.gov/pubmed/31426378 http://dx.doi.org/10.3390/jcm8081235 |
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author | Kim, Ha-Jung Park, Hee-Sun Kim, Soo-Young Ro, Young-Jin Yang, Hong-Seuk Koh, Won Uk |
author_facet | Kim, Ha-Jung Park, Hee-Sun Kim, Soo-Young Ro, Young-Jin Yang, Hong-Seuk Koh, Won Uk |
author_sort | Kim, Ha-Jung |
collection | PubMed |
description | Supraglottic airway devices have been increasingly used because of their several advantages. Previous studies showed that the small-sized i-gel provides effective ventilation for young pediatric patients; however, few studies have reported the use of AuraGain in these patients. Herein, we compared the clinical performance of AuraGain and i-gel in young pediatric patients aged between 6 months and 6 years old and weighing 5–20 kg, who were scheduled to undergo extremity surgery under general anesthesia. In total, 68 patients were enrolled and randomly allocated into two groups: AuraGain group and i-gel group. The primary outcome was the requirement of additional airway maneuvers. We also analyzed insertion parameters, fiberoptic bronchoscopic view, oropharyngeal leak pressure, and peri-operative adverse effects. Compared with the AuraGain group, the i-gel group required more additional airway maneuvers during the placement of the device and maintenance of ventilation. The fiberoptic view was better in the AuraGain group than in the i-gel group. However, the oropharyngeal leak pressure was higher in the i-gel group. AuraGain might be a better choice over i-gel considering the requirement of additional airway maneuvers. However, when a higher oropharyngeal leak pressure is required, the i-gel is more beneficial than AuraGain. |
format | Online Article Text |
id | pubmed-6723277 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2019 |
publisher | MDPI |
record_format | MEDLINE/PubMed |
spelling | pubmed-67232772019-09-10 A Randomized Controlled Trial Comparing Ambu AuraGain and i-gel in Young Pediatric Patients Kim, Ha-Jung Park, Hee-Sun Kim, Soo-Young Ro, Young-Jin Yang, Hong-Seuk Koh, Won Uk J Clin Med Article Supraglottic airway devices have been increasingly used because of their several advantages. Previous studies showed that the small-sized i-gel provides effective ventilation for young pediatric patients; however, few studies have reported the use of AuraGain in these patients. Herein, we compared the clinical performance of AuraGain and i-gel in young pediatric patients aged between 6 months and 6 years old and weighing 5–20 kg, who were scheduled to undergo extremity surgery under general anesthesia. In total, 68 patients were enrolled and randomly allocated into two groups: AuraGain group and i-gel group. The primary outcome was the requirement of additional airway maneuvers. We also analyzed insertion parameters, fiberoptic bronchoscopic view, oropharyngeal leak pressure, and peri-operative adverse effects. Compared with the AuraGain group, the i-gel group required more additional airway maneuvers during the placement of the device and maintenance of ventilation. The fiberoptic view was better in the AuraGain group than in the i-gel group. However, the oropharyngeal leak pressure was higher in the i-gel group. AuraGain might be a better choice over i-gel considering the requirement of additional airway maneuvers. However, when a higher oropharyngeal leak pressure is required, the i-gel is more beneficial than AuraGain. MDPI 2019-08-16 /pmc/articles/PMC6723277/ /pubmed/31426378 http://dx.doi.org/10.3390/jcm8081235 Text en © 2019 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (http://creativecommons.org/licenses/by/4.0/). |
spellingShingle | Article Kim, Ha-Jung Park, Hee-Sun Kim, Soo-Young Ro, Young-Jin Yang, Hong-Seuk Koh, Won Uk A Randomized Controlled Trial Comparing Ambu AuraGain and i-gel in Young Pediatric Patients |
title | A Randomized Controlled Trial Comparing Ambu AuraGain and i-gel in Young Pediatric Patients |
title_full | A Randomized Controlled Trial Comparing Ambu AuraGain and i-gel in Young Pediatric Patients |
title_fullStr | A Randomized Controlled Trial Comparing Ambu AuraGain and i-gel in Young Pediatric Patients |
title_full_unstemmed | A Randomized Controlled Trial Comparing Ambu AuraGain and i-gel in Young Pediatric Patients |
title_short | A Randomized Controlled Trial Comparing Ambu AuraGain and i-gel in Young Pediatric Patients |
title_sort | randomized controlled trial comparing ambu auragain and i-gel in young pediatric patients |
topic | Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6723277/ https://www.ncbi.nlm.nih.gov/pubmed/31426378 http://dx.doi.org/10.3390/jcm8081235 |
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