The McIvor blade improves insertion of the LMA ProSeal™ in children
Background The McIvor blade, a tongue retractor with a thin curved blade, is used to improve the operating field during a tonsillectomy. We compared the success rate and incidence of complications between digital insertion and McIvor blade-guided insertion of the laryngeal mask airway (LMA™) ProSeal...
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| Veröffentlicht in: | Canadian journal of anesthesia 2011-09, Vol.58 (9), p.796-801 |
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| creator | Hwang, Jinyoung Han, Sunghee Hwang, Jungwon Oh, Ahyoung Park, Seongjoo Kim, Jinhee |
| description | Background
The McIvor blade, a tongue retractor with a thin curved blade, is used to improve the operating field during a tonsillectomy. We compared the success rate and incidence of complications between digital insertion and McIvor blade-guided insertion of the laryngeal mask airway (LMA™) ProSeal™ when performed by anesthesia residents in children.
Methods
A total of 134 anesthetized non-paralyzed pediatric patients were included in the study. Patients were allocated randomly to one of two groups, i.e., Digital group (LMA ProSeal insertion using the digital insertion technique) or McIvor group (LMA ProSeal insertion using the Mclvor blade-guided technique). All patients were managed by anesthesia residents who were unskilled in using each technique. We assessed success rates of insertion at the first attempt, insertion time for an effective airway, and postoperative blood staining.
Results
The success rate of insertion at the first attempt was higher in the McIvor group than in the Digital group (97%
vs
78%, respectively;
P
= 0.003), and insertion time with a successful first attempt was shorter in the McIvor group than in the Digital group (20.5 [4.5] sec
vs
22.8 [6.7] sec, respectively;
P
= 0.021). The overall insertion time for an effective airway was also shorter in the McIvor group than in the Digital group (20.9 [5.7] sec
vs
26.0 [9.8] sec, respectively;
P
|
| doi_str_mv | 10.1007/s12630-011-9540-4 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_893721687</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>893721687</sourcerecordid><originalsourceid>FETCH-LOGICAL-c413t-7a43e1a6b4a2cbbebdfc9187b2c60c99127cf61654ad512048721d91b26235b03</originalsourceid><addsrcrecordid>eNp1kM1KAzEURoMotlYfwI0MblyN5mYymWRZStVCRcEK7kKSydgp81OTacG9T-Kj-SSmtCoIru7inu-7l4PQKeBLwDi78kBYgmMMEIuU4pjuoT5QwWIusnQf9TFPSMwAP_fQkfcLjDFnKT9EPQJMgEjSPhrP5ja6M5N16yJdqdxGZb107dr6qGy8dV3ZNlFbRF3ApnfD6MG1j1ZVn-8fYR-ZeVnlzjbH6KBQlbcnuzlAT9fj2eg2nt7fTEbDaWwoJF2cKZpYUExTRYzWVueFEcAzTQzDRgggmSkYsJSqPAWCKc8I5AI0YSRJNU4G6GLbG158XVnfybr0xlaVamy78pKLJCQYzwJ5_odctCvXhOck5xRoitmmDraQca33zhZy6cpauTcJWG4My61hGQzLjWFJQ-ZsV7zStc1_Et9KA0C2gA-r5sW638v_t34BjfCEyg</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>884145060</pqid></control><display><type>article</type><title>The McIvor blade improves insertion of the LMA ProSeal™ in children</title><source>MEDLINE</source><source>SpringerLink Journals</source><creator>Hwang, Jinyoung ; Han, Sunghee ; Hwang, Jungwon ; Oh, Ahyoung ; Park, Seongjoo ; Kim, Jinhee</creator><creatorcontrib>Hwang, Jinyoung ; Han, Sunghee ; Hwang, Jungwon ; Oh, Ahyoung ; Park, Seongjoo ; Kim, Jinhee</creatorcontrib><description>Background
The McIvor blade, a tongue retractor with a thin curved blade, is used to improve the operating field during a tonsillectomy. We compared the success rate and incidence of complications between digital insertion and McIvor blade-guided insertion of the laryngeal mask airway (LMA™) ProSeal™ when performed by anesthesia residents in children.
