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In this study, we aim to investigate the clinical performance, efficacy, and associated complications of the Air-Q Intubating Laryngeal Airway in totally edentulous and dentate geriatric patients.
In the elderly population, the prevalence of totally edentulous patients over the age of 65 exceeds 60%. With aging, parapharyngeal fat deposition increases and contributes to pharyngeal collapse in elderly patients . In elderly patients with total tooth loss, face mask ventilation is difficult because standard face masks do not fit well on edentulous faces. Additionally, during general anesthesia, loss of muscle tone, reduced oropharyngeal air space, posterior displacement of the tongue, and airway obstruction caused by the soft palate and epiglottis all make ventilation challenging . Structural changes in the airway, combined with age-related physiological alterations in respiration, may reduce oxygen saturation, blunt the hypoxic response, and increase the risk of postoperative respiratory complications. Due to age-related acquired changes in pharyngeal muscle activity, the likelihood of skeletal structural abnormalities such as retrognathia-often associated with difficult airways-has been proposed (2). Therefore, these age-related changes may influence the clinical performance of supraglottic airway devices (SADs).
Recently, SADs that do not require manual cuff inflation have gained popularity in various clinical settings due to their advantage of eliminating the need for manual cuff inflation and cuff pressure monitoring (5,6). The Air-Q is a supraglottic airway device that connects to an airway tube through a communication port, allowing self-pressurization of the cuff in response to airway pressure.
In this study, we aim to investigate the clinical performance, efficacy, and associated complications of the Air-Q Intubating Laryngeal Airway in totally edentulous and dentate geriatric patients.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| edentulous group | Active Comparator | under general anesthesia, edentulous geriatric patients inserted Air- Q intubating airway |
|
| gentate group | Active Comparator | under general anesthesia, dantate geriatric patients inserted Air- Q intubating airway |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| edentulous geriatric patients | Other | Edentulous geriatric patients will be inserted Air-Q Intubating Airway under general anesthesia. |
|
| Measure | Description | Time Frame |
|---|---|---|
| Measurement of oropharyngeal leak pressure (OLP) | One minute after successful LMA placement and fixation, oropharyngeal leak pressure | One minute after successful LMA placement |
| Measure | Description | Time Frame |
|---|---|---|
| Air-Q insertion time | Successful Air-Q placement will be confirmed by visualizing a square waveform on the ventilator and observing chest wall movement. | 3 minutes after induction of anesthesia |
| ease of SGA placement |
| Measure | Description | Time Frame |
|---|---|---|
| Complications during Air-Q removal (emerge) | Complications during SP_Air-Q and proseal LMA removal (emerge) such as breath-holding during emergence, airway obstruction, coughing, hypoxia (SpO2 < 90%), vomiting, lip-tongue-teeth trauma, and bleeding, will be recorded. | One minute after Air-Q removal |
| Sore throat |
Inclusion Criteria:
Exclusion Criteria:
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| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Zeynep Koç | Contact | 05345958843 | zeynepyilmazkoc@hotmail.com |
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Zeynep Koç | Yenimahalle | Ankara | Turkey (Türkiye) |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 27366552 | Background | Beydes T, Kucukguclu S, Ozbilgin S, Kuvaki B, Ademoglu M, Sari M. Comparison of Laryngeal Mask Airway Supreme(TM) Versus Unique(TM) in Edentulous Geriatric Patients. Turk J Anaesthesiol Reanim. 2016 Feb;44(1):32-6. doi: 10.5152/TJAR.2016.22129. Epub 2016 Feb 1. | |
| 28618734 | Background | Genez M, Kucukguclu S, Ozbilgin S, Kuvaki B, Beydes T, Aksoy Sari M. A comparison of usage of the laryngeal mask UniqueTM in denticulate and edentulate geriatric patients. Turk J Med Sci. 2017 Jun 12;47(3):854-860. doi: 10.3906/sag-1603-206. |
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| ID | Term |
|---|---|
| D011183 | Postoperative Complications |
| D010612 | Pharyngitis |
| ID | Term |
|---|---|
| D010335 | Pathologic Processes |
| D013568 | Pathological Conditions, Signs and Symptoms |
| D012141 | Respiratory Tract Infections |
| D007239 | Infections |
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| dentate geriatric patients | Other | Dentate geriatric patients will be inserted Air-Q Intubating Airway under general anesthesia. |
|
Successful SGA placement will be confirmed by visualizing a square waveform on the ventilator and observing chest wall movement.
| 3 minutes after induction of anesthesia |
| maneuvers required for successful ventilation | It will be recorded whether any further maneuvers are required: Gentle pushing or pulling of the LMA to adjust its depth, jaw-thrust maneuver, and flexion or extension of the head. | 3 minutes after induction of anesthesia |
| fiberoptic view grading | The Brimacombe score will be used to evaluate the view obtained with fiberoptic bronchoscopy. 1: Vocal cords are not visible; 2: Vocal cords and anterior epiglottis are visible; 3: Vocal cords and posterior epiglottis are visible; 4: Vocal cords are visible. | 3 minutes after induction of anesthesia |
The presence or absence of sore throat will be recorded at the 24th postoperative hour |
| 1 hour postoperatively |
| Sore throat | The presence or absence of sore throat will be recorded at the 24th postoperative hour | 24 hours postoperatively |
| dysphonia | The presence or absence of dysphonia will be recorded at the firsth postoperative hour | 1 hour postoperatively |
| dysphonia | The presence or absence of dysphonia will be recorded at the firsth postoperative hour | 24 hours postoperatively |
| 30320644 | Background | Lee JS, Kim DH, Choi SH, Ha SH, Kim S, Kim MS. Prospective, Randomized Comparison of the i-gel and the Self-Pressurized air-Q Intubating Laryngeal Airway in Elderly Anesthetized Patients. Anesth Analg. 2020 Feb;130(2):480-487. doi: 10.1213/ANE.0000000000003849. |
| D010608 | Pharyngeal Diseases |
| D009057 | Stomatognathic Diseases |
| D012140 | Respiratory Tract Diseases |
| D010038 | Otorhinolaryngologic Diseases |