Yıl: 2019 Cilt: 61 Sayı: 2 Sayfa Aralığı: 166 - 173 Metin Dili: İngilizce DOI: 10.24953/turkjped.2019.02.003 İndeks Tarihi: 05-08-2020

Comparison of i-gel, LMA-supreme, LMA-classic and LMAproseal as conduits of endotracheal intubation in newborns and infants: A manikin study

Öz:
Many types of supraglottic airway devices (SAD) including the traditionalLMA (Laryngeal Mask Airway) are commonly used as conduits for intubationin pediatric patients with difficult airway. The aim of this study was toevaluate the feasibility of four types of commonly used neonatal and infantsized SADs as conduits of intubation. Fiberoptic-guided tracheal intubationwith uncuffed, cuffed and armored uncuffed endotracheal tubes (ETT) sizedbetween 2.5 and 4.5 through four commonly used types of size 1 and 1.5SADs (i-gel, LMA-classic, LMA-supreme, LMA-proseal) were performed bytwo investigators on an infant manikin. The investigators scored two mainoutcomes with a 5-point scale: 1) passage of ETT during intubation throughthe SAD, and 2) passage of SAD over the ETT during SAD removal. Thedifferences between the study groups were evaluated using the Bonferroniadjusted Mann-Whitney U test and p<0.0083 was considered as statisticallysignificant according to Bonferroni correction. i-gel sizes 1 and 1.5 bothperformed better as conduits for fiberoptic-guided intubation compared withLMA-proseal, LMA-classic and LMA-supreme with most of the uncuffed ETTsinvestigated (p<0.0083). We found i-gel sizes 1 and 1.5 easily feasible to useeven with uncuffed ETTs with an inner diameter of 3.5 mm and 4.5 mm,respectively. i-gel was the only SAD that was feasible for use as a conduit forarmored ETTs. The passage of cuffed ETTs was problematic with all types ofstudied SADs. In conclusion; the choice of i-gel as a conduit for intubationcould be safer than LMA-classic, LMA-supreme and LMA-proseal.
Anahtar Kelime:

Belge Türü: Makale Makale Türü: Araştırma Makalesi Erişim Türü: Erişime Açık
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APA YILBAŞ A, BAŞARAN B, Uzumcugil F, Akca B, İZGİ M, canbay o (2019). Comparison of i-gel, LMA-supreme, LMA-classic and LMAproseal as conduits of endotracheal intubation in newborns and infants: A manikin study. , 166 - 173. 10.24953/turkjped.2019.02.003
Chicago YILBAŞ Aysun Ankay,BAŞARAN Betül,Uzumcugil Filiz,Akca Basak,İZGİ Murat,canbay ozgur Comparison of i-gel, LMA-supreme, LMA-classic and LMAproseal as conduits of endotracheal intubation in newborns and infants: A manikin study. (2019): 166 - 173. 10.24953/turkjped.2019.02.003
MLA YILBAŞ Aysun Ankay,BAŞARAN Betül,Uzumcugil Filiz,Akca Basak,İZGİ Murat,canbay ozgur Comparison of i-gel, LMA-supreme, LMA-classic and LMAproseal as conduits of endotracheal intubation in newborns and infants: A manikin study. , 2019, ss.166 - 173. 10.24953/turkjped.2019.02.003
AMA YILBAŞ A,BAŞARAN B,Uzumcugil F,Akca B,İZGİ M,canbay o Comparison of i-gel, LMA-supreme, LMA-classic and LMAproseal as conduits of endotracheal intubation in newborns and infants: A manikin study. . 2019; 166 - 173. 10.24953/turkjped.2019.02.003
Vancouver YILBAŞ A,BAŞARAN B,Uzumcugil F,Akca B,İZGİ M,canbay o Comparison of i-gel, LMA-supreme, LMA-classic and LMAproseal as conduits of endotracheal intubation in newborns and infants: A manikin study. . 2019; 166 - 173. 10.24953/turkjped.2019.02.003
IEEE YILBAŞ A,BAŞARAN B,Uzumcugil F,Akca B,İZGİ M,canbay o "Comparison of i-gel, LMA-supreme, LMA-classic and LMAproseal as conduits of endotracheal intubation in newborns and infants: A manikin study." , ss.166 - 173, 2019. 10.24953/turkjped.2019.02.003
ISNAD YILBAŞ, Aysun Ankay vd. "Comparison of i-gel, LMA-supreme, LMA-classic and LMAproseal as conduits of endotracheal intubation in newborns and infants: A manikin study". (2019), 166-173. https://doi.org/10.24953/turkjped.2019.02.003
APA YILBAŞ A, BAŞARAN B, Uzumcugil F, Akca B, İZGİ M, canbay o (2019). Comparison of i-gel, LMA-supreme, LMA-classic and LMAproseal as conduits of endotracheal intubation in newborns and infants: A manikin study. Turkish Journal of Pediatrics, 61(2), 166 - 173. 10.24953/turkjped.2019.02.003
Chicago YILBAŞ Aysun Ankay,BAŞARAN Betül,Uzumcugil Filiz,Akca Basak,İZGİ Murat,canbay ozgur Comparison of i-gel, LMA-supreme, LMA-classic and LMAproseal as conduits of endotracheal intubation in newborns and infants: A manikin study. Turkish Journal of Pediatrics 61, no.2 (2019): 166 - 173. 10.24953/turkjped.2019.02.003
MLA YILBAŞ Aysun Ankay,BAŞARAN Betül,Uzumcugil Filiz,Akca Basak,İZGİ Murat,canbay ozgur Comparison of i-gel, LMA-supreme, LMA-classic and LMAproseal as conduits of endotracheal intubation in newborns and infants: A manikin study. Turkish Journal of Pediatrics, vol.61, no.2, 2019, ss.166 - 173. 10.24953/turkjped.2019.02.003
AMA YILBAŞ A,BAŞARAN B,Uzumcugil F,Akca B,İZGİ M,canbay o Comparison of i-gel, LMA-supreme, LMA-classic and LMAproseal as conduits of endotracheal intubation in newborns and infants: A manikin study. Turkish Journal of Pediatrics. 2019; 61(2): 166 - 173. 10.24953/turkjped.2019.02.003
Vancouver YILBAŞ A,BAŞARAN B,Uzumcugil F,Akca B,İZGİ M,canbay o Comparison of i-gel, LMA-supreme, LMA-classic and LMAproseal as conduits of endotracheal intubation in newborns and infants: A manikin study. Turkish Journal of Pediatrics. 2019; 61(2): 166 - 173. 10.24953/turkjped.2019.02.003
IEEE YILBAŞ A,BAŞARAN B,Uzumcugil F,Akca B,İZGİ M,canbay o "Comparison of i-gel, LMA-supreme, LMA-classic and LMAproseal as conduits of endotracheal intubation in newborns and infants: A manikin study." Turkish Journal of Pediatrics, 61, ss.166 - 173, 2019. 10.24953/turkjped.2019.02.003
ISNAD YILBAŞ, Aysun Ankay vd. "Comparison of i-gel, LMA-supreme, LMA-classic and LMAproseal as conduits of endotracheal intubation in newborns and infants: A manikin study". Turkish Journal of Pediatrics 61/2 (2019), 166-173. https://doi.org/10.24953/turkjped.2019.02.003