Methods
A total of 134 anesthetized non-paralyzed pediatric patients were included in the study. Patients were allocated randomly to one of two groups, i.e., Digital group (LMA ProSeal insertion using the digital insertion technique) or McIvor group (LMA ProSeal insertion using the Mclvor blade-guided technique). All patients were managed by anesthesia residents who were unskilled in using each technique. We assessed success rates of insertion at the first attempt, insertion time for an effective airway, and postoperative blood staining.
Results
The success rate of insertion at the first attempt was higher in the McIvor group than in the Digital group (97%
vs
78%, respectively;
P
= 0.003), and insertion time with a successful first attempt was shorter in the McIvor group than in the Digital group (20.5 [4.5] sec
vs
22.8 [6.7] sec, respectively;
P
= 0.021). The overall insertion time for an effective airway was also shorter in the McIvor group than in the Digital group (20.9 [5.7] sec
vs
26.0 [9.8] sec, respectively;
P
< 0.001). Blood staining was more frequent in the Digital group than in the McIvor group (23%
vs
6%, respectively;
P
= 0.035).
Conclusion
When inserting the LMA ProSeal in children, anesthesia residents were more successful using the McIvor blade-guided insertion technique than using the digital insertion technique. (ClinicalTrials.gov number, NCT01191619).</description><identifier>ISSN: 0832-610X</identifier><identifier>EISSN: 1496-8975</identifier><identifier>DOI: 10.1007/s12630-011-9540-4</identifier><identifier>PMID: 21691935</identifier><language>eng</language><publisher>New York: Springer-Verlag</publisher><subject>Airway management ; Anesthesia ; Anesthesiology ; Anesthesiology - education ; Cardiology ; Child ; Child, Preschool ; Critical Care Medicine ; Female ; Humans ; Intensive ; Internship and Residency ; Intubation, Intratracheal - instrumentation ; Intubation, Intratracheal - methods ; Investigations ; Laryngeal Masks ; Male ; Medical personnel ; Medicine ; Medicine & Public Health ; Pain Medicine ; Pediatrics ; Pneumology/Respiratory System ; Postoperative Complications - epidemiology ; Reports of Original Investigations ; Success ; Time Factors ; Tongue ; Tonsillectomy - methods</subject><ispartof>Canadian journal of anesthesia, 2011-09, Vol.58 (9), p.796-801</ispartof><rights>Canadian Anesthesiologists' Society 2011</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c413t-7a43e1a6b4a2cbbebdfc9187b2c60c99127cf61654ad512048721d91b26235b03</citedby><cites>FETCH-LOGICAL-c413t-7a43e1a6b4a2cbbebdfc9187b2c60c99127cf61654ad512048721d91b26235b03</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s12630-011-9540-4$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s12630-011-9540-4$$EHTML$$P50$$Gspringer$$H</linktohtml><link.rule.ids>314,776,780,27901,27902,41464,42533,51294</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/21691935$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Hwang, Jinyoung</creatorcontrib><creatorcontrib>Han, Sunghee</creatorcontrib><creatorcontrib>Hwang, Jungwon</creatorcontrib><creatorcontrib>Oh, Ahyoung</creatorcontrib><creatorcontrib>Park, Seongjoo</creatorcontrib><creatorcontrib>Kim, Jinhee</creatorcontrib><title>The McIvor blade improves insertion of the LMA ProSeal™ in children</title><title>Canadian journal of anesthesia</title><addtitle>Can J Anesth/J Can Anesth</addtitle><addtitle>Can J Anaesth</addtitle><description>Background
The McIvor blade, a tongue retractor with a thin curved blade, is used to improve the operating field during a tonsillectomy. We compared the success rate and incidence of complications between digital insertion and McIvor blade-guided insertion of the laryngeal mask airway (LMA™) ProSeal™ when performed by anesthesia residents in children.
Methods
A total of 134 anesthetized non-paralyzed pediatric patients were included in the study. Patients were allocated randomly to one of two groups, i.e., Digital group (LMA ProSeal insertion using the digital insertion technique) or McIvor group (LMA ProSeal insertion using the Mclvor blade-guided technique). All patients were managed by anesthesia residents who were unskilled in using each technique. We assessed success rates of insertion at the first attempt, insertion time for an effective airway, and postoperative blood staining.
