A Comparison of Blind and Laryngoscopic Insertion of the EasyTube

DOI: 10.4236/ojanes.2015.58035   PDF   HTML   XML   3,930 Downloads   4,417 Views  

Abstract

Introduction: The EasyTube is a disposable, polyvinyl-chloride, double-lumen, supraglottic airway device, which allows ventilation in either esophageal or tracheal position. The EasyTube may be positioned into the esophagus blindly or using a laryngoscope. Methods: Our study compared blind versus laryngoscopic-guided esophageal EasyTube insertion. Thirty two anesthesiologists inserted an EasyTube, size 41 Fr, into a mannequin, by using a blind and a laryngoscopic technique in a 2 × 2 crossover design. Results: No statistically significant difference in the time to achieve an effective airway was found: 23.9 ± 6 seconds for the blind and 29.5 ± 7.6 seconds for the laryngoscopic-guided technique. Conclusion: EasyTube insertion was equally successful with or without a laryn-goscope in a mannequin when used by anesthesia providers.

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Caldwell, J. , De Korte, D. , Doll, R. and Vaida, S. (2015) A Comparison of Blind and Laryngoscopic Insertion of the EasyTube. Open Journal of Anesthesiology, 5, 192-195. doi: 10.4236/ojanes.2015.58035.

Conflicts of Interest

The authors declare no conflicts of interest.

