A comparison between Air-Q® intubating laryngeal mask airway and C-MAC® video laryngoscope for intubation in simulated difficult intubation patients with cervical collar

Background: Special airway devices are useful adjunct during difficult airway situation. The aim of this study was to compare between Air-Q® intubating laryngeal mask airway (ILMA) and C-MAC® video laryngoscope in term of effectiveness of intubation, intubation time, haemodynamic changes and comp...

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Main Author:	Sumpat, Donna
Format:	Thesis
Language:	English
Published:	2018
Subjects:	R Medicine (General)
Online Access:	http://eprints.usm.my/45867/1/Dr.%20Donna%20Sumpat-24%20pages.pdf
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spelling	my-usm-ep.458672019-12-24T07:53:17Z A comparison between Air-Q® intubating laryngeal mask airway and C-MAC® video laryngoscope for intubation in simulated difficult intubation patients with cervical collar 2018 Sumpat, Donna R Medicine (General) Background: Special airway devices are useful adjunct during difficult airway situation. The aim of this study was to compare between Air-Q® intubating laryngeal mask airway (ILMA) and C-MAC® video laryngoscope in term of effectiveness of intubation, intubation time, haemodynamic changes and complication post intubation in stimulated using cervical collar. Methods: 80 patients, age 18-60 years, ASA I-II, with no features of difficult intubation who were scheduled for elective surgery under general anaesthesia were randomized into two groups: Group Air-Q (n=40) and Group C-MAC (n=40). After successful induction with IV fentanyl (1-1.5 mcg/kg), IV propofol (1.5-2 mcg/kg) and IV rocuronium (1 mg/kg), cervical collar was applied to all patients. Group Air-Q was inserted with Air-Q® ILMA followed with blind intubation through it. Group C-MAC was intubated using C-MAC® video laryngoscope. The ease of intubation, intubation time, haemodynamic changes and complications were recorded. Results: C-MAC® video laryngoscope showed higher successful rate of first attempt intubation than Air-Q® ILMA (100% vs 55%, P=0.001). Requirement of optimization however was significantly more in Air-Q® ILMA than C-MAC® video laryngoscope (37.5% vs 5.0%, P=0.001). Mean duration of intubation was shorter in C-MAC® than Air-Q® ILMA (57.8±14.4s vs 164.6±58.0s, P=0.001). There was no significance difference in haemodynamic parameters and complication in post intubation. Conclusion: Intubation with C-MAC® video laryngoscope was better in success rate and shorter in intubation time than blind intubation with Air-Q® ILMA in simulated difficult airway patients. However, the complication post intubation was comparable. 2018 Thesis http://eprints.usm.my/45867/ http://eprints.usm.my/45867/1/Dr.%20Donna%20Sumpat-24%20pages.pdf application/pdf en public masters Universiti Sains Malaysia Pusat Pengajian Sains Perubatan
institution	Universiti Sains Malaysia
collection	USM Institutional Repository
language	English
topic	R Medicine (General)
spellingShingle	R Medicine (General) Sumpat, Donna A comparison between Air-Q® intubating laryngeal mask airway and C-MAC® video laryngoscope for intubation in simulated difficult intubation patients with cervical collar
description	Background: Special airway devices are useful adjunct during difficult airway situation. The aim of this study was to compare between Air-Q® intubating laryngeal mask airway (ILMA) and C-MAC® video laryngoscope in term of effectiveness of intubation, intubation time, haemodynamic changes and complication post intubation in stimulated using cervical collar. Methods: 80 patients, age 18-60 years, ASA I-II, with no features of difficult intubation who were scheduled for elective surgery under general anaesthesia were randomized into two groups: Group Air-Q (n=40) and Group C-MAC (n=40). After successful induction with IV fentanyl (1-1.5 mcg/kg), IV propofol (1.5-2 mcg/kg) and IV rocuronium (1 mg/kg), cervical collar was applied to all patients. Group Air-Q was inserted with Air-Q® ILMA followed with blind intubation through it. Group C-MAC was intubated using C-MAC® video laryngoscope. The ease of intubation, intubation time, haemodynamic changes and complications were recorded. Results: C-MAC® video laryngoscope showed higher successful rate of first attempt intubation than Air-Q® ILMA (100% vs 55%, P=0.001). Requirement of optimization however was significantly more in Air-Q® ILMA than C-MAC® video laryngoscope (37.5% vs 5.0%, P=0.001). Mean duration of intubation was shorter in C-MAC® than Air-Q® ILMA (57.8±14.4s vs 164.6±58.0s, P=0.001). There was no significance difference in haemodynamic parameters and complication in post intubation. Conclusion: Intubation with C-MAC® video laryngoscope was better in success rate and shorter in intubation time than blind intubation with Air-Q® ILMA in simulated difficult airway patients. However, the complication post intubation was comparable.
format	Thesis
qualification_level	Master's degree
author	Sumpat, Donna
author_facet	Sumpat, Donna
author_sort	Sumpat, Donna
title	A comparison between Air-Q® intubating laryngeal mask airway and C-MAC® video laryngoscope for intubation in simulated difficult intubation patients with cervical collar
title_short	A comparison between Air-Q® intubating laryngeal mask airway and C-MAC® video laryngoscope for intubation in simulated difficult intubation patients with cervical collar
title_full	A comparison between Air-Q® intubating laryngeal mask airway and C-MAC® video laryngoscope for intubation in simulated difficult intubation patients with cervical collar
title_fullStr	A comparison between Air-Q® intubating laryngeal mask airway and C-MAC® video laryngoscope for intubation in simulated difficult intubation patients with cervical collar
title_full_unstemmed	A comparison between Air-Q® intubating laryngeal mask airway and C-MAC® video laryngoscope for intubation in simulated difficult intubation patients with cervical collar
title_sort	comparison between air-q® intubating laryngeal mask airway and c-mac® video laryngoscope for intubation in simulated difficult intubation patients with cervical collar
granting_institution	Universiti Sains Malaysia
granting_department	Pusat Pengajian Sains Perubatan
publishDate	2018
url	http://eprints.usm.my/45867/1/Dr.%20Donna%20Sumpat-24%20pages.pdf
_version_	1747821582030471168

A comparison between Air-Q® intubating laryngeal mask airway and C-MAC® video laryngoscope for intubation in simulated difficult intubation patients with cervical collar

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