Comparison of the EasyTube and endotracheal tube during general anesthesia in fasted adult patients
STUDY OBJECTIVE: To evaluate the effectiveness, safety, ease of placement, and ventilatory parameters of a new alternate airway device, the EasyTube (EzT; Teleflex Ruesch, Research Triangle Park, NC), in comparison to the endotracheal tube (ETT).
DESIGN: Prospective, randomized controlled trial.
SETTING: University Hospital.
SUBJECTS: 200 adult ASA physical status I and II patients scheduled for surgery.
INTERVENTIONS: Patients were randomized to two groups, one to receive ventilation via the EzT (n = 100) or the ETT (n = 100). After preoxygenation and induction with fentanyl and propofol, patients received muscle relaxation. The respective airway device was then inserted and mechanical ventilation was instituted.
MEASUREMENTS: Ease of insertion, number of insertion maneuvers, time until airtight seal of the airway was achieved, duration of surgery, leak pressure as well as arterial oxygen saturation (SpO(2)), and end-tidal carbon dioxide (ETCO(2)) data, were recorded.
MAIN RESULTS: Mallampati airway class was higher in the EzT group (P < 0.029), while thyromental distance showed no difference between the two groups. Ease of insertion was noted in the EzT group (P < 0.043). Number of insertions was equal in both groups; insertion time was shorter with the EzT (15.5 +/- 3.6 sec vs. 19.3 +/- 4.6 sec; P < 0.0001). Leak pressure and SpO(2) were not significantly different, while ETCO(2) was lower with the ETT (P < 0.024). Adjustments had to be made for two EzT group patients. No difference in frequency of laryngo-pharyngeal discomfort was observed in either group.
CONCLUSION: Insertion of an EzT appears to reduce time and facilitate placement of an airway device when compared with direct laryngoscopy and tracheal intubation.
| Medienart: |
E-Artikel |
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| Erscheinungsjahr: |
2009 |
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| Erschienen: |
2009 |
| Enthalten in: |
Zur Gesamtaufnahme - volume:21 |
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| Enthalten in: |
Journal of clinical anesthesia - 21(2009), 5 vom: 31. Aug., Seite 341-7 |
| Sprache: |
Englisch |
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| Beteiligte Personen: |
Lorenz, Veit [VerfasserIn] |
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| Links: |
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| Themen: |
142M471B3J |
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| Anmerkungen: |
Date Completed 17.11.2009 Date Revised 21.11.2013 published: Print-Electronic Citation Status MEDLINE |
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| doi: |
10.1016/j.jclinane.2008.09.008 |
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| funding: |
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| Förderinstitution / Projekttitel: |
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| PPN (Katalog-ID): |
NLM190856254 |
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| 100 | 1 | |a Lorenz, Veit |e verfasserin |4 aut | |
| 245 | 1 | 0 | |a Comparison of the EasyTube and endotracheal tube during general anesthesia in fasted adult patients |
| 264 | 1 | |c 2009 | |
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| 337 | |a ƒaComputermedien |b c |2 rdamedia | ||
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| 500 | |a Date Completed 17.11.2009 | ||
| 500 | |a Date Revised 21.11.2013 | ||
| 500 | |a published: Print-Electronic | ||
| 500 | |a Citation Status MEDLINE | ||
| 520 | |a STUDY OBJECTIVE: To evaluate the effectiveness, safety, ease of placement, and ventilatory parameters of a new alternate airway device, the EasyTube (EzT; Teleflex Ruesch, Research Triangle Park, NC), in comparison to the endotracheal tube (ETT) | ||
| 520 | |a DESIGN: Prospective, randomized controlled trial | ||
| 520 | |a SETTING: University Hospital | ||
| 520 | |a SUBJECTS: 200 adult ASA physical status I and II patients scheduled for surgery | ||
| 520 | |a INTERVENTIONS: Patients were randomized to two groups, one to receive ventilation via the EzT (n = 100) or the ETT (n = 100). After preoxygenation and induction with fentanyl and propofol, patients received muscle relaxation. The respective airway device was then inserted and mechanical ventilation was instituted | ||
| 520 | |a MEASUREMENTS: Ease of insertion, number of insertion maneuvers, time until airtight seal of the airway was achieved, duration of surgery, leak pressure as well as arterial oxygen saturation (SpO(2)), and end-tidal carbon dioxide (ETCO(2)) data, were recorded | ||
| 520 | |a MAIN RESULTS: Mallampati airway class was higher in the EzT group (P < 0.029), while thyromental distance showed no difference between the two groups. Ease of insertion was noted in the EzT group (P < 0.043). Number of insertions was equal in both groups; insertion time was shorter with the EzT (15.5 +/- 3.6 sec vs. 19.3 +/- 4.6 sec; P < 0.0001). Leak pressure and SpO(2) were not significantly different, while ETCO(2) was lower with the ETT (P < 0.024). Adjustments had to be made for two EzT group patients. No difference in frequency of laryngo-pharyngeal discomfort was observed in either group | ||
| 520 | |a CONCLUSION: Insertion of an EzT appears to reduce time and facilitate placement of an airway device when compared with direct laryngoscopy and tracheal intubation | ||
| 650 | 4 | |a Comparative Study | |
| 650 | 4 | |a Journal Article | |
| 650 | 4 | |a Randomized Controlled Trial | |
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| 700 | 1 | |a Rich, James M |e verfasserin |4 aut | |
| 700 | 1 | |a Schebesta, Karl |e verfasserin |4 aut | |
| 700 | 1 | |a Taslakian, Sevak |e verfasserin |4 aut | |
| 700 | 1 | |a Müllner, Michael |e verfasserin |4 aut | |
| 700 | 1 | |a Frass, Michael |e verfasserin |4 aut | |
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| 700 | 1 | |a Illievich, Udo M |e verfasserin |4 aut | |
| 700 | 1 | |a Kaye, Alan D |e verfasserin |4 aut | |
| 700 | 1 | |a Vaida, Sonia |e verfasserin |4 aut | |
| 700 | 1 | |a Krafft, Peter |e verfasserin |4 aut | |
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