<abstract xmlns="http://www.w3.org/1999/xhtml">

<sec><h3>Background and Aims</h3>
<p>Securing the airway without morbidity is of prime importance. The difficult airway cart should have some advanced airway aids if not all. In this study we evaluated Airtraq laryngoscope and Intubating Laryngeal Mask Airway (ILMA) as intubating devices in novice users who were well accomplished in intubation using direct laryngoscope with Macintosh blade. Both the devices were used because of relatively lesser cost, portability and all in one compact design not requiring any setup. Methods: 60 consenting American Society of Anaesthesiology (ASA) Grade I and II patients, weighing 50 to 70 were randomly assigned to be intubated by Airtraq or ILMA. Primary Aim was to compare success rate and intubation time. Comparison of ease of intubation and postoperative pharyngeal morbidity were the secondary end points.</p>
</sec>
<sec><h3>Results</h3>
<p>Success rate of intubation was higher in ILMA group (100%) than Airtraq (80%) [P = 0.0237]. However, in successful intubations the time for intubation was significantly less with Airtraq (Group A = 45.37 ± 27.55, Group I = 77.6 ± 31.85; P = 0.0003). No significant difference was noted in ease of intubation, number of optimizing manoeuvres to facilitate intubation and postoperative pharyngeal morbidity.</p>
</sec>
<sec><h3>Conclusion</h3>
<p>In Clinicians who are well versed with laryngoscopy using Macintosh blade but new to Airtraq and ILMA, success rate of intubation is higher with ILMA. Prolonged intubation time in ILMA should not deter its use in difficult airway scenarios because of the ability to ventilate through it.</p>
</sec>
</abstract>

Background and Aims
Securing the airway without morbidity is of prime importance. The difficult airway cart should have some advanced airway aids if not all. In this study we evaluated Airtraq laryngoscope and Intubating Laryngeal Mask Airway (ILMA) as intubating devices in novice users who were well accomplished in intubation using direct laryngoscope with Macintosh blade. Both the devices were used because of relatively lesser cost, portability and all in one compact design not requiring any setup. Methods: 60 consenting American Society of Anaesthesiology (ASA) Grade I and II patients, weighing 50 to 70 were randomly assigned to be intubated by Airtraq or ILMA. Primary Aim was to compare success rate and intubation time. Comparison of ease of intubation and postoperative pharyngeal morbidity were the secondary end points.

Results
Success rate of intubation was higher in ILMA group (100%) than Airtraq (80%) [P = 0.0237]. However, in successful intubations the time for intubation was significantly less with Airtraq (Group A = 45.37 ± 27.55, Group I = 77.6 ± 31.85; P = 0.0003). No significant difference was noted in ease of intubation, number of optimizing manoeuvres to facilitate intubation and postoperative pharyngeal morbidity.

Conclusion
In Clinicians who are well versed with laryngoscopy using Macintosh blade but new to Airtraq and ILMA, success rate of intubation is higher with ILMA. Prolonged intubation time in ILMA should not deter its use in difficult airway scenarios because of the ability to ventilate through it.

Comparison of Intubation Success Rate using Airtraq Laryngoscope and Intubating Laryngeal Mask Airway in Novice Users with Prior Airway Management Experience: A Prospective Randomised Study

Romanian Journal of Anaesthesia and Intensive Care

This work is licensed under the Creative Commons Attribution-NonCommercial-NoDerivatives 3.0 License.

Background and Aims
Securing the airway without morbidity is of prime importance. The difficult airway cart should have some advanced airway aids if not all....

Patient characteristics	Group A	Group I	P value
female: male	12:17	11:18	1.00
Age (years)	35.26 ± 11	35.5 ± 11	0.93
Weight (Kg)	57.23 ± 7.61	59 ± 6.91	0.35
ASA I/II [n]	24/6	23/7	1.00
MP I/II/III/IV [n]	16/10/4/0	11/12/5/2	0.35

Score	Description
0	No complaints or evidence of sore throat or hoarseness
1	Patient complaints of minimal sore throat but observer found no hoarseness when compared with preoperative quality of voice
2	Patient complaints of moderate sore throat or observer found moderate hoarseness
3	Patient complaints of severe sore throat or observer found marked hoarseness.

Parameters	A (n = 24)	I (n = 30)	P value
T in seconds (mean ±SD)	45.37 ± 27.55	77.6 ± 31.85	0.0003
T in A, T2 in I (mean±SD)	45.37 ± 27.55	33.06 ± 19.07	0.058
Ease of intubation (VAS median [IQR])	5 [4–6]	5 [4–7]	0.533
Number of attempts (1/2)	19/5	26/4	0.489
Number of adjusting maneuvers (0/1/2)	11/12/1	13/15/2	0.91

Comparison of Intubation Success Rate using Airtraq Laryngoscope and Intubating Laryngeal Mask Airway in Novice Users with Prior Airway Management Experience: A Prospective Randomised Study

Article Category: Original paper

Publié en ligne: 14 janv. 2023

Pages: 16 - 21

DOI: https://doi.org/10.2478/rjaic-2022-0003

Mots clés
Airway Management, Intubation, Laryngoscopes, Laryngeal masks

© 2022 Chandni Maheshwari et al., published by Sciendo

This work is licensed under the Creative Commons Attribution-NonCommercial-NoDerivatives 3.0 License.

Figure 1

Figure 2

Comparison of demographic variables in both groups

Grading of sorethroat

Comparison of Intubation Characteristics in successful intubations between both groups

Comparison of Intubation Success Rate using Airtraq Laryngoscope and Intubating Laryngeal Mask Airway in Novice Users with Prior Airway Management Experience: A Prospective Randomised Study

Article Category: Original paper

Publié en ligne: 14 janv. 2023

Pages: 16 - 21

DOI: https://doi.org/10.2478/rjaic-2022-0003

Mots clésAirway Management, Intubation, Laryngoscopes, Laryngeal masks

© 2022 Chandni Maheshwari et al., published by Sciendo

This work is licensed under the Creative Commons Attribution-NonCommercial-NoDerivatives 3.0 License.

Figure 1

Figure 2

Comparison of demographic variables in both groups

Grading of sorethroat

Comparison of Intubation Characteristics in successful intubations between both groups

Mots clés
Airway Management, Intubation, Laryngoscopes, Laryngeal masks