A randomized Comparison the of the Air-q® Intubating Laryngeal Airway and Ambu® Auragain™ Laryngeal Mask for Controlled Ventilation in Children. | [Anaesthesia, Pain and Intensive Care • 2018]

Author(s):

1. Nirawanti Mohamad Said: Department of Anaesthesiology and Intensive Care, School of Medical Sciences, Universiti Sains Malaysia, Kota Bharu, Kelantan, Malaysia; Hospital Universiti Sains Malaysia, Kota Bharu, Kelantan, Malaysia

2. Rhendra Hardy Mohamad Zaini: Department of Anaesthesiology and Intensive Care, School of Medical Sciences, Universiti Sains Malaysia, Kota Bharu, Kelantan, Malaysia; Hospital Universiti Sains Malaysia, Kota Bharu, Kelantan, Malaysia

3. Wan Mohd Nazaruddin Wan Hassan: Department of Anaesthesiology and Intensive Care, School of Medical Sciences, Universiti Sains Malaysia, Kota Bharu, Kelantan, Malaysia; Hospital Universiti Sains Malaysia, Kota Bharu, Kelantan, Malaysia

4. Mohamad Ibariyah Iberahim: Department of Anaesthesiology and Intensive Care, School of Medical Sciences, Universiti Sains Malaysia, Kota Bharu, Kelantan, Malaysia; Hospital Universiti Sains Malaysia, Kota Bharu, Kelantan, Malaysia

5. Soon Eu Chong: Hospital Universiti Sains Malaysia, Kota Bharu, Kelantan, Malaysia; Regenerative Medicine Cluster, Advanced Medical and Dental Institute, Universiti Sains Malaysia, Bertam, Kepala Batas, Penang, Malaysia

Abstract:

Objective: to compare the effectiveness between air-Q® intubating laryngeal airway and Ambu AuraGain laryngeal mask for controlled ventilation in children up to 30kg Design: Prospective, randomized controlled trial Setting: Operating theatre of Hospital Universiti Sains Malaysia Methodology: 64 pediatric patients underwent various short surgical procedures were randomly assigned to receive either an air-Q® or Ambu AuraGain supraglottic airway. Fibreoptic grades of laryngeal view were measured as the primary outcome. The secondary outcomes measured were oropharyngeal leak pressure (OLP), number of attempts, time of successful insertion, quality of airway during placement and maintenance of anesthesia, hemodynamic parameters, and complications. Results: air-Q® has more favorable fiberoptic grades of view compared to the Ambu AuraGain (p = 0.047). OLP is significantly higher in air-Q® compared to Ambu AuraGain (19.41 ± 1.19 cmH2O vs 17.56 ± 1.52 cmH2O, p = 0.001). There were no differences in terms of number of attempt, time of successful insertion, quality of airway during placement and maintenance of anesthesia and complications. Conclusion: Ir-Q® offers more clinical advantages than Ambu AuraGain for controlled ventilation in pediatric patients as it provides higher airway sealing pressure and better fibreoptic grade of laryngeal view.

Page(s): 444-451

DOI: DOI not available

Published: Journal: Anaesthesia, Pain and Intensive Care, Volume: 22, Issue: 4, Year: 2018

Keywords:

Laryngeal Mask , Intubating Laryngeal Airway

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