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To compare air Q versus ILMA intubation in obese adult paralyzed patient
Evaluate the process of endo-tracheal intubation through Air Q compared to through ILMA regarding number and duration of attempts, laryngeal view grade, time to removal of device over tube without dislodgement and any complication
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Group I ( Air Q) | Active Comparator | nsertion of proper size Air-Q. ILA |
|
| Group II (ILMA) | Active Comparator | nsertion of proper size ILMA |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Air-Q. ILA insertion of proper size | Device | Success of fiberoptic guided intubation throuhgh Air Q supraglottic airway device |
|
| Measure | Description | Time Frame |
|---|---|---|
| success rate of tracheal intubation through each device. | success rate of tracheal intubation through each device is defined as end tidal carbon dioxide confirmed placement of TT within a maximum of 5 min tracheal intubation time | Within a maximum of 5 minutes to confirm success of tracheal intubation through each supraglottic airway devices |
| Measure | Description | Time Frame |
|---|---|---|
| Insertion time of supraglottic airway devices | Time necessary for insertion was measured from the time the face mask was taken away until the appearance of Co2 on the capnograph while supraglottic airway device in place | It is about 13-19 second for insertion of supraglottic airway devices |
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Inclusion Criteria:All morbidly obese patient defined as BMI >40 kg/m2 scheduled for an elective surgery requiring general anesthesia with tracheal intubation were enrolled on the day of their surgery.
ASA physical status (I-II)
Exclusion Criteria physical status of IV or V or had a history of impossible tracheal intubation or awake fibreoptic intubation or if preoperative evaluation showed limited mouth aperture <3.5 cm or showed evidence that an awake fiberoptic intubation or rapid sequence induction would be required patients at increased risk for aspiration of gastric contents, coagulopathy or those with unstable cervical spines or requiring nasal route for tracheal intubation
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| Name | Affiliation | Role |
|---|---|---|
| Heba M EL-Asser, MD | Zagazig University | Principal Investigator |
| Khadiga M El Hossiney, MD | Zagazig University | Study Chair |
| Amani A Aly | Zagazig University | Study Chair |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Zagazig University | Zagazig | 002055 | Egypt |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 12707159 | Background | Frappier J, Guenoun T, Journois D, Philippe H, Aka E, Cadi P, Silleran-Chassany J, Safran D. Airway management using the intubating laryngeal mask airway for the morbidly obese patient. Anesth Analg. 2003 May;96(5):1510-1515. doi: 10.1213/01.ANE.0000057003.91393.3C. | |
| 21320087 | Background | Karim YM, Swanson DE. Comparison of blind tracheal intubation through the intubating laryngeal mask airway (LMA Fastrach) and the Air-Q. Anaesthesia. 2011 Mar;66(3):185-90. doi: 10.1111/j.1365-2044.2011.06625.x. |
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| ILMA insertion of proper size | Device | Success of fiberoptic guided intubation throuhgh ILMA supraglottic airway device |
|