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https://www.readbyqxmd.com/read/27899211/are-nurses-able-to-perform-blind-intubation-randomized-comparison-of-i-gel-and-laryngeal-mask-airway
#1
Jerzy R Ladny, Karol Bielski, Lukasz Szarpak, Michal Cieciel, Roman Konski, Jacek Smereka
No abstract text is available yet for this article.
November 22, 2016: American Journal of Emergency Medicine
https://www.readbyqxmd.com/read/27871545/fiberoptic-guided-intubation-after-insertion-of-the-i-gel-airway-device-in-spontaneously-breathing-patients-with-difficult-airway-predicted-a-prospective-observational-study
#2
Julian Arévalo-Ludeña, Jose Juan Arcas-Bellas, Rafael Alvarez-Rementería, Luis Enrique Muñoz Alameda
STUDY OBJECTIVE: To assess the viability of performing fiberoptic-guided orotracheal intubation through the i-gel airway device previously inserted in spontaneously breathing patients with predicted difficult airway to achieve a patent airway. DESIGN: Prospective observational study. SETTING: Operating room in a tertiary care hospital. PATIENTS: Eighty-five adult patients with at least 3 difficult airway predictors or difficult airway management history were included...
December 2016: Journal of Clinical Anesthesia
https://www.readbyqxmd.com/read/27786358/calling-the-patient-s-own-name-facilitates-recovery-from-general-anaesthesia-a-randomised-double-blind-trial
#3
Y S Jung, H Paik, S-H Min, H Choo, M Seo, J-H Bahk, J-H Seo
People can hear and pay attention to familiar terms such as their own name better than general terms, referred to as the cocktail party effect. We performed a prospective, randomised, double-blind trial to investigate whether calling the patient's name compared with a general term facilitated a patient's response and recovery from general anaesthesia. We enrolled women having breast cancer surgery with general anaesthesia using propofol and remifentanil. Patients were randomly allocated into two groups depending on whether the patient's name or a general term was called, followed by the verbal command - 'open your eyes!' - during emergence from anaesthesia; this pre-recorded sentence was played to the patient using headphones...
October 27, 2016: Anaesthesia
https://www.readbyqxmd.com/read/27779349/evaluation-of-i-gel-%C3%A2-size-2-airway-in-different-degrees-of-neck-flexion-in-anesthetized-children-a-prospective-self-controlled-trial
#4
Divya Jain, Babita Ghai, Komal Gandhi, Gargi Banerjee, Indu Bala, Ram Samujh
BACKGROUND: A previous study by our group demonstrated an increase in oropharyngeal leak pressures and a deterioration of ventilation in maximum neck flexion with the I-Gel(™) . To ascertain the optimal degree of neck flexion which increases OPLP without compromising ventilation we conducted a prospective self-controlled trial with the I-Gel(™) in different degrees of neck flexion in anesthetized paralyzed children. METHODOLOGY: The I-gel(™) was inserted in 60 children undergoing inhalation induction with muscle paralysis for routine general anesthesia...
December 2016: Paediatric Anaesthesia
https://www.readbyqxmd.com/read/27761035/a-randomised-trial-to-compare-i-gel-and-proseal%C3%A2-laryngeal-mask-airway-for-airway-management-in-paediatric-patients
#5
R Nirupa, Satinder Gombar, Vanita Ahuja, Preeti Sharma
BACKGROUND AND AIMS: i-gel™ is a newer supraglottic airway device with a unique non-inflatable cuff. We aimed to compare i-gel™ with ProSeal™ laryngeal mask airway (PLMA™) in children scheduled for surgery under general anaesthesia (GA) with controlled ventilation. METHODS: This prospective, randomised controlled study was conducted in 100 surgical patients, aged 2-6 years of American Society of Anesthesiologists Physical Status I-II scheduled under GA. Patients were randomly allocated to receive either size 2 i-gel™ or PLMA™ as an airway device...
