A comparative study of tracheal intubation using an intubating laryngeal mask (Fastrach) alone or together with a lightwand (Trachlight)
Identifieur interne : 004992 ( Istex/Corpus ); précédent : 004991; suivant : 004993A comparative study of tracheal intubation using an intubating laryngeal mask (Fastrach) alone or together with a lightwand (Trachlight)
Auteurs : Kathy H. Fan ; Orlando R. Hung ; Felice AgroSource :
- Journal of Clinical Anesthesia [ 0952-8180 ] ; 2000.
English descriptors
- KwdEn :
- Airway, Anaesth, Anesth, Anesthesia, Anesthetic equipment, Baseline, Blind technique, Blind tracheal intubation, Difficult airway, Endotracheal, Endotracheal tube, Endotracheal unit, Fastrach, General anesthesia, Hemodynamic, Hemodynamic changes, Intubate, Intubating, Intubating laryngeal mask, Intubating laryngeal mask airway, Intubation, Laryngeal, Lightwand, Manual ventilation, Sore throat, Success rate, Total time, Tracheal, Tracheal intubation, Trachlight, Trauma, anesthetic techniques, intubating laryngeal mask airway, lightwand, tracheal intubation.
- Teeft :
- Airway, Anaesth, Anesth, Anesthesia, Baseline, Blind technique, Blind tracheal intubation, Difficult airway, Endotracheal, Endotracheal tube, Endotracheal unit, Fastrach, General anesthesia, Hemodynamic, Hemodynamic changes, Intubate, Intubating, Intubating laryngeal mask, Intubating laryngeal mask airway, Intubation, Laryngeal, Lightwand, Manual ventilation, Sore throat, Success rate, Total time, Tracheal, Tracheal intubation, Trachlight, Trauma.
Abstract
Abstract: Study Objective: To determine if the TrachlightTM lightwand can facilitate FastrachTM intubation by guiding the tip of the endotracheal tube into the trachea. Design: Open-label, prospective, randomized, comparative study. Setting: General operating suites of a tertiary teaching hospital. Patients: 172 elective surgical patients requiring general anesthesia with endotracheal intubation. Interventions: With general anesthesia, the Fastrach™, which is a new intubating laryngeal mask airway, was inserted into the oropharynx. Ventilation was ensured before the insertion of an endotracheal tube via the Fastrach™. Tracheal intubation was then performed randomly (coin toss) using either the endotracheal tube alone (Fastrach™ group), or endotracheal tube with the Trachlight, a lightwand (Fastrach/Trachlight™ group). The time to place the Fastrach™ and endotracheal tube, to remove the Fastrach™, and the total time to intubate were recorded. The number of attempts, failures, trauma, sore throats, and hemodynamic changes were also recorded. Data were analyzed using unpaired t-test, ANOVA with repeated measures, or Chi-squares contingency table where appropriate. Measurements and Main Results: Although there were no differences in the times to place the Fastrach™, and endotracheal tube, the hemodynamic changes, and postoperative complications, there were significantly more attempts and failures in the Fastrach™ group compared to the Fastrach™/Trachlight™ group. There were no differences in the incidence of sore throat and trauma in between the groups. Conclusions: Although tracheal intubation is effective using a Fastrach™ alone (76% success rate), it is more effective when the Fastrach™ is used in conjunction with the Trachlight™ (95%). These results suggest that the lightwand is a useful adjunct for Fastrach™ intubation. However, the role of Fastrach™ intubation together with the Trachlight™ in the management of patients with a potential difficult airway remains to be determined.
Url:
DOI: 10.1016/S0952-8180(00)00219-1
Links to Exploration step
ISTEX:93F24FD12D522A8A9C22CEA527026FD05EA3A6C3Le document en format XML
<record><TEI wicri:istexFullTextTei="biblStruct"><teiHeader><fileDesc><titleStmt><title xml:lang="en">A comparative study of tracheal intubation using an intubating laryngeal mask (Fastrach) alone or together with a lightwand (Trachlight)</title><author><name sortKey="Fan, Kathy H" sort="Fan, Kathy H" uniqKey="Fan K" first="Kathy H" last="Fan">Kathy H. Fan</name><affiliation><mods:affiliation>Departments of Anesthesia and Pharmacology, Dalhousie University, Halifax, Nova Scotia, Canada</mods:affiliation></affiliation></author><author><name sortKey="Hung, Orlando R" sort="Hung, Orlando R" uniqKey="Hung O" first="Orlando R" last="Hung">Orlando R. Hung</name><affiliation><mods:affiliation>E-mail: hungorla@is.dal.ca</mods:affiliation></affiliation><affiliation><mods:affiliation>Departments of Anesthesia and Pharmacology, Dalhousie University, Halifax, Nova Scotia, Canada</mods:affiliation></affiliation></author><author><name sortKey="Agro, Felice" sort="Agro, Felice" uniqKey="Agro F" first="Felice" last="Agro">Felice Agro</name><affiliation><mods:affiliation>Department of Anaesthesiology, University School of Medicine, Campus BioMedico, Rome, Italy</mods:affiliation></affiliation></author></titleStmt><publicationStmt><idno