| Autor: |
LIM SS, KEVIN WS NG, JAMAL AZMI I. S., CHAW SH, ZAINAL ABIDIN MF, I. I. SHARIFFUDDIN |
| Předmět: |
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| Zdroj: |
Medicine & Health (Universiti Kebangsaan Malaysia); 2021 Supplement, Vol. 16, p75-75, 1p |
| Abstrakt: |
Introduction: Management of a difficult airway in paediatrics is essential in the field of anaesthesia. The latest American Society of Anaesthesiologist (ASA) guidelines in 2013 for the management of difficult airway places the supraglottic airway devices (SGA) as an indispensable tool in the algorithm of managing failed intubation scenarios. Similar algorithms were published by the Difficult Airway Society, UK in 2015. The central approach in these guidelines is the utilization of the SGA as a means of maintaining ventilation while deciding to either abandon the procedure and wake up the child; to use the SGA as an alternative to tracheal intubation to maintain airway throughout the surgery; or attempting intubation via the SGA.The objective of this study is to evaluate the efficacy and safety of Ambu® AuraGain™ as a conduit for intubation in paediatrics. Methods: After local ethics approval and inform consent from parents, a total of 16 patients aged between 3-12 years were recruited. Following induction of anaesthesia and insertion of the the Ambu® AuraGain™, fibreoptic guided intubation was performed via the SGA. The time taken to successful tracheal intubation was taken as the primary outcome. Secondary outcomes include number of attempts and the time required for insertion and removal of Ambu® AuraGain™, oropharyngeal leak pressures, fibre optic grading of glottic views, and complications. Results: Overall success rate in regard to intubation was 87.5% (14 patients) with mean intubation time of 57 + 39.4 seconds. Successful first attempt intubations were achieved in 13 out of the 14 patients. Results shown easy removal of the Ambu® AuraGain™ device with mean SGA removal time of 27.2 seconds + 19.8 seconds. No major complications were noted throughout the study. Conclusion: Ambu® AuraGain™ device can be considered safe and effective to be used as a conduit for intubation in paediatrics. [ABSTRACT FROM AUTHOR] |
| Databáze: |
Complementary Index |
| Externí odkaz: |
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