October 2016: Indian Journal of Anaesthesia
https://www.readbyqxmd.com/read/27755181/sore-throat-following-three-adult-supraglottic-airway-devices-a-randomised-controlled-trial
#6
Joël L'Hermite, Elisabeth Dubout, Sophie Bouvet, Laure-Hélène Bracoud, Philippe Cuvillon, Jean-Emmanuel de La Coussaye, Jacques Ripart
BACKGROUND: Sore throat is a common complaint after surgery. It affects patient satisfaction and can affect activity after discharge. The supraglottic airway device (SAD) offers an alternative to traditional tracheal intubation with potential benefit in preventing sore throat. OBJECTIVE: The aim of this study was to compare the incidence of sore throat following three different SADs, the laryngeal mask airway Unique (LMA-U) and the more recent LMA Supreme (LMA-S) and the I-gel...
October 15, 2016: European Journal of Anaesthesiology
https://www.readbyqxmd.com/read/27752621/comparison-of-blind-intubation-through-supraglottic-devices-and-direct-laryngoscopy-by-novices-a-simulation-manikin-study
#7
Young Yong Kim, Gu Hyun Kang, Won Hee Kim, Hyun Young Choi, Yong Soo Jang, Young Jae Lee, Jae Guk Kim, Hyeongtae Kim, Gyoung Yong Kim
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...
June 2016: Clinical and Experimental Emergency Medicine
https://www.readbyqxmd.com/read/27746545/comparison-of-i-gel%C3%A2-and-laryngeal-mask-airway-classic%C3%A2-in-terms-of-ease-of-insertion-and-hemodynamic-response-a-randomized-observational-study
#8
N Pratheeba, G S Ramya, R V Ranjan, R Remadevi
CONTEXT: Laryngeal mask airway (LMA) Classic™ has an inflatable cuff while i-gel™ has a noninflatable cuff made of thermoplastic elastomer. AIMS: To compare ease of insertion, number, and duration of insertion attempts among the two device. Secondary objectives were to evaluate the hemodynamic response and SpO2 during device insertion and during maintenance of general anesthesia. SETTINGS AND DESIGN: This study was conducted as randomized observational study in a teaching hospital...
September 2016: Anesthesia, Essays and Researches
https://www.readbyqxmd.com/read/27735883/i-gel-airway-for-advanced-uses-a-case-of-successful-utilization-of-this-second-generation-supraglottic-airway-device-for-controlled-ventilation-during-general-anaesthesia-in-lateral-decubitus-position
#9
https://www.readbyqxmd.com/read/27697605/design-and-implementation-of-the-airways-2-trial-a-multi-centre-cluster-randomised-controlled-trial-of-the-clinical-and-cost-effectiveness-of-the-i-gel-supraglottic-airway-device-versus-tracheal-intubation-in-the-initial-airway-management-of-out-of-hospital
#10
Jodi Taylor, Sarah Black, Stephen J Brett, Kim Kirby, Jerry P Nolan, Barnaby C Reeves, Maria Robinson, Chris A Rogers, Lauren J Scott, Adrian South, Elizabeth A Stokes, Matthew Thomas, Sarah Voss, Sarah Wordsworth, Jonathan R Benger
Health outcomes after out of hospital cardiac arrest (OHCA) are extremely poor, with only 7-9% of patients in the United Kingdom (UK) surviving to hospital discharge. Currently emergency medical services (EMS) use either tracheal intubation or newer supraglottic airway devices (SGAs) to provide advanced airway management during OHCA. Equipoise between the two techniques has led to calls for a well-designed randomised controlled trial. The primary objective of the AIRWAYS-2 trial is to assess whether the clinical effectiveness of the i-gel, a second-generation SGA, is superior to tracheal intubation in the initial airway management of OHCA patients in the UK...
December 2016: Resuscitation
https://www.readbyqxmd.com/read/27687379/comparison-of-the-clinical-performances-of-air-qsp-and-i-gel-for-airway-management-under-general-anesthesia-with-a-muscle-relaxant
#11
Asako Watanabe, Mitsutaka Edanaga, Hiromichi Ichinose, Michiaki Yamakage
STUDY OBJECTIVES: Recently, i-Gel intubating laryngeal airway (ILA) has been frequently used because of the ease for airway insertion by residents and young anesthesiologists. However, it sometimes fails to fit or ventilate sufficiently in Japanese patients. Use of Air-Qsp, which is a new non-inflatable cuffed ILA, in a clinical setting has become possible. The purpose of this study was to compare the clinical performance of Air-Qsp with that of i-Gel for airway management in Japanese adult patients...
