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MINERVA ANESTESIOLOGICA

A Journal on Anesthesiology, Resuscitation, Analgesia and Intensive Care


Official Journal of the Italian Society of Anesthesiology, Analgesia, Resuscitation and Intensive Care
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Minerva Anestesiologica 2017 Oct 04

DOI: 10.23736/S0375-9393.17.11702-5

Copyright © 2017 EDIZIONI MINERVA MEDICA

language: English

Airway management with fastrach laryngeal mask versus spritztube: a prospective randomised manikin-based study

Silvia DE ROSA 1, 3 , Fiorenza FERRARI 1, Stefano CARBONI CHECCACCI 1, Alessandro RIGOBELLO 1, Paolo GENNARO 1, Daniele DE LUCA 2, 3, Mirco PRIMADEI 1, Federico POLITI 1, Adriano PELLIZZARI 1, Raffaele BONATO 1

1 Department of Anesthesiology and Intensive Care, San Bortolo Hospital, Vicenza, Italy; 2 Division of Pediatrics and Neonatal Critical Care, South Paris University Hospitals, Medical Center “A. Beclere”, Paris, France; 3 Department of Anesthesiology and Intensive Care, Catholic University of the Sacred Heart, Rome, Italy


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BACKGROUND: A new promising device, the Spritztube (ST), was developed combining the ability to perform both supraglottic ventilation and orotracheal fibreoptic intubation using the same device, allowing an easy passage from supraglottic ventilation to tracheal ventilation avoiding apnea. The present study aims to compare the speed and the subjective ease of in- sertion of the novel tracheal tube (Spritztube ®) compared to the intubating laryngeal mask airway FastrachTM [FT-LMA] in a simulation environment.
METHODS: Each participant received verbal instruction and practical demonstration concern- ing “technique of insertion” for both devices on manikin and, in a randomized order, used both devices. Time of placement (T1), time of inflation (T2), the elapsed procedural time (T3), ease of insertion, time of exchange maneuver for intubation (T4), success rates and number of attempts were recorded for each EAD.
RESULTS: 47 participants were enrolled. The ST was judged as easier insertion than FT-LMA (p < 0.001) having also a significant higher success rate than FT-LMA (p < 0.001). Number of attempts for insertion was similar. Number of attempts for exchange to ETI was significantly more for FT-LMA (p < 0.001). FT-LMA was applied 11s faster than the ST (median T3 Fastrach:13s.,ST:24s., p < 0.001) as the exchange maneuver for ETI (median T4 FT- LMA:13s.,ST:24s., p < 0.001).
CONCLUSIONS: In a manikin simulation setting, insertion and intubation with and ST was performed 11s slower than with use of a FT-LMA.


KEY WORDS: Airway management - Clinical skills - Intubation - Manikins - Medical education - Simulation

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Publication History

Article first published online: October 04, 2017
Manuscript accepted: September 15, 2017
Manuscript revised: September 6, 2017
Manuscript received: September 6, 2016

Cite this article as

De Rosa S, Ferrari F, Carboni Checcacci S, Rigobello A, Gennaro P, De Luca D, et al. Airway management with fastrach laryngeal mask versus spritztube: a prospective randomised manikin-based study. Minerva Anestesiol 2017 Oct 04. DOI: 10.23736/S0375-9393.17.11702-5

Corresponding author e-mail

derosa.silvia@ymail.com