Airway Management in Morbidly Obese Patients: A Comparison Between Fiber Optic-guided Intubating Laryngeal Mask and Air Q
Study Details
Study Description
Brief Summary
To compare air Q versus ILMA intubation in obese adult paralyzed patient
Condition or Disease | Intervention/Treatment | Phase |
---|---|---|
|
N/A |
Detailed Description
Evaluate the process of endo-tracheal intubation through Air Q compared to through ILMA regarding number and duration of attempts, laryngeal view grade, time to removal of device over tube without dislodgement and any complication
Study Design
Arms and Interventions
Arm | Intervention/Treatment |
---|---|
Active Comparator: Group I ( Air Q) nsertion of proper size Air-Q. ILA |
Device: Air-Q. ILA insertion of proper size
Success of fiberoptic guided intubation throuhgh Air Q supraglottic airway device
|
Active Comparator: Group II (ILMA) nsertion of proper size ILMA |
Device: ILMA insertion of proper size
Success of fiberoptic guided intubation throuhgh ILMA supraglottic airway device
|
Outcome Measures
Primary Outcome Measures
- success rate of tracheal intubation through each device. [Within a maximum of 5 minutes to confirm success of tracheal intubation through each supraglottic airway devices]
success rate of tracheal intubation through each device is defined as end tidal carbon dioxide confirmed placement of TT within a maximum of 5 min tracheal intubation time
Secondary Outcome Measures
- Insertion time of supraglottic airway devices [It is about 13-19 second for insertion of supraglottic airway devices]
Time necessary for insertion was measured from the time the face mask was taken away until the appearance of Co2 on the capnograph while supraglottic airway device in place
Eligibility Criteria
Criteria
Inclusion Criteria:All morbidly obese patient defined as BMI >40 kg/m2 scheduled for an elective surgery requiring general anesthesia with tracheal intubation were enrolled on the day of their surgery.
ASA physical status (I-II)
Exclusion Criteria physical status of IV or V or had a history of impossible tracheal intubation or awake fibreoptic intubation or if preoperative evaluation showed limited mouth aperture <3.5 cm or showed evidence that an awake fiberoptic intubation or rapid sequence induction would be required patients at increased risk for aspiration of gastric contents, coagulopathy or those with unstable cervical spines or requiring nasal route for tracheal intubation
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Contacts and Locations
Locations
Site | City | State | Country | Postal Code | |
---|---|---|---|---|---|
1 | Zagazig University | Zagazig | Egypt | 002055 |
Sponsors and Collaborators
- Zagazig University
Investigators
- Principal Investigator: Heba M EL-Asser, MD, Zagazig University
- Principal Investigator: Heba M Heba, MD, Zagazig University
Study Documents (Full-Text)
None provided.More Information
Publications
- Frappier J, Guenoun T, Journois D, Philippe H, Aka E, Cadi P, Silleran-Chassany J, Safran D. Airway management using the intubating laryngeal mask airway for the morbidly obese patient. Anesth Analg. 2003 May;96(5):1510-1515. doi: 10.1213/01.ANE.0000057003.91393.3C.
- Karim YM, Swanson DE. Comparison of blind tracheal intubation through the intubating laryngeal mask airway (LMA Fastrach™) and the Air-Q™. Anaesthesia. 2011 Mar;66(3):185-90. doi: 10.1111/j.1365-2044.2011.06625.x.
- Intubation in morbid obese