type="wicri:source">ISTEX</idno><idno type="RBID">ISTEX:93F24FD12D522A8A9C22CEA527026FD05EA3A6C3</idno><date when="2000" year="2000">2000</date><idno type="doi">10.1016/S0952-8180(00)00219-1</idno><idno type="url">https://api.istex.fr/document/93F24FD12D522A8A9C22CEA527026FD05EA3A6C3/fulltext/pdf</idno><idno type="wicri:Area/Istex/Corpus">004992</idno><idno type="wicri:explorRef" wicri:stream="Istex" wicri:step="Corpus" wicri:corpus="ISTEX">004992</idno></publicationStmt><sourceDesc><biblStruct><analytic><title level="a" type="main" xml:lang="en">A comparative study of tracheal intubation using an intubating laryngeal mask (Fastrach) alone or together with a lightwand (Trachlight)</title><author><name sortKey="Fan, Kathy H" sort="Fan, Kathy H" uniqKey="Fan K" first="Kathy H" last="Fan">Kathy H. Fan</name><affiliation><mods:affiliation>Departments of Anesthesia and Pharmacology, Dalhousie University, Halifax, Nova Scotia, Canada</mods:affiliation></affiliation></author><author><name sortKey="Hung, Orlando R" sort="Hung, Orlando R" uniqKey="Hung O" first="Orlando R" last="Hung">Orlando R. Hung</name><affiliation><mods:affiliation>E-mail: hungorla@is.dal.ca</mods:affiliation></affiliation><affiliation><mods:affiliation>Departments of Anesthesia and Pharmacology, Dalhousie University, Halifax, Nova Scotia, Canada</mods:affiliation></affiliation></author><author><name sortKey="Agro, Felice" sort="Agro, Felice" uniqKey="Agro F" first="Felice" last="Agro">Felice Agro</name><affiliation><mods:affiliation>Department of Anaesthesiology, University School of Medicine, Campus BioMedico, Rome, Italy</mods:affiliation></affiliation></author></analytic><monogr></monogr><series><title level="j">Journal of Clinical Anesthesia</title><title level="j" type="abbrev">JCA</title><idno type="ISSN">0952-8180</idno><imprint><publisher>ELSEVIER</publisher><date type="published" when="2000">2000</date><biblScope unit="volume">12</biblScope><biblScope unit="issue">8</biblScope><biblScope unit="page" from="581">581</biblScope><biblScope unit="page" to="585">585</biblScope></imprint><idno type="ISSN">0952-8180</idno></series></biblStruct></sourceDesc><seriesStmt><idno type="ISSN">0952-8180</idno></seriesStmt></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Airway</term><term>Anaesth</term><term>Anesth</term><term>Anesthesia</term><term>Anesthetic equipment</term><term>Baseline</term><term>Blind technique</term><term>Blind tracheal intubation</term><term>Difficult airway</term><term>Endotracheal</term><term>Endotracheal tube</term><term>Endotracheal unit</term><term>Fastrach</term><term>General anesthesia</term><term>Hemodynamic</term><term>Hemodynamic changes</term><term>Intubate</term><term>Intubating</term><term>Intubating laryngeal mask</term><term>Intubating laryngeal mask airway</term><term>Intubation</term><term>Laryngeal</term><term>Lightwand</term><term>Manual ventilation</term><term>Sore throat</term><term>Success rate</term><term>Total time</term><term>Tracheal</term><term>Tracheal intubation</term><term>Trachlight</term><term>Trauma</term><term>anesthetic techniques</term><term>intubating laryngeal mask airway</term><term>lightwand</term><term>tracheal intubation</term></keywords><keywords scheme="Teeft" xml:lang="en"><term>Airway</term><term>Anaesth</term><term>Anesth</term><term>Anesthesia</term><term>Baseline</term><term>Blind technique</term><term>Blind tracheal intubation</term><term>Difficult airway</term><term>Endotracheal</term><term>Endotracheal tube</term><term>Endotracheal unit</term><term>Fastrach</term><term>General anesthesia</term><term>Hemodynamic</term><term>Hemodynamic changes</term><term>Intubate</term><term>Intubating</term><term>Intubating laryngeal mask</term><term>Intubating laryngeal mask airway</term><term>Intubation</term><term>Laryngeal</term><term>Lightwand</term><term>Manual ventilation</term><term>Sore throat</term><term>Success rate</term><term>Total time</term><term>Tracheal</term><term>Tracheal intubation</term><term>Trachlight</term><term>Trauma</term></keywords></textClass><langUsage><language ident="en">en</language></langUsage></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">Abstract: Study Objective: To determine if the TrachlightTM lightwand can facilitate FastrachTM intubation by guiding the tip of the endotracheal tube into the trachea. Design: Open-label, prospective, randomized, comparative study. Setting: General operating suites of a tertiary teaching hospital. Patients: 172 elective surgical patients requiring general anesthesia with endotracheal intubation. Interventions: With general anesthesia, the Fastrach™, which is a new intubating laryngeal mask airway, was inserted into the oropharynx. Ventilation was ensured before the insertion of an endotracheal tube via the Fastrach™. Tracheal intubation was then performed randomly (coin toss) using either the endotracheal tube alone (Fastrach™ group), or