Comparison of Five 2nd-Generation Supraglottic Airway Devices for Airway Management Performed by Novice Military Operators
Identifieur interne : 001312 ( Main/Exploration ); précédent : 001311; suivant : 001313Comparison of Five 2nd-Generation Supraglottic Airway Devices for Airway Management Performed by Novice Military Operators
Auteurs : Tomas Henlin [République tchèque] ; Michal Sotak [République tchèque] ; Petr Kovaricek [République tchèque] ; Tomas Tyll [République tchèque] ; Lukas Balcarek [République tchèque] ; Pavel Michalek [République tchèque, Royaume-Uni]Source :
- BioMed Research International [ 2314-6133 ] ; 2015.
Abstract
Url:
DOI: 10.1155/2015/201898
PubMed: 26495289
PubMed Central: 4606395
Affiliations:
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Military Hospital, U Vojenske Nemocnice 1, 169 02 Prague, Czech Republic</nlm:aff><country xml:lang="fr">République tchèque</country><wicri:regionArea>Department of Anesthesia and Intensive Medicine, 1st Medical Faculty and University Military Hospital, U Vojenske Nemocnice 1, 169 02 Prague</wicri:regionArea><wicri:noRegion>169 02 Prague</wicri:noRegion></affiliation></author><author><name sortKey="Sotak, Michal" sort="Sotak, Michal" uniqKey="Sotak M" first="Michal" last="Sotak">Michal Sotak</name><affiliation wicri:level="1"><nlm:aff id="I1">Department of Anesthesia and Intensive Medicine, 1st Medical Faculty and University Military Hospital, U Vojenske Nemocnice 1, 169 02 Prague, Czech Republic</nlm:aff><country xml:lang="fr">République tchèque</country><wicri:regionArea>Department of Anesthesia and Intensive Medicine, 1st Medical Faculty and University Military Hospital, U Vojenske Nemocnice 1, 169 02 Prague</wicri:regionArea><wicri:noRegion>169 02 Prague</wicri:noRegion></affiliation></author><author><name sortKey="Kovaricek, Petr" sort="Kovaricek, Petr" uniqKey="Kovaricek P" first="Petr" last="Kovaricek">Petr Kovaricek</name><affiliation wicri:level="1"><nlm:aff id="I1">Department of Anesthesia and Intensive Medicine, 1st Medical Faculty and University Military Hospital, U Vojenske Nemocnice 1, 169 02 Prague, Czech Republic</nlm:aff><country xml:lang="fr">République tchèque</country><wicri:regionArea>Department of Anesthesia and Intensive Medicine, 1st Medical Faculty and University Military Hospital, U Vojenske Nemocnice 1, 169 02 Prague</wicri:regionArea><wicri:noRegion>169 02 Prague</wicri:noRegion></affiliation></author><author><name sortKey="Tyll, Tomas" sort="Tyll, Tomas" uniqKey="Tyll T" first="Tomas" last="Tyll">Tomas Tyll</name><affiliation wicri:level="1"><nlm:aff id="I1">Department of Anesthesia and Intensive Medicine, 1st Medical Faculty and University Military Hospital, U Vojenske Nemocnice 1, 169 02 Prague, Czech Republic</nlm:aff><country xml:lang="fr">République tchèque</country><wicri:regionArea>Department of Anesthesia and Intensive Medicine, 1st Medical Faculty and University Military Hospital, U Vojenske Nemocnice 1, 169 02 Prague</wicri:regionArea><wicri:noRegion>169 02 Prague</wicri:noRegion></affiliation></author><author><name sortKey="Balcarek, Lukas" sort="Balcarek, Lukas" uniqKey="Balcarek L" first="Lukas" last="Balcarek">Lukas Balcarek</name><affiliation wicri:level="1"><nlm:aff id="I1">Department of Anesthesia and Intensive Medicine, 1st Medical Faculty and University Military Hospital, U Vojenske Nemocnice 1, 169 02 Prague, Czech Republic</nlm:aff><country xml:lang="fr">République tchèque</country><wicri:regionArea>Department of Anesthesia and Intensive Medicine, 1st Medical Faculty and University Military Hospital, U Vojenske Nemocnice 1, 169 02 Prague</wicri:regionArea><wicri:noRegion>169 02 Prague</wicri:noRegion></affiliation></author><author><name sortKey="Michalek, Pavel" sort="Michalek, Pavel" uniqKey="Michalek P" first="Pavel" last="Michalek">Pavel Michalek</name><affiliation wicri:level="1"><nlm:aff id="I2">Department of Anesthesia and Intensive Medicine, 1st Medical Faculty and General University Hospital, U Nemocnice 2, 128 08 Prague, Czech Republic</nlm:aff><country xml:lang="fr">République