Indian Journal of Anaesthesia

ORIGINAL ARTICLE
Year
: 2016  |  Volume : 60  |  Issue : 5  |  Page : 343--348

Air-Q intubating laryngeal airway: A study of the second generation supraglottic airway device


Viren Bhaskar Attarde, Nalini Kotekar, Sarika M Shetty 
 Department of Anaesthesiology, JSS Medical College and Hospital, Mysore, Karnataka, India

Correspondence Address:
Viren Bhaskar Attarde
RH-003, Woodland C. H. S, Plot No. 63, Sector 16A, Nerul (West), Navi Mumbai - 400 706, Maharashtra
India

Background and Aims: Air-Q intubating laryngeal mask airway (ILA) is used as a supraglottic airway device and as a conduit for endotracheal intubation. This study aims to assess the efficacy of the Air-Q ILA regarding ease of insertion, adequacy of ventilation, rate of successful intubation, haemodynamic response and airway morbidity. Methods: Sixty patients presenting for elective surgery at our Medical College Hospital were selected. Following adequate premedication, baseline vital parameters, pulse rate and blood pressure were recorded. Air-Q size 3.5 for patients 50-70 kg and size 4.5 for 70-100 kg was selected. After achieving adequate intubating conditions, Air-Q ILA was introduced. Confirming adequate ventilation, appropriate sized endotracheal tube was advanced through the Air-Q blindly to intubate the trachea. Placement of the endotracheal tube in trachea was confirmed. Results: Air-Q ILA was successfully inserted in 88.3% of patients in first attempt and 11.7% patients in second attempt. Ventilation was adequate in 100% of patients. Intubation was successful in 76.7% of patients with Air-Q ILA. 23.3% of patients were intubated by direct laryngoscopy following failure with two attempts using Air-Q ILA. Post-intubation the change in heart rate was statistically significant (P < 0.0001). 10% of patients were noted to have a sore throat and 5% of patients had mild airway trauma. Conclusion: Air-Q ILA is a reliable device as a supraglottic airway ensuring adequate ventilation as well as a conduit for endotracheal intubation. It benefits the patient by avoiding the stress of direct laryngoscopy and is also superior alternative device for use in a difficult airway.


How to cite this article:
Attarde VB, Kotekar N, Shetty SM. Air-Q intubating laryngeal airway: A study of the second generation supraglottic airway device.Indian J Anaesth 2016;60:343-348


How to cite this URL:
Attarde VB, Kotekar N, Shetty SM. Air-Q intubating laryngeal airway: A study of the second generation supraglottic airway device. Indian J Anaesth [serial online] 2016 [cited 2020 Nov 24 ];60:343-348
Available from: https://www.ijaweb.org/article.asp?issn=0019-5049;year=2016;volume=60;issue=5;spage=343;epage=348;aulast=Attarde;type=0