Results
The success rate of insertion at the first attempt was higher in the McIvor group than in the Digital group (97%
vs
78%, respectively;
P
= 0.003), and insertion time with a successful first attempt was shorter in the McIvor group than in the Digital group (20.5 [4.5] sec
vs
22.8 [6.7] sec, respectively;
P
= 0.021). The overall insertion time for an effective airway was also shorter in the McIvor group than in the Digital group (20.9 [5.7] sec
vs
26.0 [9.8] sec, respectively;
P
< 0.001). Blood staining was more frequent in the Digital group than in the McIvor group (23%
vs
6%, respectively;
P
= 0.035).
Conclusion
When inserting the LMA ProSeal in children, anesthesia residents were more successful using the McIvor blade-guided insertion technique than using the digital insertion technique. (ClinicalTrials.gov number, NCT01191619).</description><subject>Airway management</subject><subject>Anesthesia</subject><subject>Anesthesiology</subject><subject>Anesthesiology - education</subject><subject>Cardiology</subject><subject>Child</subject><subject>Child, Preschool</subject><subject>Critical Care Medicine</subject><subject>Female</subject><subject>Humans</subject><subject>Intensive</subject><subject>Internship and Residency</subject><subject>Intubation, Intratracheal - instrumentation</subject><subject>Intubation, Intratracheal - methods</subject><subject>Investigations</subject><subject>Laryngeal Masks</subject><subject>Male</subject><subject>Medical personnel</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Pain Medicine</subject><subject>Pediatrics</subject><subject>Pneumology/Respiratory System</subject><subject>Postoperative Complications - epidemiology</subject><subject>Reports of Original Investigations</subject><subject>Success</subject><subject>Time Factors</subject><subject>Tongue</subject><subject>Tonsillectomy - methods</subject><issn>0832-610X</issn><issn>1496-8975</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2011</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>BENPR</sourceid><recordid>eNp1kM1KAzEURoMotlYfwI0MblyN5mYymWRZStVCRcEK7kKSydgp81OTacG9T-Kj-SSmtCoIru7inu-7l4PQKeBLwDi78kBYgmMMEIuU4pjuoT5QwWIusnQf9TFPSMwAP_fQkfcLjDFnKT9EPQJMgEjSPhrP5ja6M5N16yJdqdxGZb107dr6qGy8dV3ZNlFbRF3ApnfD6MG1j1ZVn-8fYR-ZeVnlzjbH6KBQlbcnuzlAT9fj2eg2nt7fTEbDaWwoJF2cKZpYUExTRYzWVueFEcAzTQzDRgggmSkYsJSqPAWCKc8I5AI0YSRJNU4G6GLbG158XVnfybr0xlaVamy78pKLJCQYzwJ5_odctCvXhOck5xRoitmmDraQca33zhZy6cpauTcJWG4My61hGQzLjWFJQ-ZsV7zStc1_Et9KA0C2gA-r5sW638v_t34BjfCEyg</recordid><startdate>20110901</startdate><enddate>20110901</enddate><creator>Hwang, Jinyoung</creator><creator>Han, Sunghee</creator><creator>Hwang, Jungwon</creator><creator>Oh, Ahyoung</creator><creator>Park, Seongjoo</creator><creator>Kim, Jinhee</creator><general>Springer-Verlag</general><general>Springer Nature B.V</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7RV</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8AO</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>8FQ</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>K9.</scope><scope>KB0</scope><scope>M0S</scope><scope>M1P</scope><scope>NAPCQ</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>Q9U</scope><scope>7X8</scope></search><sort><creationdate>20110901</creationdate><title>The McIvor blade improves insertion of the LMA ProSeal™ in children</title><author>Hwang, Jinyoung ; Han, Sunghee ; Hwang, Jungwon ; Oh, Ahyoung ; Park, Seongjoo ; Kim, Jinhee</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c413t-7a43e1a6b4a2cbbebdfc9187b2c60c99127cf61654ad512048721d91b26235b03</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2011</creationdate><topic>Airway management</topic><topic>Anesthesia</topic><topic>Anesthesiology</topic><topic>Anesthesiology - education</topic><topic>Cardiology</topic><topic>Child</topic><topic>Child, Preschool</topic><topic>Critical Care Medicine</topic><topic>Female</topic><topic>Humans</topic><topic>Intensive</topic><topic>Internship and Residency</topic><topic>Intubation, Intratracheal - instrumentation</topic><topic>Intubation, Intratracheal - methods</topic><topic>Investigations</topic><topic>Laryngeal Masks</topic><topic>Male</topic><topic>Medical personnel</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Pain Medicine</topic><topic>Pediatrics</topic><topic>Pneumology/Respiratory System</topic><topic>Postoperative Complications - epidemiology</topic><topic>Reports of Original Investigations</topic><topic>Success</topic><topic>Time