endotracheal tube with the Trachlight, a lightwand (Fastrach/Trachlight™ group). The time to place the Fastrach™ and endotracheal tube, to remove the Fastrach™, and the total time to intubate were recorded. The number of attempts, failures, trauma, sore throats, and hemodynamic changes were also recorded. Data were analyzed using unpaired t-test, ANOVA with repeated measures, or Chi-squares contingency table where appropriate. Measurements and Main Results: Although there were no differences in the times to place the Fastrach™, and endotracheal tube, the hemodynamic changes, and postoperative complications, there were significantly more attempts and failures in the Fastrach™ group compared to the Fastrach™/Trachlight™ group. There were no differences in the incidence of sore throat and trauma in between the groups. Conclusions: Although tracheal intubation is effective using a Fastrach™ alone (76% success rate), it is more effective when the Fastrach™ is used in conjunction with the Trachlight™ (95%). These results suggest that the lightwand is a useful adjunct for Fastrach™ intubation. However, the role of Fastrach™ intubation together with the Trachlight™ in the management of patients with a potential difficult airway remains to be determined.</div></front></TEI><istex><corpusName>elsevier</corpusName><keywords><teeft><json:string>fastrach</json:string><json:string>intubation</json:string><json:string>endotracheal</json:string><json:string>intubating</json:string><json:string>airway</json:string><json:string>tracheal</json:string><json:string>endotracheal tube</json:string><json:string>laryngeal</json:string><json:string>trachlight</json:string><json:string>tracheal intubation</json:string><json:string>lightwand</json:string><json:string>success rate</json:string><json:string>anesthesia</json:string><json:string>intubating laryngeal mask airway</json:string><json:string>intubate</json:string><json:string>hemodynamic</json:string><json:string>anesth</json:string><json:string>intubating laryngeal mask</json:string><json:string>anaesth</json:string><json:string>hemodynamic changes</json:string><json:string>sore throat</json:string><json:string>blind tracheal intubation</json:string><json:string>total time</json:string><json:string>trauma</json:string><json:string>difficult airway</json:string><json:string>manual ventilation</json:string><json:string>general anesthesia</json:string><json:string>endotracheal unit</json:string><json:string>blind technique</json:string><json:string>baseline</json:string></teeft></keywords><author><json:item><name>Kathy H Fan MD</name><affiliations><json:string>Departments of Anesthesia and Pharmacology, Dalhousie University, Halifax, Nova Scotia, Canada</json:string></affiliations></json:item><json:item><name>Orlando R Hung MD</name><affiliations><json:string>E-mail: hungorla@is.dal.ca</json:string><json:string>Departments of Anesthesia and Pharmacology, Dalhousie University, Halifax, Nova Scotia, Canada</json:string></affiliations></json:item><json:item><name>Felice Agro MD</name><affiliations><json:string>Department of Anaesthesiology, University School of Medicine, Campus BioMedico, Rome, Italy</json:string></affiliations></json:item></author><subject><json:item><lang><json:string>eng</json:string></lang><value>Original contribution</value></json:item><json:item><lang><json:string>eng</json:string></lang><value>Anesthetic equipment</value></json:item><json:item><lang><json:string>eng</json:string></lang><value>intubating laryngeal mask airway</value></json:item><json:item><lang><json:string>eng</json:string></lang><value>lightwand</value></json:item><json:item><lang><json:string>eng</json:string></lang><value>anesthetic techniques</value></json:item><json:item><lang><json:string>eng</json:string></lang><value>tracheal intubation</value></json:item></subject><arkIstex>ark:/67375/6H6-4XLDP4KK-H</arkIstex><language><json:string>eng</json:string></language><originalGenre><json:string>Full-length article</json:string></originalGenre><abstract>Abstract: Study Objective: To determine if the TrachlightTM lightwand can facilitate FastrachTM intubation by guiding the tip of the endotracheal tube into the trachea. Design: Open-label, prospective, randomized, comparative study. Setting: General operating suites of a tertiary teaching hospital. Patients: 172 elective surgical patients requiring general anesthesia with endotracheal intubation. Interventions: With general anesthesia, the Fastrach™, which is a new intubating laryngeal mask airway, was inserted into the oropharynx. Ventilation was ensured before the insertion of an endotracheal tube via the Fastrach™. Tracheal intubation was then performed randomly (coin toss) using either the endotracheal tube alone (Fastrach™ group), or endotracheal tube with the Trachlight, a lightwand (Fastrach/Trachlight™ group). The time to place the Fastrach™ and endotracheal tube, to