caa a22 4500 445374128 CHVBK 20180317142957.0 cr unu---uuuuu 170323e20111001xx s 000 0 eng 10.1007/s00540-011-1205-5 doi (NATIONALLICENCE)springer-10.1007/s00540-011-1205-5 Fiberoptic-guided tracheal tube placement through the air-Q® Intubating Laryngeal Airway: a performance study in a manikin [Elektronische Daten] [Richard Galgon, Kristopher Schroeder, Christopher Schmidt, Adrian Matioc, Seungbong Han, Adin-Cristian Andrei, Aaron Joffe] Purpose: This study characterizes the performance and success rate for fiberoptic-guided tracheal tube placement through the air-Q® Intubating Laryngeal Airway (air-Q). Methods: Using a manikin, anesthesia trainees and staff anesthesiologists, experienced in fiberoptic-guided intubation, performed five consecutive fiberoptic-guided tracheal tube placements via the air-Q. Participant characteristics, procedure segment times, total procedure times, and observed failures were recorded. Linear mixed effect models with random slopes and intercepts were used to assess participant performance. Results: Ten anesthesia trainees and ten staff anesthesiologists participated. Anesthesia trainees were younger and had practiced for fewer years compared to staff anesthesiologists. Gender was equally distributed between the groups. Both segmental and overall procedure times decreased from the first to the fifth trial among all participants, independent of experience level and gender. Overall mean procedure time decreased from 102±31 to 68±14s, representing a relative time reduction of 33% and a mean time difference of 34s [95% confidence interval (CI) 22-47s; p<0.0001]. Tracheal tube placement was successful in all attempts; however, three tracheal tube dislodgements occurred during air-Q removal (overall procedure success 97%). Conclusions: Fiberoptic-guided tracheal tube placement through the air-Q can be performed in a clinically acceptable period of time with high success by operators skilled in fiberoptic-guided intubation. Tracheal tube dislodgement during air-Q removal remains a potential risk that should be emphasized. Japanese Society of Anesthesiologists, 2011 air-Q nationallicence Supraglottic airway nationallicence Manikin study nationallicence Galgon Richard Department of Anesthesiology, University of Wisconsin School of Medicine and Public Health, 600 Highland Ave. B6/331, 53792-3272, Madison, WI, USA aut Schroeder Kristopher Department of Anesthesiology, University of Wisconsin School of Medicine and Public Health, 600 Highland Ave. B6/331, 53792-3272, Madison, WI, USA aut Schmidt Christopher Department of Anesthesiology, University of Wisconsin School of Medicine and Public Health, 600 Highland Ave. B6/331, 53792-3272, Madison, WI, USA aut Matioc Adrian Department of Anesthesiology, University of Wisconsin School of Medicine and Public Health, 600 Highland Ave. B6/331, 53792-3272, Madison, WI, USA aut Han Seungbong Department of Biostatistics and Medical Informatics, University of Wisconsin School of Medicine and Public Health, Madison, WI, USA aut Andrei Adin-Cristian Department of Biostatistics and Medical Informatics, University of Wisconsin School of Medicine and Public Health, Madison, WI, USA aut Joffe Aaron Department of Anesthesiology and Pain Medicine, Harbor View Medical Center, University of Washington, Seattle, WA, USA aut Journal of Anesthesia Springer Japan 25/5(2011-10-01), 721-726 0913-8668 25:5<721 2011 25 540 https://doi.org/10.1007/s00540-011-1205-5 text/html Onlinezugriff via DOI 1 research-article jats NATIONALLICENCE 856 40 https://doi.org/10.1007/s00540-011-1205-5 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Galgon Richard Department of Anesthesiology, University of Wisconsin School of Medicine and Public Health, 600 Highland Ave. B6/331, 53792-3272, Madison, WI, USA aut NATIONALLICENCE 700 1- Schroeder Kristopher Department of Anesthesiology, University of Wisconsin School of Medicine and Public Health, 600 Highland Ave. B6/331, 53792-3272, Madison, WI, USA aut NATIONALLICENCE 700 1- Schmidt Christopher Department of Anesthesiology, University of Wisconsin School of Medicine and Public Health, 600 Highland Ave. B6/331, 53792-3272, Madison, WI, USA aut NATIONALLICENCE 700 1- Matioc Adrian Department of Anesthesiology, University of Wisconsin School of Medicine and Public Health, 600 Highland Ave. B6/331, 53792-3272, Madison, WI, USA aut NATIONALLICENCE 700 1- Han Seungbong Department of Biostatistics and Medical Informatics, University of Wisconsin School of Medicine and Public Health, Madison, WI, USA aut NATIONALLICENCE 700 1- Andrei Adin-Cristian Department of Biostatistics and Medical Informatics, University of Wisconsin School of Medicine and Public Health, Madison, WI, USA aut NATIONALLICENCE 700 1- Joffe Aaron Department of Anesthesiology and Pain Medicine, Harbor View Medical Center, University of Washington, Seattle, WA, USA aut NATIONALLICENCE 773 0- Journal of Anesthesia Springer Japan 25/5(2011-10-01), 721-726 0913-8668 25:5<721 2011 25 540 Metadata rights reserved Springer special CC-BY-NC licence nationallicence BK010053 XK010053 XK010000 NATIONALLICENCE NATIONALLICENCE NL-springer