Anaesthesia
-
Randomized Controlled Trial Comparative Study
Comparison of blind tracheal intubation through the intubating laryngeal mask airway (LMA Fastrach™) and the Air-Q™.
This study assessed two disposable devices, the LMA Fastrach™ and the newly developed supraglottic airway device, the Air-Q™, as a conduit for tracheal intubation in 154 healthy adults undergoing elective surgery. Using a non-inferiority approach, the primary outcome measure was successful tracheal intubation within two blind insertion attempts. ⋯ The rate of successful intubation after three attempts was 100% in the LMA Fastrach group and 95% in Air-Q group. The single-use LMA Fastrach appears superior compared with the Air-Q, as a conduit to facilitate blind tracheal intubation.
-
We describe the case of a fit 17-year-old man who developed a severe allergic reaction to a low clinical dose of sugammadex (3.2 mg kg(-1) , 200 mg intravenously), 1 min after its administration. This was manifest by an intense erythema over the anterior part of the thorax, severe lip and palpebral oedema and bilateral wheeze. On later investigation, the patient had a positive skin prick test to sugammadex (5-mm diameter response, with a negative saline control and positive histamine control of 5 mm) and no response to any other drug tested. Other diagnostic tests supported a diagnosis of allergic reaction to sugammadex.
-
Comment Letter Comparative Study
Comparing ultrasound and nerve stimulation: time to ask the question?