Halgawi A, Massicotte N, Lallo A, Gauthier A, Boudreault D, Ruel M, Girard F. Anesth Analg. 2012; 114(1): 152-156
160 patients were randomised for blind intubation via i-gel® or LMA Fastrach®. First attempt and overall success rates were recorded and time to intubation was measured.
Link to abstract.
Tags :
2012,
Halgawi A,,
Anesth Analg,
Adult,
Anaesthesia,
blind intubation,
vs LMA Fastrach,
Tracheal intubation,
RCT,
Free
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Theiler L, Kleine-Brueggeney M, Urwyler N, Graf T, Luyet C, Greif R. Br J Anaesth 2011; 107(2): 243-250
A prospective, randomised, controlled trial comparing the success rate of blind tracheal intubation with a Magill PVC tube through i-gel®. Corresponding tracheal tube was introduced under fibreoptic visualization, but without guidance. Primary outcome was intubation success rate.
Abstract text
438b4f9d-7011-450d-b498-a36bf8bcc6fc|1|4.0|27604f05-86ad-47ef-9e05-950bb762570c
Kleine-Brueggeney M, Theiler L, Urwyler B, Vogt A, Greif R. Br J Anaesth 2011; 107(2): 251-7
A prospective, randomised, controlled trial comparing the success rate of fibreoptic-guided tracheal intubation using Rüsch® PVC tracheal tube through i-gel® with sILMATM tracheal tube through sILMATM. First-attempt success rate was primary outcome. 96% of 76 patients were successful using i-gel®, compared to 90% of 71 in the sILMATM group.
Abstract text
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Xue, FS, Wang, Q, Yuan, YJ, Xiong, J, Liao, X. Resuscitation 2010; 81(7): 910
This letter points out some issues with the manikin intubation study carried out by Michalek et al (2010). The study claimed to compare fibreoptic and blind intubations in the i-gel® and ILMA®, however only the blind intubation was fully assessed. It may have been more useful to compare a wider range of intubation aids. The authors warn that endotracheal tubes are often a similar length to the intubating airway, and that removal should be studied. It is stated that the results of the study only apply to manikins, not clinical practice.
Link to abstract.
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Michalek, P, Donaldson, W. Resuscitation 2010; 81(7): 911
This article is a response to Xue et al (2010). The authors generally agree that there are limitations to this study. However, the tracheal tubes used were noticeably longer than the body of the i-gel®. Although the results of manikin studies cannot be extrapolated to clinical practice, they are an important part of the testing needed before a product is used on patients.
Link to abstract.
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