Endotracheal intubation is the gold standard for securing the airway. However, while managing patients with difficult airways, various supraglottic devices have been used as rescue airway devices. The aim of this study is to compare the fiberoptic view through the internal aspect of the i-gel versus the Air-Q LMA in pediatric patients. By examining the fiberoptic view through these two devices, the investigators will determine which device provides a clearer passage to the glottic opening and is therefore the preferred conduit to aid endotracheal intubation in difficult airways.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
DIAGNOSTIC
Masking
NONE
Enrollment
50
Nationwide Children's
Columbus, Ohio, United States
Acceptable View of the Glottic Aperature (Grade I-II)
Grade I view - Glottic aperture seen completely without any obstruction, Grade II view - Glottic aperture seen only partially but visual obstruction is less than 50%.
Time frame: 15 seconds after insertion of Air-Q or i-gel
Airway Insertion Time
Amount of time it takes to insert airway.
Time frame: Immediately after anesthesia induction
Time to Achieve Best Fiberoptic View
After confirmation of adequate placement and ventilation, a flexible fiberoptic bronchoscope was inserted through the stem of the supraglottic device to visualize the glottic aperture. The time taken for bronchoscopy, defined as time from disconnection of the anesthetic circuit from the SGA to first visualization of the glottic aperture, was recorded.
Time frame: 15 seconds after insertion of Air-Q or i-gel
This platform is for informational purposes only and does not constitute medical advice. Always consult a qualified healthcare professional.