Cargando…

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...

Descripción completa

Detalles Bibliográficos
Autores principales: Kim, Ha-Jung, Park, Hee-Sun, Kim, Soo-Young, Ro, Young-Jin, Yang, Hong-Seuk, Koh, Won Uk
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2019
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
_version_ 1783448730532315136
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
work_keys_str_mv AT kimhajung arandomizedcontrolledtrialcomparingambuauragainandigelinyoungpediatricpatients
AT parkheesun arandomizedcontrolledtrialcomparingambuauragainandigelinyoungpediatricpatients
AT kimsooyoung arandomizedcontrolledtrialcomparingambuauragainandigelinyoungpediatricpatients
AT royoungjin arandomizedcontrolledtrialcomparingambuauragainandigelinyoungpediatricpatients
AT yanghongseuk arandomizedcontrolledtrialcomparingambuauragainandigelinyoungpediatricpatients
AT kohwonuk arandomizedcontrolledtrialcomparingambuauragainandigelinyoungpediatricpatients
AT kimhajung randomizedcontrolledtrialcomparingambuauragainandigelinyoungpediatricpatients
AT parkheesun randomizedcontrolledtrialcomparingambuauragainandigelinyoungpediatricpatients
AT kimsooyoung randomizedcontrolledtrialcomparingambuauragainandigelinyoungpediatricpatients
AT royoungjin randomizedcontrolledtrialcomparingambuauragainandigelinyoungpediatricpatients
AT yanghongseuk randomizedcontrolledtrialcomparingambuauragainandigelinyoungpediatricpatients
AT kohwonuk randomizedcontrolledtrialcomparingambuauragainandigelinyoungpediatricpatients