References

[1] Gaitini, L., Yanovsky, B., Somri, M., Tome, R., Mora, P.C. and Reed, A. (2011) Prospective Randomized Comparison of the Easytube and the Esophageal-tracheal Combitube Airway Devices During General Anesthesia with Mechanical Ventilation. Journal of Clinical Anesthesia, 23, 475-481.
http://dx.doi.org/10.1016/j.jclinane.2011.01.007
[2] Thierback, A., Piepho, T. and Maybauer, M. (2005) The Easytube for Airway Management in Emergencies. Prehospital Emergency Care, 9, 445-448.
http://dx.doi.org/10.1080/10903120500254910
[3] Thierback, A., Piepho, T. and Maybauer, M. (2004) A New Device for Emergency Airway Management: The EasyTube. Resuscitation, 60, 347.
http://dx.doi.org/10.1016/j.resuscitation.2003.11.015
[4] Chenaitia, H., Soulleheit, V., Massa, H., Bessereau, J., Bourenne, J. and Michelet, P. (2010) The EasyTube for Airway Management in Prehospital Emergency Medicine. Resuscitation, 81, 1516-1520.
http://dx.doi.org/10.1016/j.resuscitation.2010.06.002
[5] Sethi, A.K., Desai, M., Tyagi, A. and Kumar, S. (2014) Comparison of Combitube, EasyTube, and Tracheal Tube for General Anesthesia. Journal of Anesthesiology Clinical Pharmacology, 30, 526-532.
http://dx.doi.org/10.4103/0970-9185.142849
[6] Bercker, S., Schmidbauer, W., Volk, T., Bogusch, G., Mager, G. and Kerner, T. (2008) A Comparison of Seal in Seven Supraglottic Airway Devices Using a Cadaver Model of Elevated Esophageal Pressure. Anesthesia and Analgesia, 106, 445-448.
http://dx.doi.org/10.1213/ane.0b013e3181602ae1
[7] Reines, H.D. and Seifert, P.C. (2005) Patient Safety: Latex Allergy. The Surgical Clinics of North America, 85, 1329-1340.
http://dx.doi.org/10.1016/j.suc.2005.09.014
[8] Robak, O., Leonardelli, M., Zedtwitz-Liebenstein, K., Rützler, K., Schuster, E. and Vaida, S. (2012) Feasibility and Speed of Insertion of Seven Supraglottic Airway Devices under Simulated Airway Conditions. Canadian Journal of Emergency Medicine, 14, 330-334.
[9] Bollig, G., Løvhaug, S.W., Sagen, Ø., Svendsen, M.V., Steen, P.A. and Wik, L. (2006) Airway Management by Paramedics Using Endotracheal Intubation with a Laryngoscope Versus the Oesophageal Tracheal Combitube and EasyTube on Manikins: A Randomised Experimental Trial. Resuscitation, 71, 107-111.
http://dx.doi.org/10.1016/j.resuscitation.2006.02.016
[10] Jackson, K. and Cook, T. (2007) Evaluation of Four Airway Training Manikins as Patient Simulators for the Insertion of Eight Types of Supraglottic Airway Devices. Anaesthesia, 62, 388-393.
http://dx.doi.org/10.1111/j.1365-2044.2007.04983.x
[11] Urtubia, R. and Medina, J. (2001) The Combitube Should Be Redesigned for Anaesthetic Use. Anaesthesia, 56, 275.
http://dx.doi.org/10.1046/j.1365-2044.2001.01918-5.x
[12] Vezina, M., Trpanier, C., Nicole, P. and Lessard, M. (2007) Complications Associated with the Esophageal-Tracheal Combitube in the Pre-Hospital Setting. Canadian Journal of Anesthesia, 54, 124-128.
http://dx.doi.org/10.1007/BF03022008
[13] Ulrich-Pur, H., Hrska, F., Krafft, P., Friehs, H., Wulkersdorfer, B., Køstler, W.J., et al. (2006) Comparison of Mucosal Pressures Induced by Cuffs of Different Airway Devices. Anesthesiology, 104, 933-938.
http://dx.doi.org/10.1097/00000542-200605000-00007
[14] Keller, C., Brimacombe, J., Boehler, M., Loeckinger, A. and Puehringer, F. (2002) The Influence of Cuff Volume and Anatomic Location on Pharyngeal, Esophageal and Tracheal Mucosal Pressures with the Esophageal Tracheal Combitube. Anesthesiology, 96, 1074-1077.
http://dx.doi.org/10.1097/00000542-200205000-00008
[15] Russo, S.G., Eich, C., Barwing, J., Nickel, E.A., Braun, U., Graf, B.M. and Timmermann, A. (2007) Self-Reported Changes in Attitude and Behavior after Attending a Simulation-Aided Airway Management Course. Journal of Clinical Anesthesia, 19, 517-522.
http://dx.doi.org/10.1016/j.jclinane.2007.04.007
[16] Johnson, K.B., Syroid, N.D., Drews, F.A., Ogden, L.L., Strayer, D.L., Pace, N.L., et al. (2008) Part Task and Variable Priority Training in First-Year Anesthesia Resident Education: A Combined Didactic and Stimulation-Based Approach to Improve Management of Adverse Airway and Respiratory Events. Anesthesiology, 108, 831-840.
http://dx.doi.org/10.1097/ALN.0b013e31816bbd54
[17] Lucisano, K.E. and Talbot, L.A. (2012) Simulation Training for Advanced Airway Management for Anesthesia and Other Healthcare Providers: A Systematic Review. American Association of Nurse Anesthetists, 80, 25-31.
[18] Apfelbaum, J., Hagberg, C., Caplan, R., Blitt, C.D., Connis, R.T., Nickinovich, D.G., et al. (2013) Practice Guidelines for Management of the Difficult Airway: An Updated Report by the American Society of Anesthesiologists Task Force on Management of the Difficult Airway. Anesthesiology, 118, 251-270.
http://dx.doi.org/10.1097/ALN.0b013e31827773b2
[19] Cook, T., Woodall, N., Harper, J. and Benger, J. (2011) Major Complications of Airway Management in the UK: Results of the Fourth National Audit Project of the Royal College of Anaesthetists and the Difficult Airway Society. British Journal of Anaesthesia, 106, 632-642.
http://dx.doi.org/10.1093/bja/aer059
[20] Heard, A., Green, R. and Eakins, P. (2009) The Formulation and Introduction of a “Can’t Intubate, Can’t Ventilate” Algorithm into Clinical Practice. British Journal of Anaesthesia, 64, 601-608.
http://dx.doi.org/10.1111/j.1365-2044.2009.05888.x

  
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