Evidence map›Paper›PMID 39287194›Full record

ArticleTurkish journal of anaesthesiology and reanimation2024

Comparison of Tracheal Intubation Using the Air-Q ILA and LMA Blockbuster Among Adults Undergoing Elective Surgery: A Randomized Controlled Trial.

Kavitha Girish, Thilaka Muthiah, Dalim Kumar Baidya, Renu Sinha, Vimi Rewari, Souvik Maitra, Manpreet Kaur, Rajeshwari Subramaniam

Abstract read
In one paragraph

Article in Turkish journal of anaesthesiology and reanimation, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors.

Kavitha GirishBaby Memorial Hospital, Clinic of Anaesthesiology, Kozhikode, India.ORCID 0000-0003-1855-0441
Thilaka MuthiahApollo Simulation Centre, Apollo Hospitals, Chennai, India.ORCID 0000-0001-5012-3461
Dalim Kumar BaidyaAll India Institute of Medical Sciences, Department of Anaesthesiology, Critical Care and Pain Medicine, Guwahati, India.ORCID 0000-0001-7811-7039
Renu SinhaAll India Institute of Medical Sciences, Department of Anaesthesiology, Pain Medicine and Critical Care, New Delhi, India.ORCID 0000-0002-4786-6413
Vimi RewariAll India Institute of Medical Sciences, Department of Anaesthesiology, Pain Medicine and Critical Care, New Delhi, India.ORCID 0000-0001-9800-1367
Souvik MaitraAll India Institute of Medical Sciences, Department of Anaesthesiology, Pain Medicine and Critical Care, New Delhi, India.ORCID 0000-0002-2328-9201
Manpreet KaurPenn State Hershey Medical Center and Penn State College of Medicine, Department of Anaesthesia and Perioperative Medicine, Hershey, Pennsylvania.ORCID 0000-0003-3069-1562
Rajeshwari SubramaniamAll India Institute of Medical Sciences, Department of Anaesthesiology, Pain Medicine and Critical Care, New Delhi, India.ORCID 0000-0002-3830-5278

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Objective: Air-Q intubating laryngeal airway (ILA) is associated with a 58-77% success rate in blind intubation. The newer laryngeal mask airway (LMA) blockbuster is specially designed to facilitate easier endotracheal intubation and may have a higher success rate. The current study aimed to compare the success rate of endotracheal intubation using the Air-Q ILA and LMA blockbuster. Methods: After ethics committee approval and informed written consent, 140 adult patients with normal airways who were scheduled for elective surgery under general anaesthesia requiring endotracheal intubation were recruited for this randomized controlled trial. Blind endotracheal intubation was performed using the Air-Q ILA in group A and the LMA blockbuster in group B with special maneuvers and/or tubes in the second attempt. Fibreoptic bronchoscope (FOB) guidance was used in the third attempt if required. The primary outcome was the success rate of intubation without FOB assistance. The number of attempts for supraglottic airway (SGA) insertion, the time taken for SGA insertion, and the overall intubation time was also noted. Results: The success rate of intubation without FOB guidance was significantly higher in group B than in group A [91.4% vs 55.7%; relative risk (RR) 1.68; (95% confidence interval (CI) 1.34, 2.11); p<0.0001]. The number of attempts for SGA insertion was similar in groups A and group B [87% vs 90%; RR 1.03; (95% CI-0.92, 1.16); p=0.60]. The times for successful SGA insertion and endotracheal intubation were also similar between the groups. Conclusion: The LMA blockbuster offers a significantly higher success rate for endotracheal intubation without FOB guidance than the Air-Q ILA in adult patients with normal airways. However, an increased success rate was achieved with the use of a specially designed flexible endotracheal tube and maneuvers.

Indexed as

Airway managementbronchoscopyendotracheal intubationglottislaryngeal mask airway

Identifiers

PMID39287194
PMCPMC11590693

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.