Factors</topic><topic>Tongue</topic><topic>Tonsillectomy - methods</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Hwang, Jinyoung</creatorcontrib><creatorcontrib>Han, Sunghee</creatorcontrib><creatorcontrib>Hwang, Jungwon</creatorcontrib><creatorcontrib>Oh, Ahyoung</creatorcontrib><creatorcontrib>Park, Seongjoo</creatorcontrib><creatorcontrib>Kim, Jinhee</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Nursing & Allied Health Database</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>ProQuest Pharma Collection</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>Canadian Business & Current Affairs Database</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central Korea</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Database (Alumni Edition)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>Nursing & Allied Health Premium</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>ProQuest Central Basic</collection><collection>MEDLINE - Academic</collection><jtitle>Canadian journal of anesthesia</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Hwang, Jinyoung</au><au>Han, Sunghee</au><au>Hwang, Jungwon</au><au>Oh, Ahyoung</au><au>Park, Seongjoo</au><au>Kim, Jinhee</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>The McIvor blade improves insertion of the LMA ProSeal™ in children</atitle><jtitle>Canadian journal of anesthesia</jtitle><stitle>Can J Anesth/J Can Anesth</stitle><addtitle>Can J Anaesth</addtitle><date>2011-09-01</date><risdate>2011</risdate><volume>58</volume><issue>9</issue><spage>796</spage><epage>801</epage><pages>796-801</pages><issn>0832-610X</issn><eissn>1496-8975</eissn><abstract>Background
The McIvor blade, a tongue retractor with a thin curved blade, is used to improve the operating field during a tonsillectomy. We compared the success rate and incidence of complications between digital insertion and McIvor blade-guided insertion of the laryngeal mask airway (LMA™) ProSeal™ when performed by anesthesia residents in children.
Methods
A total of 134 anesthetized non-paralyzed pediatric patients were included in the study. Patients were allocated randomly to one of two groups, i.e., Digital group (LMA ProSeal insertion using the digital insertion technique) or McIvor group (LMA ProSeal insertion using the Mclvor blade-guided technique). All patients were managed by anesthesia residents who were unskilled in using each technique. We assessed success rates of insertion at the first attempt, insertion time for an effective airway, and postoperative blood staining.
Results
The success rate of insertion at the first attempt was higher in the McIvor group than in the Digital group (97%
vs
78%, respectively;
P
= 0.003), and insertion time with a successful first attempt was shorter in the McIvor group than in the Digital group (20.5 [4.5] sec
vs
22.8 [6.7] sec, respectively;
P
= 0.021). The overall insertion time for an effective airway was also shorter in the McIvor group than in the Digital group (20.9 [5.7] sec
vs
26.0 [9.8] sec, respectively;
P
< 0.001). Blood staining was more frequent in the Digital group than in the McIvor group (23%
vs
6%, respectively;
P
= 0.035).
Conclusion
When inserting the LMA ProSeal in children, anesthesia residents were more successful using the McIvor blade-guided insertion technique than using the digital insertion technique. (ClinicalTrials.gov number, NCT01191619).</abstract><cop>New York</cop><pub>Springer-Verlag</pub><pmid>21691935</pmid><doi>10.1007/s12630-011-9540-4</doi><tpages>6</tpages><oa>free_for_read</oa></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 0832-610X |
| ispartof | Canadian journal of anesthesia, 2011-09, Vol.58 (9), p.796-801 |
| issn | 0832-610X 1496-8975 |
| language | eng |
| recordid | cdi_proquest_miscellaneous_893721687 |
| source | MEDLINE; SpringerLink Journals |
| subjects | Airway management Anesthesia Anesthesiology Anesthesiology - education Cardiology Child Child, Preschool Critical Care Medicine Female Humans Intensive Internship and Residency Intubation, Intratracheal - instrumentation Intubation, Intratracheal - methods Investigations Laryngeal Masks Male Medical personnel Medicine Medicine & Public Health Pain Medicine Pediatrics Pneumology/Respiratory System Postoperative Complications - epidemiology Reports of Original Investigations Success Time Factors Tongue Tonsillectomy - methods |
| title | The McIvor blade improves insertion of the LMA ProSeal™ in children |
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