November 2016: Journal of Clinical Anesthesia
https://www.readbyqxmd.com/read/27671977/what-are-the-factors-associated-with-successful-i-gel%C3%A2-insertion-and-uneventful-anaesthesia-in-children-under-age-two
#12
Cécile Magne, Vincent Pichenot, Péan Didier, Luc Bérard, Corinne Lejus-Bourdeau
BACKGROUND: Our purpose was to evaluate I-gel™ sizes 1 and 1.5. METHODS: I-Gel™ insertion was attempted in 60 children<2 years of age undergoing short elective surgery. The main endpoints were the determination of independent factors associated with successful first-attempt insertion and those associated with uneventful anaesthesia (i.e. no adverse events during insertion or during the intraoperative period of removal). RESULTS: Size 1 and a size 1...
September 23, 2016: Anaesthesia, Critical Care & Pain Medicine
https://www.readbyqxmd.com/read/27582031/pilot-manikin-study-showed-that-a-supraglottic-airway-device-improved-simulated-neonatal-ventilation-in-a-low-resource-setting
#13
Nicolas J Pejovic, Daniele Trevisanuto, Jolly Nankunda, Thorkild Tylleskär
AIM: We compared the performance of personnel in a low-resource setting when they used the I-gel cuffless neonatal laryngeal mask or a face mask on a neonatal airway management manikin. METHODS: At Mulago Hospital, Uganda, 25 doctors, nurses and midwives involved in neonatal resuscitation were given brief training with the I-gel and face mask. Then, every participant was observed positioning both devices on three consecutive occasions. The success rate and insertion times leading to effective positive pressure ventilation (PPV) were recorded...
December 2016: Acta Paediatrica
https://www.readbyqxmd.com/read/27555181/laryngeal-mask-airway-proseal-provides-higher-oropharyngeal-leak-pressure-than-i-gel-in-adult-patients-under-general-anesthesia-a-meta-analysis
#14
Souvik Maitra, Dalim K Baidya, Mahesh K Arora, Sulagna Bhattacharjee, Puneet Khanna
STUDY OBJECTIVE: i-gel is a single-use supraglottic airway device that has a gastric drain tube similar to laryngeal mask airway (LMA) ProSeal. Randomized trials, when compared i-gel with LMA ProSeal, reported a differing results. Primary objective of this study is to compare LMA ProSeal and i-gel in terms of oropharyngeal leak pressure. DESIGN: Meta-analysis of randomized controlled trials where i-gel has been compared to LMA ProSeal in adult airway management during general anesthesia...
September 2016: Journal of Clinical Anesthesia
https://www.readbyqxmd.com/read/27555168/muscle-relaxant-facilitates-i-gel-insertion-by-novice-doctors-a-prospective-randomized-controlled-trial
#15
Kazuo Hattori, Nobuyasu Komasawa, Yu Miyazaki, Haruki Kido, Shiho Deguchi, Toshiaki Minami
STUDY OBJECTIVE: This study aimed to determine whether muscle relaxants facilitates insertion efficacy of the i-gel supraglottic device (i-gel) by novice doctors in anesthetized patients. DESIGN: Randomized clinical trial. SETTING: Operating room. PATIENTS: Seventy adult patients scheduled for elective surgery under general anesthesia. INTERVENTIONS: Seventy adult patients were assigned to the rocuronium (MR group; 35 patients) or control group (C group; 35 patients)...