remove the Fastrach™, and the total time to intubate were recorded. The number of attempts, failures, trauma, sore throats, and hemodynamic changes were also recorded. Data were analyzed using unpaired t-test, ANOVA with repeated measures, or Chi-squares contingency table where appropriate. Measurements and Main Results: Although there were no differences in the times to place the Fastrach™, and endotracheal tube, the hemodynamic changes, and postoperative complications, there were significantly more attempts and failures in the Fastrach™ group compared to the Fastrach™/Trachlight™ group. There were no differences in the incidence of sore throat and trauma in between the groups. Conclusions: Although tracheal intubation is effective using a Fastrach™ alone (76% success rate), it is more effective when the Fastrach™ is used in conjunction with the Trachlight™ (95%). These results suggest that the lightwand is a useful adjunct for Fastrach™ intubation. However, the role of Fastrach™ intubation together with the Trachlight™ in the management of patients with a potential difficult airway remains to be determined.</abstract><qualityIndicators><score>8.248</score><pdfWordCount>3248</pdfWordCount><pdfCharCount>20557</pdfCharCount><pdfVersion>1.2</pdfVersion><pdfPageCount>5</pdfPageCount><pdfPageSize>596 x 792 pts</pdfPageSize><refBibsNative>true</refBibsNative><abstractWordCount>281</abstractWordCount><abstractCharCount>2014</abstractCharCount><keywordCount>6</keywordCount></qualityIndicators><title>A comparative study of tracheal intubation using an intubating laryngeal mask (Fastrach) alone or together with a lightwand (Trachlight)</title><pmid><json:string>11172996</json:string></pmid><pii><json:string>S0952-8180(00)00219-1</json:string></pii><genre><json:string>research-article</json:string></genre><host><title>Journal of Clinical Anesthesia</title><language><json:string>unknown</json:string></language><publicationDate>2000</publicationDate><issn><json:string>0952-8180</json:string></issn><pii><json:string>S0952-8180(00)X0047-5</json:string></pii><volume>12</volume><issue>8</issue><pages><first>581</first><last>585</last></pages><genre><json:string>journal</json:string></genre></host><namedEntities><unitex><date><json:string>2000</json:string></date><geogName></geogName><orgName><json:string>Laerdal Medical Inc.</json:string><json:string>Elsevier Science Inc</json:string><json:string>Elsevier Science Inc.</json:string><json:string>Department of Anesthesia</json:string><json:string>Department of Anesthesia, Queen Elizabeth</json:string><json:string>The Laryngeal Mask Co.</json:string><json:string>Department of Anesthesiology Address</json:string><json:string>Canada, and Department of Anaesthesiology, University School of Medicine, Campus</json:string></orgName><orgName_funder></orgName_funder><orgName_provider></orgName_provider><persName><json:string>Queen Elizabeth</json:string><json:string>Nova Scotia</json:string><json:string>Felice Agro</json:string><json:string>Orlando R. Hung</json:string><json:string>Group</json:string><json:string>J. Clin</json:string><json:string>Orlando Hung</json:string></persName><placeName><json:string>NY</json:string><json:string>UK</json:string><json:string>Canada</json:string><json:string>Halifax</json:string><json:string>Rome</json:string><json:string>York</json:string><json:string>Italy</json:string></placeName><ref_url></ref_url><ref_bibl><json:string>Hung et al.</json:string><json:string>Brain et al.</json:string><json:string>Fan et al.</json:string><json:string>Kihara et al.</json:string></ref_bibl><bibl></bibl></unitex></namedEntities><ark><json:string>ark:/67375/6H6-4XLDP4KK-H</json:string></ark><categories><wos><json:string>1 - science</json:string><json:string>2 - anesthesiology</json:string></wos><scienceMetrix><json:string>1 - health sciences</json:string><json:string>2 - clinical medicine</json:string><json:string>3 - anesthesiology</json:string></scienceMetrix><scopus><json:string>1 - Health Sciences</json:string><json:string>2 - Medicine</json:string><json:string>3 - Anesthesiology and Pain Medicine</json:string></scopus><inist><json:string>1 - sciences appliquees, technologies et medecines</json:string><json:string>2 - sciences biologiques et medicales</json:string><json:string>3 - sciences medicales</json:string><json:string>4 - anesthesie. reanimation. transfusion. therapie cellulaire et therapie genique</json:string></inist></categories><publicationDate>2000</publicationDate><copyrightDate>2000</copyrightDate><doi><json:string>10.1016/S0952-8180(00)00219-1</json:string></doi><id>93F24FD12D522A8A9C22CEA527026FD05EA3A6C3</id><score>1</score><fulltext><json:item><extension>pdf</extension><original>true</original><mimetype>application/pdf</mimetype><uri>https://api.istex.fr/document/93F24FD12D522A8A9C22CEA527026FD05EA3A6C3/fulltext/pdf</uri></json:item><json:item><extension>zip</extension><original>false</original><mimetype>application/zip</mimetype><uri>https://api.istex.fr/document/93F24FD12D522A8A9C22CEA527026FD05EA3A6C3/fulltext/zip</uri></json:item><istex:fulltextTEI uri="https://api.istex.fr/document/93F24FD12D522A8A9C22CEA527026FD05EA3A6C3/fulltext/tei"><teiHeader><fileDesc><titleStmt><title level="a" type="main" xml:lang="en">A comparative study of tracheal intubation using an intubating laryngeal mask (Fastrach) alone or together with a lightwand (Trachlight)</title></titleStmt><publicationStmt><authority>ISTEX</authority><publisher>ELSEVIER</publisher><availability><p>©2000 Elsevier Science Inc.