Airway Management for Pediatric Patients Under Controlled Ventilation: A Comparative Study between I-gel Supraglottic Airway and Air-Q Intubating Laryngeal Airway (ILA)
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- Category: Vol. 85, March 2017
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Airway Management for Pediatric Patients Under Controlled Ventilation: A Comparative Study between I-gel Supraglottic Airway and Air-Q Intubating Laryngeal Airway (ILA), SHERIF A.M. MOHAMMAD, GAMAL Z. EL-MORSY, ABD EL-GHANY IBRAHIM and MOHAMED F. YOUNIS
Abstract
Background: Supraglottic Airway Devices (SAD) are now widely used for surgery requiring general anesthesia during spontaneous or controlled ventilation.
Objective: To compare the efficacy of I-gel and Air-Q ILA in maintaining airway in pediatrics during controlled ventilation by monitoring of leak pressure.
Patients and Methods: This prospective single blind randomized studywas conductedon 200 cases of pediatric patients of either sex of age range from one year to twelve years old undergoing elective surgical procedures using controlled mechanical ventilation.
The patients were randomly allocated into two groups: Group (I) using I-gel and Group (II) using Air-Q ILA. Airway sealing pressure was the primary variant and the secondary outcomes are; ease of insertion, insertion attempts, fiber optic assessment and post removal complications.
Results: This study showed that the time of insertion of the device had significant differences for the Group II (air-Q) on Group I (I-gel) as (10.58±1.81) seconds vs. (12.05±1.99) seconds and for the leak pressure as in Group I (I-gel) was (19.16±1.64) cmH2O and in Group II (Air-q) was (19.99±2.26) cmH2O. In Group I (I-gel) optimal glottis view was 76% and in Group II (air-q) optimal glottis view was 90%.
Conclusion: The Air-Q ILA is proved to be better than I-gel during controlled volume ventilation in pediatric patients as regarded the airway leak pressure, insertion time and fiber-optic bronchoscopic view.