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ISSN 2448-8909 (Print)

2006, Number 3

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Med Crit 2006; 20 (3)

A randomly comparison of the use of an intubating by means of FASTRACH (ILMA) and C-TRACH

Huerta MC, Gil OF, Mora CG, Aizpuru GAP, Escalona EA, Ortega ME, Zacarías AR

Language: Spanish
References: 29
Page: 105-110
PDF size: 123.26 Kb.


ABSTRACT

Objective: A comparison of the use of an intubating laryngeal mask airway (ILMA) and laryngeal mask airway with integrated fiberoptic system C-TRACH was made to observe the epiglottis and the vocal cords, where the endotracheal tube will be introduced, and determine which of the methods is more effective.
Design: Prospective study.
Setting: Department of Anesthesiology of a private tertiary care hospital, Mexico City.
Patients: Eighty patients were randomly assigned in two groups after the induction of anesthesia. In group A the patients were intubated blindly through the ILMA, while in group B were intubated with direct sight of the epiglottis and vocal cords through the intubation mask, with LMA with integrated fiberoptic system and screen for direct observation. A sequence of manoeuvres was used after a failed intubation was detected. The number of manoeuvres used and the passed time were registered in both groups.
Results: The intubations were successful in all patients, but the mean time of intubation was longer in group A than in group B (38.3 ± 10.4 vs 26.4± 9.1 seconds); p ‹ 0.001). The number of patients that needed one or more manoeuvres of intubation was significantly higher in group A than in group B (76% vs 42%); p = 0.001.
Conclusion: The use of C-TRACH is a more useful tool in the endotracheal intubation than the ILMA.


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  25. Pennant JH. The laryngeal mask airway: its uses in anesthesiology. Anesthesiology 1993;79:144-163.

  26. Akhtar TM. Risk of aspiration with the laryngeal mask. Br J Anaesth 1994;72:447-450.

  27. Heath ML, Allagain J. Intubation through the laryngeal mask- a technique for unexpected difficult intubation. Anaesth 1991;46:545-548.

  28. Lipp M, de Rossi L, Daublander M, Thierbach A. The transillumination technique. An alternative to conventional intubation? Anaesthetist 1996;45:923-30.

  29. Rabenstein K. Alternative techniques for laryngeal mask insertion (letter). Anaesthesia 1994;49:80-81.




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