</p></availability><date>2000</date></publicationStmt><notesStmt><note type="content">Section title: Original contribution</note><note type="content">Table 1: Demographics of the Study Patientslegend</note><note type="content">Table 2: Times to Perform Intubations and Complications of the Study Groupslegend</note><note type="content">Table 3: Hemodynamic changes During Intubation Between Study Groupslegend legend</note></notesStmt><sourceDesc><biblStruct type="inbook"><analytic><title level="a" type="main" xml:lang="en">A comparative study of tracheal intubation using an intubating laryngeal mask (Fastrach) alone or together with a lightwand (Trachlight)</title><author xml:id="author-0000"><persName><forename type="first">Kathy H</forename><surname>Fan</surname></persName><roleName type="degree">MD</roleName><note type="biography">Resident, Department of Anesthesia</note><affiliation>Resident, Department of Anesthesia</affiliation><affiliation>Departments of Anesthesia and Pharmacology, Dalhousie University, Halifax, Nova Scotia, Canada</affiliation></author><author xml:id="author-0001"><persName><forename type="first">Orlando R</forename><surname>Hung</surname></persName><roleName type="degree">MD</roleName><email>hungorla@is.dal.ca</email><note type="biography">FRCPC</note><note type="biography">Professor, Departments of Anesthesia and Pharmacology</note><affiliation>FRCPC</affiliation><affiliation>Address correspondence to Dr. Orlando Hung, Department of Anesthesia, Queen Elizabeth II Health Sciences Centre, Victoria General Site, 1278 Tower Road, Halifax, Nova Scotia, Canada, B3H2Y9</affiliation><affiliation>Professor, Departments of Anesthesia and Pharmacology</affiliation><affiliation>Departments of Anesthesia and Pharmacology, Dalhousie University, Halifax, Nova Scotia, Canada</affiliation></author><author xml:id="author-0002"><persName><forename type="first">Felice</forename><surname>Agro</surname></persName><roleName type="degree">MD</roleName><note type="biography">Professor, Department of Anesthesiology</note><affiliation>Professor, Department of Anesthesiology</affiliation><affiliation>Department of Anaesthesiology, University School of Medicine, Campus BioMedico, Rome, Italy</affiliation></author><idno type="istex">93F24FD12D522A8A9C22CEA527026FD05EA3A6C3</idno><idno type="DOI">10.1016/S0952-8180(00)00219-1</idno><idno type="PII">S0952-8180(00)00219-1</idno></analytic><monogr><title level="j">Journal of Clinical Anesthesia</title><title level="j" type="abbrev">JCA</title><idno type="pISSN">0952-8180</idno><idno type="PII">S0952-8180(00)X0047-5</idno><imprint><publisher>ELSEVIER</publisher><date type="published" when="2000"></date><biblScope unit="volume">12</biblScope><biblScope unit="issue">8</biblScope><biblScope unit="page" from="581">581</biblScope><biblScope unit="page" to="585">585</biblScope></imprint></monogr></biblStruct></sourceDesc></fileDesc><profileDesc><creation><date>2000</date></creation><langUsage><language ident="en">en</language></langUsage><abstract xml:lang="en"><p>Study Objective: To determine if the TrachlightTM lightwand can facilitate FastrachTM intubation by guiding the tip of the endotracheal tube into the trachea. Design: Open-label, prospective, randomized, comparative study. Setting: General operating suites of a tertiary teaching hospital. Patients: 172 elective surgical patients requiring general anesthesia with endotracheal intubation. Interventions: With general anesthesia, the Fastrach™, which is a new intubating laryngeal mask airway, was inserted into the oropharynx. Ventilation was ensured before the insertion of an endotracheal tube via the Fastrach™. Tracheal intubation was then performed randomly (coin toss) using either the endotracheal tube alone (Fastrach™ group), or endotracheal tube with the Trachlight, a lightwand (Fastrach/Trachlight™ group). The time to place the Fastrach™ and endotracheal tube, to remove the Fastrach™, and the total time to intubate were recorded. The number of attempts, failures, trauma, sore throats, and hemodynamic changes were also recorded. Data were analyzed using unpaired t-test, ANOVA with repeated measures, or Chi-squares contingency table where appropriate. Measurements and Main Results: Although there were no differences in the times to place the Fastrach™, and endotracheal tube, the hemodynamic changes, and postoperative complications, there were significantly more attempts and failures in the Fastrach™ group compared to the Fastrach™/Trachlight™ group. There were no differences in the incidence of sore throat and trauma in between the groups. Conclusions: Although tracheal intubation is effective using a Fastrach™ alone (76% success rate), it is more effective when the Fastrach™ is used in conjunction with the Trachlight™ (95%). These results suggest that the lightwand is a useful adjunct for Fastrach™ intubation. However, the role of Fastrach™ intubation together with the Trachlight™ in the management of patients with a potential difficult airway remains to be determined.