Ambu AuraOnce versus i-gel laryngeal mask airway in infants and children undergoing surgical procedures A randomized controlled trial

被引:9
|
作者
Alzahem, Abdulrahman M. [1 ]
Aqil, Mansoor [2 ]
Alzahrani, Tariq A. [2 ]
Aljazaeri, Ayman H. [1 ]
机构
[1] King Saud Univ, Coll Med, King Saud Univ Med City, Dept Pediat Surg, Riyadh, Saudi Arabia
[2] King Saud Univ, Coll Med, King Saud Univ Med City, Dept Anesthesiol, Riyadh, Saudi Arabia
关键词
SUPRAGLOTTIC AIRWAY; ANESTHETIZED PATIENTS; INTRAOCULAR-PRESSURE; VENTILATED CHILDREN; PEDIATRIC-PATIENTS; COHORT EVALUATION; SCORING SYSTEM; INSERTION; LMA-CLASSIC(TM); PERFORMANCE;
D O I
10.15537/smj.2017.5.17960
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Objectives: To compare the efficacy and performance of the pediatric Ambu AuraOnce (Ambu AO) mask (Ambu, Copenhagen, Denmark) and i-gel mask (Intersurgical Ltd., Wokingham, United Kingdom). Methods: From May 2015 to September 2016, 112 patients, 0-14 years old, underwent elective surgery at a tertiary university hospital (Riyadh, Saudi Arabia). They were randomly assigned to the Ambu AO or i-gel group. Three groups underwent a subgroup analysis: <= 5 kg (group 1), 5.1-10.0 kg (group 2), and >10 kg (group 3). Results: The oropharyngeal leak pressure was significantly higher for the i-gel (25.4 +/- 4.1 cm H2O) than for the Ambu AO (22.5 +/- 3.9 cm H2O, p<0.001). The Ambu AO had a slightly higher ease of insertion compared to the i-gel (100% versus 94%, p=0.08) and required less manipulation (2% versus 11%, p=0.07). The Ambu AO and i-gel showed non-significant differences in performance between weight groups. There were statistically significant differences for higher leak pressure in group 2 (p=0.01) and group 3 (p=0.002) in favor of the i-gel, and for less manipulation in the Ambu AO in group 1 (p=0.04). Fiberoptic viewing was superior in group 2 for the i-gel (p=0.03) and in group 3 for the Ambu AO (p=0.02). Conclusion: Both devices demonstrated equally good performance with low morbidity. The Ambu AO had a statistical tendency towards easier insertion and less manipulation. Confirming this finding will require large scale trials.
引用
收藏
页码:482 / 490
页数:9
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