Prospective evaluation of the self-pressurized air-Q intubating laryngeal airway in children

Narasimhan Jagannathan*, Lisa Sohn, Ravinder Mankoo, Kenneth E. Langen, Andrew G Roth, Steven C Hall

*Corresponding author for this work

Research output: Contribution to journalArticle

19 Citations (Scopus)

Abstract

Objectives: To assess the clinical efficacy of the self-pressurized air-Q ILA™ (ILA-SP). Aim: The purpose of this prospective audit was to evaluate the feasibility of the ILA-SP in clinical practice and generate data for future comparison trials. Background: The ILA-SP is a new first-generation supraglottic airway for children with a self-adjusting cuff and lack of a pilot balloon. Methods: Over a 4-month period, 352 children with an ASA physical status of I-III, newborn to 18 years of age, undergoing various procedures were studied. Data points assessed included insertion success rates, airway leak pressures, quality of ventilation, and perioperative complications associated with the use of this device. Results: In 349 of the 352 patients in this study, the ILA-SP was used successfully as a primary supraglottic airway device in a variety of patients. Three patients required conversion to a standard laryngeal mask airway or a tracheal tube. The mean initial airway leak pressure for all patients was 17.8 ± 5.4 cm H2O, and 20.4 ± 5.5 cm H2O when re-checked at 10 min, which was statistically significant (P < 0.001). Complications were limited to 14 patients and related to reflex activation of the airway (coughing, laryngospasm, and bronchospasm) (n = 10), sore throat (n = 3), and blood staining on removal of the device (n = 1). There were no episodes of regurgitation, aspiration, or hoarseness. Conclusions: Acceptable clinical performance was demonstrated with the ILA-SP for a variety of procedures in infants and children with spontaneous and positive pressure ventilation. Future studies comparing this device to other supraglottic airways may provide useful information regarding the safety of the ILA-SP in pediatric clinical practice.

Original languageEnglish (US)
Pages (from-to)673-680
Number of pages8
JournalPaediatric Anaesthesia
Volume21
Issue number6
DOIs
StatePublished - Jun 1 2011

Fingerprint

Compressed Air
Equipment and Supplies
Laryngismus
Device Removal
Pressure
Hoarseness
Laryngeal Masks
Bronchial Spasm
Positive-Pressure Respiration
Pharyngitis
Ventilation
Reflex
Newborn Infant
Pediatrics
Staining and Labeling
Safety

Keywords

  • air-Q
  • airway devices
  • children
  • intubating laryngeal airway
  • laryngeal mask airway

ASJC Scopus subject areas

  • Pediatrics, Perinatology, and Child Health
  • Anesthesiology and Pain Medicine

Cite this

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title = "Prospective evaluation of the self-pressurized air-Q intubating laryngeal airway in children",
abstract = "Objectives: To assess the clinical efficacy of the self-pressurized air-Q ILA™ (ILA-SP). Aim: The purpose of this prospective audit was to evaluate the feasibility of the ILA-SP in clinical practice and generate data for future comparison trials. Background: The ILA-SP is a new first-generation supraglottic airway for children with a self-adjusting cuff and lack of a pilot balloon. Methods: Over a 4-month period, 352 children with an ASA physical status of I-III, newborn to 18 years of age, undergoing various procedures were studied. Data points assessed included insertion success rates, airway leak pressures, quality of ventilation, and perioperative complications associated with the use of this device. Results: In 349 of the 352 patients in this study, the ILA-SP was used successfully as a primary supraglottic airway device in a variety of patients. Three patients required conversion to a standard laryngeal mask airway or a tracheal tube. The mean initial airway leak pressure for all patients was 17.8 ± 5.4 cm H2O, and 20.4 ± 5.5 cm H2O when re-checked at 10 min, which was statistically significant (P < 0.001). Complications were limited to 14 patients and related to reflex activation of the airway (coughing, laryngospasm, and bronchospasm) (n = 10), sore throat (n = 3), and blood staining on removal of the device (n = 1). There were no episodes of regurgitation, aspiration, or hoarseness. Conclusions: Acceptable clinical performance was demonstrated with the ILA-SP for a variety of procedures in infants and children with spontaneous and positive pressure ventilation. Future studies comparing this device to other supraglottic airways may provide useful information regarding the safety of the ILA-SP in pediatric clinical practice.",
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Prospective evaluation of the self-pressurized air-Q intubating laryngeal airway in children. / Jagannathan, Narasimhan; Sohn, Lisa; Mankoo, Ravinder; Langen, Kenneth E.; Roth, Andrew G; Hall, Steven C.

