Objective This study aimed to evaluate the efficacy of i-gel blind intubation (IGI) as a rescue device for definitive airway management in ground intubation for pre-hospital trauma patients.
Methods A prospective randomized crossover study was conducted with 18 paramedics to examine intubation performance of two blind intubation techniques through a supraglottic airway devices (IGI and laryngeal mask airway Fastrach), compared with use of a Macintosh laryngoscope (MCL). Each intubation was conducted at two levels of patient positions (ground- and stretcher-level). Primary outcomes were the intubation time and the success rate for intubation.
Results The intubation time (sec) of each intubation technique was not significantly different between the two positions. In both patient positions, the intubation time of IGI was shortest among the three intubation techniques (17.9±5.2 at the ground-level and 16.9±3.8 at the stretcher-level). In the analysis of cumulative success rate and intubation time, IGI was the fastest to reach 100% success among the three intubation techniques regardless of patient position (all P<0.017). The success of intubation was only affected by the intubation technique, and IGI achieved more success than MCL (odds ratio, 3.6; 95% confidence interval, 1.1 to 11.6; P=0.03).
Conclusion The patient position did not affect intubation performance. Additionally, the intubation time with blind intubation through supraglottic airway devices, especially with IGI, was significantly shorter than that with MCL.
Citations
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Objective This study aimed to compare intubation performance between blind intubation through supraglottic airway devices and direct laryngoscopy by novices under manikin simulation. We hypothesized that the intubation time by novices using supraglottic airway devices was superior to that with the Macintosh laryngoscope (MCL).
Methods A prospective, randomized crossover study was conducted with 95 participants, to evaluate i-gel, air-Q, LMA Fastrach, and MCL devices. Primary outcomes were the intubation time and the success rate for intubation.
Results The i-gel showed the shortest insertion and tube passing time among the four devices; the i-gel and air-Q also showed the shortest total intubation time (all P<0.0083; i-gel vs. air-Q, P=0.03). The i-gel and MCL showed the highest cumulative success rate (all P<0.0083; i-gel vs. MCL, P=0.12).
Conclusion Blind intubation through the i-gel showed almost equal intubation performance compared to direct laryngoscopy.
Citations
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Success Rate of Endotracheal Intubation Usman Nasir, Salahu Dalhat, Mamuda Atiku, Abdullahi Mustapha, Adesope Saheed, Ahmad Adam, Abdullahi Mohammad, Ahmed Ado Nigerian Journal of Basic and Clinical Sciences.2022; 19(1): 34. CrossRef
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A prospective randomised simulation trial comparing our novel AIR-BOX to standard airway equipment storage modalities Wojciech Piechowski, Timothy C Clapper, Joel C Park, Kevin Ching, Jonathan St. George BMJ Simulation and Technology Enhanced Learning.2020; : bmjstel-2020-000721. CrossRef
Prehospital Airway Management in Severe Traumatic Brain Injury Lorenzo Gamberini, Marzia Baldazzi, Carlo Coniglio, Giovanni Gordini, Tommaso Bardi Air Medical Journal.2019; 38(5): 366. CrossRef
Pre-hospital i-gel blind intubation for trauma: a simulation study Jae Guk Kim, Wonhee Kim, Gu Hyun Kang, Yong Soo Jang, Hyun Young Choi, Hyeongtae Kim, Minji Kim Clinical and Experimental Emergency Medicine.2018; 5(1): 29. CrossRef
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Comparison of the Success Rate of Intubation Between the LMA Fastrach and AirQ-ILA Methods in Patients Undergoing Elective Surgery During General Anaesthesia Seydalireza Seyed Siamdoust, Faranak Rokhtabnak, Soudabeh Djalali Motlagh, Poupak Rahimzadeh, Valiollah Hassani, Mahdi Farnaghizad Anesthesiology and Pain Medicine.2018;[Epub] CrossRef
Comparison of blind intubation through the I-gel and the Air-Q™ by novice physicians during cardiopulmonary resuscitation: A randomized, crossover, manikin trial Łukasz Szarpak The American Journal of Emergency Medicine.2017; 35(3): 509. CrossRef
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