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Modir H, Moshiri E, Yazdi B, et al. Comparing the efficacy and safety of laryngeal mask airway, streamlined liner of the pharyngeal airway and I-gel following tracheal extubation. Med Gas Res. 2018;7(4):241-246doi: 10.4103/2045-9912.222447.
Modir, H., Moshiri, E., Yazdi, B., Mohammadbeigi, A., & Modir, A. (2017). Comparing the efficacy and safety of laryngeal mask airway, streamlined liner of the pharyngeal airway and I-gel following tracheal extubation. Medical gas research, 7(4), 241-246. https://doi.org/10.4103/2045-9912.222447
Modir, Hesameddin, et al. "Comparing the efficacy and safety of laryngeal mask airway, streamlined liner of the pharyngeal airway and I-gel following tracheal extubation." Medical gas research vol. 7,4 (2017): 241-246. doi: https://doi.org/10.4103/2045-9912.222447
Modir H, Moshiri E, Yazdi B, Mohammadbeigi A, Modir A. Comparing the efficacy and safety of laryngeal mask airway, streamlined liner of the pharyngeal airway and I-gel following tracheal extubation. Med Gas Res. 2018 Jan 22;7(4):241-246. doi: 10.4103/2045-9912.222447. eCollection 2017. PMID: 29497484; PMCID: PMC5806444.
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Med Gas Res. 2018 Jan 22;7(4):241-246. doi: 10.4103/2045-9912.222447. eCollection 2017.

Comparing the efficacy and safety of laryngeal mask airway, streamlined liner of the pharyngeal airway and I-gel following tracheal extubation.

Medical gas research

Hesameddin Modir, Esmail Moshiri, Bijan Yazdi, Abolfazl Mohammadbeigi, Amirreza Modir

Affiliations

  1. Department of Anesthesiology and Critical Care, Arak University of Medical Sciences, Arak, Iran.
  2. Neurology and Neuroscience Research Center, Qom University of Medical Sciences, Qom, Iran.
  3. School of Medicine, Arak University of Medical Sciences, Arak, Iran.

PMID: 29497484 PMCID: PMC5806444 DOI: 10.4103/2045-9912.222447

Abstract

Adverse events following surgical operations are common complications due to removal of tracheal tube in contrast to the tracheal intubation. Awareness about the new methods and strategies for tracheal tube extubation is necessary for a safe and successful extubation. Therefore, we aimed to assess the safety and efficacy of laryngeal mask airway (LMA), streamlined liner of the pharyngeal airway (SLIPA) and I-gel in extubation time of tracheal tube. A one-single randomized clinical trial was conducted in 105 eligible patients in three groups including LMA, SLIPA and I-gel. The patients were under surgery after general anesthesia with propofol (2-3 mg/kg) and fentanyl (1-2 μg/kg). Hemodynamic responses and extubation consequences including coughing rate, laryngospasm, airway obstruction, apnea, breath holding and straining of patients, vomiting, and need for re-intubation were recorded every 5 minutes since inserting of supraglottic airway devices (SADs) until patients restore consciousness. Analysis of data was conducted in SPSS software by analysis of variance (ANOVA) and ANOVA for repeated measurements tests. The overall successful insertion was 100% for LMA and I-Gel and this rate was 97.1% for SLIPA method. A significant decrease was observed in trend of hemodynamic responses in all three groups. Nevertheless, the MBP was lower in LMA group and lower HR was observed in I-Gel and higher HR occurred in SLIPA (

Keywords: I-Gel; Intubation; anesthesia; extubation; laryngeal mask airway; pharyngeal airway; streamlined liner of the pharyngeal airway; supraglottic airway devices

Conflict of interest statement

Conflicts of interest There is no conflict of interest.

References

  1. BMJ. 2015 Jul 14;351:h3646 - PubMed
  2. Curr Opin Crit Care. 2009 Feb;15(1):36-43 - PubMed
  3. J Anaesthesiol Clin Pharmacol. 2013 Apr;29(2):162-7 - PubMed
  4. Anaesthesist. 2015 Nov;64(11):859-73 - PubMed
  5. Anaesthesia. 1996 Dec;51(12):1187-8 - PubMed
  6. J Anaesthesiol Clin Pharmacol. 2013 Jan;29(1):52-5 - PubMed
  7. Curr Opin Crit Care. 2003 Feb;9(1):59-66 - PubMed
  8. Br J Anaesth. 2015 Dec;115(6):827-48 - PubMed
  9. Anesth Analg. 1995 Jan;80(1):149-72 - PubMed
  10. Respir Care. 2012 Oct;57(10):1619-25 - PubMed
  11. Crit Care Med. 2015 Mar;43(3):613-20 - PubMed
  12. Paediatr Anaesth. 2015 Apr;25(4):392-9 - PubMed
  13. Paediatr Anaesth. 2016 Apr;26(4):384-91 - PubMed
  14. Anesthesiology. 2013 Feb;118(2):251-70 - PubMed
  15. Anaesthesia. 2017 Feb;72 (2):248-261 - PubMed
  16. Anaesthesia. 1998 Jun;53(6):540-4 - PubMed
  17. Anesthesiology. 2009 Jul;111(1):116-21 - PubMed
  18. Anesth Analg. 2004 Jul;99(1):124-7 - PubMed
  19. Med Gas Res. 2017 Oct 17;7(3):150-155 - PubMed

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