In: Paediatric Anaesthesia, Vol. 21, No. 6, 01.06.2011, p. 673-680.

Research output: Contribution to journalArticle

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T1 - Prospective evaluation of the self-pressurized air-Q intubating laryngeal airway in children

AU - Jagannathan, Narasimhan

AU - Sohn, Lisa

AU - Mankoo, Ravinder

AU - Langen, Kenneth E.

AU - Roth, Andrew G

AU - Hall, Steven C

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N2 - Objectives: To assess the clinical efficacy of the self-pressurized air-Q ILA™ (ILA-SP). Aim: The purpose of this prospective audit was to evaluate the feasibility of the ILA-SP in clinical practice and generate data for future comparison trials. Background: The ILA-SP is a new first-generation supraglottic airway for children with a self-adjusting cuff and lack of a pilot balloon. Methods: Over a 4-month period, 352 children with an ASA physical status of I-III, newborn to 18 years of age, undergoing various procedures were studied. Data points assessed included insertion success rates, airway leak pressures, quality of ventilation, and perioperative complications associated with the use of this device. Results: In 349 of the 352 patients in this study, the ILA-SP was used successfully as a primary supraglottic airway device in a variety of patients. Three patients required conversion to a standard laryngeal mask airway or a tracheal tube. The mean initial airway leak pressure for all patients was 17.8 ± 5.4 cm H2O, and 20.4 ± 5.5 cm H2O when re-checked at 10 min, which was statistically significant (P < 0.001). Complications were limited to 14 patients and related to reflex activation of the airway (coughing, laryngospasm, and bronchospasm) (n = 10), sore throat (n = 3), and blood staining on removal of the device (n = 1). There were no episodes of regurgitation, aspiration, or hoarseness. Conclusions: Acceptable clinical performance was demonstrated with the ILA-SP for a variety of procedures in infants and children with spontaneous and positive pressure ventilation. Future studies comparing this device to other supraglottic airways may provide useful information regarding the safety of the ILA-SP in pediatric clinical practice.

AB - Objectives: To assess the clinical efficacy of the self-pressurized air-Q ILA™ (ILA-SP). Aim: The purpose of this prospective audit was to evaluate the feasibility of the ILA-SP in clinical practice and generate data for future comparison trials. Background: The ILA-SP is a new first-generation supraglottic airway for children with a self-adjusting cuff and lack of a pilot balloon. Methods: Over a 4-month period, 352 children with an ASA physical status of I-III, newborn to 18 years of age, undergoing various procedures were studied. Data points assessed included insertion success rates, airway leak pressures, quality of ventilation, and perioperative complications associated with the use of this device. Results: In 349 of the 352 patients in this study, the ILA-SP was used successfully as a primary supraglottic airway device in a variety of patients. Three patients required conversion to a standard laryngeal mask airway or a tracheal tube. The mean initial airway leak pressure for all patients was 17.8 ± 5.4 cm H2O, and 20.4 ± 5.5 cm H2O when re-checked at 10 min, which was statistically significant (P < 0.001). Complications were limited to 14 patients and related to reflex activation of the airway (coughing, laryngospasm, and bronchospasm) (n = 10), sore throat (n = 3), and blood staining on removal of the device (n = 1). There were no episodes of regurgitation, aspiration, or hoarseness. Conclusions: Acceptable clinical performance was demonstrated with the ILA-SP for a variety of procedures in infants and children with spontaneous and positive pressure ventilation. Future studies comparing this device to other supraglottic airways may provide useful information regarding the safety of the ILA-SP in pediatric clinical practice.

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