</p></abstract><textClass><keywords scheme="keyword"><list><head>article-category</head><item><term>Original contribution</term></item></list></keywords></textClass><textClass xml:lang="en"><keywords scheme="keyword"><list><head>Keywords</head><item><term>Anesthetic equipment</term></item><item><term>intubating laryngeal mask airway</term></item><item><term>lightwand</term></item><item><term>anesthetic techniques</term></item><item><term>tracheal intubation</term></item></list></keywords></textClass></profileDesc><revisionDesc><change when="2000-10-03">Modified</change><change when="2000">Published</change></revisionDesc></teiHeader></istex:fulltextTEI><json:item><extension>txt</extension><original>false</original><mimetype>text/plain</mimetype><uri>https://api.istex.fr/document/93F24FD12D522A8A9C22CEA527026FD05EA3A6C3/fulltext/txt</uri></json:item></fulltext><metadata><istex:metadataXml wicri:clean="Elsevier, elements deleted: ce:floats; body; tail"><istex:xmlDeclaration>version="1.0" encoding="utf-8"</istex:xmlDeclaration><istex:docType PUBLIC="-//ES//DTD journal article DTD version 4.5.2//EN//XML" URI="art452.dtd" name="istex:docType"></istex:docType><istex:document><converted-article version="4.5.2" docsubtype="fla" xml:lang="en"><item-info><jid>JCA</jid><aid>5616</aid><ce:pii>S0952-8180(00)00219-1</ce:pii><ce:doi>10.1016/S0952-8180(00)00219-1</ce:doi><ce:copyright type="full-transfer" year="2000">Elsevier Science Inc.</ce:copyright><ce:doctopics><ce:doctopic><ce:text>Original contribution</ce:text></ce:doctopic></ce:doctopics></item-info><head><ce:dochead><ce:textfn>Original contribution</ce:textfn></ce:dochead><ce:title>A comparative study of tracheal intubation using an intubating laryngeal mask (Fastrach) alone or together with a lightwand (Trachlight)</ce:title><ce:author-group><ce:author><ce:given-name>Kathy H</ce:given-name><ce:surname>Fan</ce:surname><ce:degrees>MD</ce:degrees><ce:cross-ref refid="AFF1"><ce:sup>a</ce:sup></ce:cross-ref><ce:cross-ref refid="FN1">∗</ce:cross-ref></ce:author><ce:author><ce:given-name>Orlando R</ce:given-name><ce:surname>Hung</ce:surname><ce:degrees>MD</ce:degrees><ce:roles>FRCPC</ce:roles><ce:cross-ref refid="AFF1"><ce:sup>a</ce:sup></ce:cross-ref><ce:cross-ref refid="FN2">†</ce:cross-ref><ce:cross-ref refid="CORR1">*</ce:cross-ref><ce:e-address>hungorla@is.dal.ca</ce:e-address></ce:author><ce:author><ce:given-name>Felice</ce:given-name><ce:surname>Agro</ce:surname><ce:degrees>MD</ce:degrees><ce:cross-ref refid="AFF2"><ce:sup>b</ce:sup></ce:cross-ref><ce:cross-ref refid="FN3">‡</ce:cross-ref></ce:author><ce:affiliation id="AFF1"><ce:label>a</ce:label><ce:textfn>Departments of Anesthesia and Pharmacology, Dalhousie University, Halifax, Nova Scotia, Canada</ce:textfn></ce:affiliation><ce:affiliation id="AFF2"><ce:label>b</ce:label><ce:textfn>Department of Anaesthesiology, University School of Medicine, Campus BioMedico, Rome, Italy</ce:textfn></ce:affiliation><ce:correspondence id="CORR1"><ce:label>*</ce:label><ce:text>Address correspondence to Dr. Orlando Hung, Department of Anesthesia, Queen Elizabeth II Health Sciences Centre, Victoria General Site, 1278 Tower Road, Halifax, Nova Scotia, Canada, B3H2Y9</ce:text></ce:correspondence><ce:footnote id="FN1"><ce:label>∗</ce:label><ce:note-para>Resident, Department of Anesthesia</ce:note-para></ce:footnote><ce:footnote id="FN2"><ce:label>†</ce:label><ce:note-para>Professor, Departments of Anesthesia and Pharmacology</ce:note-para></ce:footnote><ce:footnote id="FN3"><ce:label>‡</ce:label><ce:note-para>Professor, Department of Anesthesiology</ce:note-para></ce:footnote></ce:author-group><ce:date-received day="9" month="6" year="2000"></ce:date-received><ce:date-revised day="3" month="10" year="2000"></ce:date-revised><ce:date-accepted day="3" month="10" year="2000"></ce:date-accepted><ce:abstract><ce:section-title>Abstract</ce:section-title><ce:abstract-sec><ce:simple-para>Study Objective: <ce:italic>To determine if the Trachlight</ce:italic><ce:sup><ce:italic>TM</ce:italic></ce:sup> <ce:italic>lightwand can facilitate Fastrach</ce:italic><ce:sup><ce:italic>TM</ce:italic></ce:sup> <ce:italic>intubation by guiding the tip of the endotracheal tube into the trachea.