A Fibreoptic Scoring System to Assess the Position of Laryngeal Mask Airway Devices. Interobserver Variability and a Comparison Between the Standard, Flexible and Intubating Laryngeal Mask Airways

Autor: Joseph Brimacombe, Christian Keller, F Pühringer
Rok vydání: 2000
Předmět:
Zdroj: ains · Anästhesiologie · Intensivmedizin · Notfallmedizin · Schmerztherapie. 35:692-694
ISSN: 1439-1074
0939-2661
Popis: We determined the interobserver reliability of a fibreoptic scoring system for assessing the position of the laryngeal mask airway (LMA), the flexible laryngeal mask airway (FLMA) and the intubating laryngeal mask airway (ILM). We also compare fibreoptic position between the devices. Thirty anaesthetised adult patients were studied in random order in a triple crossover manner. Two observers blinded to each others findings scored the fibreoptic position as follows: 4, only vocal cords visible; 3, vocal cords plus posterior epiglottis visible; 2, vocal cords plus anterior epiglottis visible; 1, vocal cords not seen. Interobserver reliability was examined using intraclass correlation coefficient (ICC). Interobserver reliability was graded as excellent for the LMA (ICC = 0.89), FLMA (ICC = 0.87) and ILM (ICC = 0.79). Fibreoptic scores were higher for the LMA and FLMA compared with the ILM (both p
Databáze: OpenAIRE