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首页> 外文期刊>The Open Anesthesia Journal >Comparison of Endotracheal Intubation Through I-gel and Intubating Laryngeal Mask Airway
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Comparison of Endotracheal Intubation Through I-gel and Intubating Laryngeal Mask Airway

机译：通过I-gel和气管插管喉罩气管插管的比较

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Background:Supraglottic airway devices (SADs) are very useful airway adjunct in managing anticipated and unanticipated difficult airway and can be used as a ventilating aid and as a conduit for tracheal intubation. The new versions of SADs like i-gel and intubating laryngeal mask airway (ILMA), have advantage of hands-free airway maintenance without the need for tracheal intubation, they can be placed easily without direct visualization of the larynx, ensure predictable ventilation and can be used as conduit for tracheal intubation.Objective:To compare ease and success of placement of both SADs and ease and success of endotracheal (ET) intubation through both SADs.Method:Eighty patients of both sexes, aged between 18-60 years and belonging to ASA grade I and II undergoing surgical procedure under general anaesthesia (GA) were randomly divided into two group (i-gel and ILMA) of equal number. Following induction the allocated device was inserted and after confirming adequate ventilation, blind ET intubation was attempted through the device. First attempt and overall success rate of SAD insertion and ET intubation through SAD; time taken for SAD insertion and ET intubation through SAD; hemodynamic changes and postoperative complications were recorded and compared between groups.Result:Demographic profile, success rate of SAD insertion, haemodynamic changes and adverse effects were similar between groups (p >0.05).Overall time needed for successful SAD insertion was significantly shorter in group i-gel (22.52±5.64 sec) than group ILMA (31.15±5.52 sec) (p value <0.0001). Overall success rate of blind ET intubation was higher in group i-gel (75%) in comparison to group ILMA (65%). I-gel required significantly less time to achieve successful ET intubation than ILMA (26.30±11.35 sec vs . 33.53±13.13 sec)(p <0.0001).Conclusion:Both the SADs were proved to be useful alternative to conventional laryngoscope for ET intubation, although i-gel required lesser time and had better success rate of ET intubation as compared to ILMA.
机译：背景：声门上气道设备（SAD）在管理预期和未预期的困难气道方面非常有用，可以用作通气辅助工具和气管插管的导管。新版本的SAD，例如i-gel和气管插管式喉罩（ILMA），具有无需气管插管的免提气管维护优势，可以轻松放置，而无需直接观察喉头，确保可预测的通气并可以目的：比较两种SAD置入的简便性和成功率，以及通过两种SAD进行气管内插管的便捷性和成功率。方法：80名年龄在18-60岁之间且属于将在全身麻醉（GA）下接受手术的ASA I和II级患者随机分为两组，每组相等数量。感应后，插入分配的设备，并确认通风良好后，尝试通过该设备进行盲目ET插管。通过SAD进行SAD和ET插管的首次尝试和总体成功率;通过SAD插入SAD和进行ET插管所需的时间;记录并比较各组之间的血流动力学变化和术后并发症。结果：两组之间的人口统计学特征，SAD插入成功率，血流动力学变化和不良反应相似（ p> 0.05）。 i-gel组（22.52±5.64秒）比ILMA组（31.15±5.52秒）短（p值<0.0001）。与ILMA组（65％）相比，i-gel组（75％）的盲ET插管总体成功率更高。与ILMA（26.30±11.35 s vs. 33.53±13.13 sec）相比，I-gel进行ET成功插管所需的时间明显更少（p <0.0001）。结论：两种SAD均被证明可替代传统的喉镜用于ET插管，尽管与ILMA相比，i-gel所需的时间更短，并且ET插管的成功率更高。

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