</ce:italic></ce:simple-para><ce:simple-para>Design: <ce:italic>Open-label, prospective, randomized, comparative study.</ce:italic></ce:simple-para><ce:simple-para>Setting: <ce:italic>General operating suites of a tertiary teaching hospital.</ce:italic></ce:simple-para><ce:simple-para>Patients: <ce:italic>172 elective surgical patients requiring general anesthesia with endotracheal intubation.</ce:italic></ce:simple-para><ce:simple-para>Interventions: <ce:italic>With general anesthesia, the Fastrach™, which is a new intubating laryngeal mask airway, was inserted into the oropharynx. Ventilation was ensured before the insertion of an endotracheal tube via the Fastrach™. Tracheal intubation was then performed randomly (coin toss) using either the endotracheal tube alone (Fastrach™ group), or endotracheal tube with the Trachlight, a lightwand (Fastrach/Trachlight™ group). The time to place the Fastrach™ and endotracheal tube, to remove the Fastrach™, and the total time to intubate were recorded. The number of attempts, failures, trauma, sore throats, and hemodynamic changes were also recorded. Data were analyzed using unpaired t-test, ANOVA with repeated measures, or Chi-squares contingency table where appropriate.</ce:italic></ce:simple-para><ce:simple-para>Measurements and Main Results: <ce:italic>Although there were no differences in the times to place the Fastrach™, and endotracheal tube, the hemodynamic changes, and postoperative complications, there were significantly more attempts and failures in the Fastrach™ group compared to the Fastrach™/Trachlight™ group. There were no differences in the incidence of sore throat and trauma in between the groups.</ce:italic></ce:simple-para><ce:simple-para>Conclusions: <ce:italic>Although tracheal intubation is effective using a Fastrach™ alone (76% success rate), it is more effective when the Fastrach™ is used in conjunction with the Trachlight™ (95%). These results suggest that the lightwand is a useful adjunct for Fastrach™ intubation. However, the role of Fastrach™ intubation together with the Trachlight™ in the management of patients with a potential difficult airway remains to be determined.</ce:italic></ce:simple-para></ce:abstract-sec></ce:abstract><ce:keywords class="keyword"><ce:section-title>Keywords</ce:section-title><ce:keyword><ce:text>Anesthetic equipment</ce:text></ce:keyword><ce:keyword><ce:text>intubating laryngeal mask airway</ce:text></ce:keyword><ce:keyword><ce:text>lightwand</ce:text></ce:keyword><ce:keyword><ce:text>anesthetic techniques</ce:text></ce:keyword><ce:keyword><ce:text>tracheal intubation</ce:text></ce:keyword></ce:keywords></head></converted-article></istex:document></istex:metadataXml><mods version="3.6"><titleInfo lang="en"><title>A comparative study of tracheal intubation using an intubating laryngeal mask (Fastrach) alone or together with a lightwand (Trachlight)</title></titleInfo><titleInfo type="alternative" lang="en" contentType="CDATA"><title>A comparative study of tracheal intubation using an intubating laryngeal mask (Fastrach) alone or together with a lightwand (Trachlight)</title></titleInfo><name type="personal"><namePart type="given">Kathy H</namePart><namePart type="family">Fan</namePart><namePart type="termsOfAddress">MD</namePart><affiliation>Departments of Anesthesia and Pharmacology, Dalhousie University, Halifax, Nova Scotia, Canada</affiliation><description>Resident, Department of Anesthesia</description><role><roleTerm type="text">author</roleTerm></role></name><name type="personal"><namePart type="given">Orlando R</namePart><namePart type="family">Hung</namePart><namePart type="termsOfAddress">MD</namePart><affiliation>E-mail: hungorla@is.dal.ca</affiliation><description>FRCPC</description><affiliation>Departments of Anesthesia and Pharmacology, Dalhousie University, Halifax, Nova Scotia, Canada</affiliation><description>Address correspondence to Dr. Orlando Hung, Department of Anesthesia, Queen Elizabeth II Health Sciences Centre, Victoria General Site, 1278 Tower Road, Halifax, Nova Scotia, Canada, B3H2Y9</description><description>Professor, Departments of Anesthesia and Pharmacology</description><role><roleTerm type="text">author</roleTerm></role></name><name type="personal"><namePart type="given">Felice</namePart><namePart type="family">Agro</namePart><namePart type="termsOfAddress">MD</namePart><affiliation>Department of Anaesthesiology, University School of Medicine, Campus BioMedico, Rome, Italy</affiliation><description>Professor, Department of Anesthesiology</description><role><roleTerm type="text">author</roleTerm></role></name><typeOfResource>text</typeOfResource><genre type="research-article" displayLabel="Full-length article" authority="ISTEX" authorityURI="https://content-type.data.istex.fr" valueURI="https://content-type.data.istex.fr/ark:/67375/XTP-1JC4F85T-7">research-article</genre><originInfo><publisher>ELSEVIER</publisher><dateIssued