tchèque</country><wicri:regionArea>Department of Anesthesia and Intensive Medicine, 1st Medical Faculty and General University Hospital, U Nemocnice 2, 128 08 Prague</wicri:regionArea><wicri:noRegion>128 08 Prague</wicri:noRegion></affiliation><affiliation wicri:level="1"><nlm:aff id="I3">University of East Anglia, Norwich Research Park, Norwich NR4 7TJ, UK</nlm:aff><country xml:lang="fr">Royaume-Uni</country><wicri:regionArea>University of East Anglia, Norwich Research Park, Norwich NR4 7TJ</wicri:regionArea><wicri:noRegion>Norwich NR4 7TJ</wicri:noRegion></affiliation></author></analytic><series><title level="j">BioMed Research International</title><idno type="ISSN">2314-6133</idno><idno type="eISSN">2314-6141</idno><imprint><date when="2015">2015</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><p><italic>Objectives</italic>. Five different second-generation supraglottic airway devices, ProSeal LMA, Supreme LMA, i-gel, SLIPA, and Laryngeal Tube Suction-D, were studied. Operators were inexperienced users with a military background, combat lifesavers, nurses, and physicians. <italic>Methods</italic>. This was a prospective, randomized, single-blinded study. Devices were inserted in the operating room in low light conditions after induction of general anesthesia. Primary outcome was successful insertion on the first attempt while secondary aims were insertion time, number of attempts, oropharyngeal seal pressure, ease of insertion, fibre optic position of device, efficacy of ventilation, and intraoperative trauma or regurgitation of gastric contents. <italic>Results</italic>. In total, 505 patients were studied. First-attempt insertion success rate was higher in the Supreme LMA (96%), i-gel (87.9%), and ProSeal LMA (85.9%) groups than in the Laryngeal Tube Suction-D (80.6%) and SLIPA (69.4%) groups. Insertion time was shortest in the Supreme LMA (70.4 ± 32.5 s) and i-gel (74.4 ± 41.1 s) groups (<italic>p</italic> < 0.001). Oropharyngeal seal pressures were higher in the Laryngeal Tube Suction-D and ProSeal LMA groups than in other three devices. <italic>Conclusions</italic>. Most study parameters for the Supreme LMA and i-gel were found to be superior to the other three tested supraglottic airway devices when inserted by novice military operators.</p></div></front><back><div1 type="bibliography"><listBibl><biblStruct><analytic><author><name sortKey="Butler, F K" uniqKey="Butler F">F. K. Butler</name></author><author><name sortKey="Blackbourne, L H" uniqKey="Blackbourne L">L. H. Blackbourne</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Henlin, T" uniqKey="Henlin T">T. Henlin</name></author><author><name sortKey="Michalek, P" uniqKey="Michalek P">P. Michalek</name></author><author><name sortKey="Tyll, T" uniqKey="Tyll T">T. 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Kaufmann</name></author></analytic></biblStruct></listBibl></div1></back></TEI><affiliations><list><country><li>Royaume-Uni</li><li>République tchèque</li></country></list><tree><country name="République tchèque"><noRegion><name sortKey="Henlin, Tomas" sort="Henlin, Tomas" uniqKey="Henlin T" first="Tomas" last="Henlin">Tomas Henlin</name></noRegion><name sortKey="Balcarek, Lukas" sort="Balcarek, Lukas" uniqKey="Balcarek L" first="Lukas" last="Balcarek">Lukas Balcarek</name><name sortKey="Kovaricek, Petr" sort="Kovaricek, Petr" uniqKey="Kovaricek P" first="Petr" last="Kovaricek">Petr Kovaricek</name><name sortKey="Michalek, Pavel" sort="Michalek, Pavel" uniqKey="Michalek P" first="Pavel" last="Michalek">Pavel Michalek</name><name sortKey="Sotak, Michal" sort="Sotak, Michal" uniqKey="Sotak M" first="Michal" last="Sotak">Michal Sotak</name><name sortKey="Tyll, Tomas" sort="Tyll, Tomas" uniqKey="Tyll T" first="Tomas" last="Tyll">Tomas Tyll</name></country><country name="Royaume-Uni"><noRegion><name sortKey="Michalek, Pavel" sort="Michalek, Pavel" uniqKey="Michalek P" first="Pavel" last="Michalek">Pavel Michalek</name></noRegion></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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