A randomized comparison the of the air-Q® intubating laryngeal airway and Ambu® AuraGain™ laryngeal mask for controlled ventilation in children

  • Nirawanti Mohamad Said Department of Anesthesiology and Intensive Care, School of Medical Sciences, Universiti Sains Malaysia, 16150 Kota Bharu, Kelantan, (Malaysia)
  • Rhendra Hardy Mohamad Zaini Hospital Universiti Sains Malaysia, 16150 Kota Bharu, Kelantan, (Malaysia)
  • Wan Mohd Nazaruddin Wan Hassan Department of Anesthesiology and Intensive Care, School of Medical Sciences, Universiti Sains Malaysia, 16150 Kota Bharu, Kelantan, (Malaysia)
  • Mohamad Ibariyah Iberahim Department of Anesthesiology and Intensive Care, School of Medical Sciences, Universiti Sains Malaysia, 16150 Kota Bharu, Kelantan, (Malaysia)
  • Soon Eu Chong Hospital Universiti Sains Malaysia, 16150 Kota Bharu, Kelantan, (Malaysia) Regenerative Medicine Cluster, Advanced Medical and Dental Institute, Universiti Sains Malaysia, Bertam, 13200 Kepala Batas, Penang, (Malaysia)
Keywords: Supraglottic airway device, Intubating Laryngeal Airway, Laryngeal Mask Airway, air-Q®, Ambu Aura Gain, Controlled ventilation, Pediatric

Abstract

Objective: to compare the effectiveness between air-Q® intubating laryngeal airway and Ambu AuraGain laryngeal mask for controlled ventilation in children up to 30kg
Design: Prospective, randomized controlled trial
Setting: Operating theatre of Hospital Universiti Sains Malaysia
Methodology: 64 pediatric patients underwent various short surgical procedures were randomly assigned to receive either an air-Q® or Ambu AuraGain supraglottic airway. Fibreoptic grades of laryngeal view were measured as the primary outcome. The secondary outcomes measured were oropharyngeal leak pressure (OLP), number of attempts, time of successful insertion, quality of airway during placement and maintenance of anesthesia, hemodynamic parameters, and complications.
Results: air-Q® has more favorable fiberoptic grades of view compared to the Ambu AuraGain (p = 0.047). OLP is significantly higher in air-Q® compared to Ambu AuraGain (19.41 ± 1.19 cmH2O vs 17.56 ± 1.52 cmH2O, p ≤ 0.001). There were no differences in terms of number of attempt, time of successful insertion, quality of airway during placement and maintenance of anesthesia and complications.

Conclusion: Air-Q® offers more clinical advantages than Ambu AuraGain for controlled ventilation in pediatric patients as it provides higher airway sealing pressure and better fiberoptic grade of laryngeal view.
Keywords: ; ; Laryngeal Mask Airway; ; ; ; 
Citation: Said NM, Zaini RHM, Wan Hassan WMN, berahim MI, Chong SE. A randomized comparison the of the air-Q® intubating laryngeal airway and Ambu® AuraGain™ laryngeal mask for controlled ventilation in children. Anaesth Pain & Intensive Care 2018;22(4):­­444-451
Received: 18 September 2018, Reviewed: 4, 24 October; 18, 29 November 2018, Corrected: 11, 29 November 2018, Accepted: 29 November 2018

Published
07-08-2019
How to Cite
Said, N. M., Mohamad Zaini, R. H., Wan Hassan, W. M. N., Iberahim, M. I., & Chong, S. E. (2019). A randomized comparison the of the air-Q® intubating laryngeal airway and Ambu® AuraGain™ laryngeal mask for controlled ventilation in children. Anaesthesia, Pain & Intensive Care, 22(4). Retrieved from https://mail.apicareonline.com/index.php/APIC/article/view/1024
Section
Original Articles