encoding="w3cdtf">2000</dateIssued><dateModified encoding="w3cdtf">2000-10-03</dateModified><copyrightDate encoding="w3cdtf">2000</copyrightDate></originInfo><language><languageTerm type="code" authority="iso639-2b">eng</languageTerm><languageTerm type="code" authority="rfc3066">en</languageTerm></language><abstract lang="en">Abstract: Study Objective: To determine if the TrachlightTM lightwand can facilitate FastrachTM intubation by guiding the tip of the endotracheal tube into the trachea. Design: Open-label, prospective, randomized, comparative study. Setting: General operating suites of a tertiary teaching hospital. Patients: 172 elective surgical patients requiring general anesthesia with endotracheal intubation. Interventions: With general anesthesia, the Fastrach™, which is a new intubating laryngeal mask airway, was inserted into the oropharynx. Ventilation was ensured before the insertion of an endotracheal tube via the Fastrach™. Tracheal intubation was then performed randomly (coin toss) using either the endotracheal tube alone (Fastrach™ group), or endotracheal tube with the Trachlight, a lightwand (Fastrach/Trachlight™ group). The time to place the Fastrach™ and endotracheal tube, to remove the Fastrach™, and the total time to intubate were recorded. The number of attempts, failures, trauma, sore throats, and hemodynamic changes were also recorded. Data were analyzed using unpaired t-test, ANOVA with repeated measures, or Chi-squares contingency table where appropriate. Measurements and Main Results: Although there were no differences in the times to place the Fastrach™, and endotracheal tube, the hemodynamic changes, and postoperative complications, there were significantly more attempts and failures in the Fastrach™ group compared to the Fastrach™/Trachlight™ group. There were no differences in the incidence of sore throat and trauma in between the groups. Conclusions: Although tracheal intubation is effective using a Fastrach™ alone (76% success rate), it is more effective when the Fastrach™ is used in conjunction with the Trachlight™ (95%). These results suggest that the lightwand is a useful adjunct for Fastrach™ intubation. However, the role of Fastrach™ intubation together with the Trachlight™ in the management of patients with a potential difficult airway remains to be determined.</abstract><note type="content">Section title: Original contribution</note><note type="content">Table 1: Demographics of the Study Patientslegend</note><note type="content">Table 2: Times to Perform Intubations and Complications of the Study Groupslegend</note><note type="content">Table 3: Hemodynamic changes During Intubation Between Study Groupslegend legend</note><subject><genre>article-category</genre><topic>Original contribution</topic></subject><subject lang="en"><genre>Keywords</genre><topic>Anesthetic equipment</topic><topic>intubating laryngeal mask airway</topic><topic>lightwand</topic><topic>anesthetic techniques</topic><topic>tracheal intubation</topic></subject><relatedItem type="host"><titleInfo><title>Journal of Clinical Anesthesia</title></titleInfo><titleInfo type="abbreviated"><title>JCA</title></titleInfo><genre type="journal" authority="ISTEX" authorityURI="https://publication-type.data.istex.fr" valueURI="https://publication-type.data.istex.fr/ark:/67375/JMC-0GLKJH51-B">journal</genre><originInfo><publisher>ELSEVIER</publisher><dateIssued encoding="w3cdtf">200012</dateIssued></originInfo><identifier type="ISSN">0952-8180</identifier><identifier type="PII">S0952-8180(00)X0047-5</identifier><part><date>200012</date><detail type="volume"><number>12</number><caption>vol.</caption></detail><detail type="issue"><number>8</number><caption>no.</caption></detail><extent unit="issue-pages"><start>579</start><end>658</end></extent><extent unit="pages"><start>581</start><end>585</end></extent></part></relatedItem><identifier type="istex">93F24FD12D522A8A9C22CEA527026FD05EA3A6C3</identifier><identifier type="ark">ark:/67375/6H6-4XLDP4KK-H</identifier><identifier type="DOI">10.1016/S0952-8180(00)00219-1</identifier><identifier type="PII">S0952-8180(00)00219-1</identifier><accessCondition type="use and reproduction" contentType="copyright">©2000 Elsevier Science Inc.</accessCondition><recordInfo><recordContentSource authority="ISTEX" authorityURI="https://loaded-corpus.data.istex.fr" valueURI="https://loaded-corpus.data.istex.fr/ark:/67375/XBH-HKKZVM7B-M">elsevier</recordContentSource><recordOrigin>Elsevier Science Inc., ©2000</recordOrigin></recordInfo></mods><json:item><extension>json</extension><original>false</original><mimetype>application/json</mimetype><uri>https://api.istex.fr/document/93F24FD12D522A8A9C22CEA527026FD05EA3A6C3/metadata/json</uri></json:item></metadata><serie></serie></istex></record>Pour manipuler ce document sous Unix (Dilib)
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