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Cross-Over Assessment of the AmbuAuraGain, LMA Supreme New Cuff and Intersurgical I-Gel in Fresh Cadavers

Open Journal of Anesthesiology 2014年第12期4卷 332-339页

作者： Ana M. Lopez Xavier Sala-Blanch Ricard Valero Alberto Prats Department of Anaesthesiology Hospital Clínic de Barcelona Barcelona Spain Orthopaedic Anaesthesia Section Department of Anaesthesiology Hospital Clínic de Barcelona Barcelona Spain Neuroanaesthesia Section Department of Anaesthesiology Hospital Clínic de Barcelona Barcelona Spain Laboratory of Surgical Neuroanantomy (LSNA) Human Anatomy and Embryology Unit Faculty of Medicine Universitat de Barcelona Barcelona Spain

Background: The AmbuAuraGain is a new single-use supraglottic airway device with gastric channel designed to facilitate intubation. The aim of the study was to assess the anatomic position and the performance of the AuraGain in fresh cadavers compared to that of the Intersurgical i-gel and LMA Supreme New Cuff. Methods: The 3 devices were inserted in random order in 7 fresh cadavers without difficult airway criteria. The assessed items were: Insertion time, number of attempts and ease of insertion, airway seal pressure, ease of gastric tube insertion, endoscopic view of vocal cords, efficacy of guided tracheal intubation through the AuraGain and i-gel, and anatomic fit by lateral X-ray and neck dissections. Results: All devices were successfully inserted within 3 attempts, except for one case of the LMA Supreme. Adjusting manoeuvres were often required to accomplish correct insertion. A 16 G gastric tube was easily advanced through all AuraGain and LMA Supreme devices. Fiberoptic tracheal intubation was effectively achieved through all AuraGain and i-gel devices in less than 60 s. Lateral X-ray and neck dissections confirmed optimal alignment of all devices with the respiratory and digestive tracts. Conclusions: Insertion of the new AmbuAuraGain required adjusting manoeuvres in some cases, as observed with the other two devices, and achieved similar airway seal pressures. Passage of a large bore gastric tube was as fast as with the LMA Supreme and ease of guided intubation was similar to that of the i-gel.

关键词： Supraglottic Airway Device Cadaver Study fibreoptic Intubation

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Anaesthesia for Pectoralis Major Myocutaneous Flap in a Patient with a Major Facial Defect and Restricted Mouth Opening: A Case Report

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Open Journal of Anesthesiology 2013年第3期3卷 165-167页

作者： Akwasi Antwi-Kusi Wilfred Sam-Awortwi Gabriel Boakye Department of Anaesthesia and Intensive Care Komfo Anokye Teaching Hospital Kumasi Ghana.

Perioperative airway management in patients with oro-facial cancers who has undergone chemo/or radiotherapy poses a great challenge to the anaesthesiologist. These challenges are mainly due to either a mass in the oral cavity or a limited mouth opening making intubation difficult or a major facial defect making mask ventilation difficult. We present our first time experience in a 27-year-old man with a malignant lymphoma of the right cheek who had undergone chemotherapy and needed plastic surgery to restore the face.

关键词： Pectoralis Major Myocutaneous Flap fibreoptic Intubation Anaesthesia Airway

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