September 2016: Journal of Clinical Anesthesia
https://www.readbyqxmd.com/read/27549212/comparison-of-the-clinical-performance-of-i-gel-lma-supreme-and-lma-proseal-in-elective-surgery
#16
Geoffrey Haw Chieh Liew, Esther Dawen Yu, Shitalkumar Sharad Shah, Harikrishnan Kothandan
INTRODUCTION: The LMA Supreme™, i-gel® and LMA ProSeal™ are second-generation supraglottic airway devices. We tested the hypothesis that these devices differ in performance when used for spontaneous ventilation during anaesthesia. METHODS: 150 patients who underwent general anaesthesia for elective surgery were randomly allocated into three groups. Data was collected on oropharyngeal leak pressures, ease and duration of device insertion, ease of gastric tube insertion, and airway safety...
August 2016: Singapore Medical Journal
https://www.readbyqxmd.com/read/27492428/observation-of-ventilation-effects-of-i-gel%C3%A2-supreme%C3%A2-and-ambu-auraonce%C3%A2-with-respiratory-dynamics-monitoring-in-small-children
#17
Zhiqing Gu, Quanying Jin, Junjun Liu, Lianhua Chen
The shortcomings of laryngeal mask airway (LMA™), such as upper airway obstruction and gastric distension or airway leakage, may limit its application in small children. The I-gel™ (I-gel), LMA-Supreme™ (LMA-S), and Ambu AuraOnce™ (Ambu) are three improvements upon these shortcomings. This study adopted respiratory dynamic monitoring to observe the ventilation parameters of the three laryngeal masks in small children. A total of 105 children were randomized into Ambu (n = 35), I-gel (n = 35), and LMA-S (n = 35) groups...
August 4, 2016: Journal of Clinical Monitoring and Computing
https://www.readbyqxmd.com/read/27478436/intubation-success-through-i-gel%C3%A2-and-intubating-laryngeal-mask-airway%C3%A2-using-flexible-silicone-tubes-a-randomised-noninferiority-trial
#18
Latha Naik, Neerja Bhardwaj, Indu Mohini Sen, Rakesh V Sondekoppam
Introduction. The study aims to test whether flexible silicone tubes (FST) improve performance and provide similar intubation success through I-Gel as compared to ILMA. Our trial is registered in CTRI and the registration number is "CTRI/2016/06/006997." Methods. One hundred and twenty ASA status I-II patients scheduled for elective surgical procedures needing tracheal intubation were randomised to endotracheal intubation using FST through either I-Gel or ILMA. In the ILMA group (n = 60), intubation was attempted through ILMA using FST and, in the I-Gel group (n = 60), FST was inserted through I-Gel airway...
2016: Anesthesiology Research and Practice
https://www.readbyqxmd.com/read/27467268/the-aminopeptidase-cd13-induces-homotypic-aggregation-in-neutrophils-and-impairs-collagen-invasion
#19
Christine A Fiddler, Helen Parfrey, Andrew S Cowburn, Ding Luo, Gerard B Nash, Gillian Murphy, Edwin R Chilvers
Aminopeptidase N (CD13) is a widely expressed cell surface metallopeptidase involved in the migration of cancer and endothelial cells. Apart from our demonstration that CD13 modulates the efficacy of tumor necrosis factor-α-induced apoptosis in neutrophils, no other function for CD13 has been ascribed in this cell. We hypothesized that CD13 may be involved in neutrophil migration and/or homotypic aggregation. Using purified human blood neutrophils we confirmed the expression of CD13 on neutrophils and its up-regulation by pro-inflammatory agonists...
2016: PloS One
https://www.readbyqxmd.com/read/27458427/new-3d-culture-approaches-to-study-interactions-of-bone-marrow-adipocytes-with-metastatic-prostate-cancer-cells
#20
Mackenzie Katheryn Herroon, Jonathan Driscoll Diedrich, Izabela Podgorski
Adipocytes are a major component of the bone marrow that can critically affect metastatic progression in bone. Understanding how the marrow fat cells influence growth, behavior, and survival of tumor cells requires utilization of in vitro cell systems that can closely mimic the physiological microenvironment. Herein, we present two new three-dimensional (3D) culture approaches to study adipocyte-tumor cell interactions in vitro. The first is a transwell-based system composed of the marrow-derived adipocytes in 3D collagen I gels and reconstituted basement membrane-overlayed prostate tumor cell spheroids...
2016: Frontiers in Endocrinology
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