Airway management

A randomized controlled trial comparing three supraglottic airway devices used as a conduit to facilitate tracheal intubation with flexible bronchoscopy

Can J AnaesthPublished Randomised controlled trial

Authors' conclusion

All three second-generation SGA devices performed similarly regarding intubation.

Study context

Population
ASA I–III patients undergoing GA; excluded contraindications to supraglottic airway (SGA) or drugs, pregnancy, neck, spine or respiratory anomalyenrolled
Participants
One hundred and fifty patients
Comparison
AuraGain vs Air-Q Blocker vs i-gel
Primary endpoint
Intubation time, from SGA circuit disconnection to CO2 measurement
Methodological detailsprospective, single-blinded, three-arm, Enrolment March 2017 to January 2018
  • Prospective
  • Single-blinded
  • Three-arm
  • Enrolment March 2017 to January 2018

Primary result

As reported in the abstract

Median intubation time

P = 0.08

Secondary outcomes

SGA insertion time · i-gel faster to insert; across the three groups

P < 0.001

OutcomeP value
Ease of SGA insertionAir-Q Blocker vs i-gel · i-gel easier to insertP = 0.001
Ease of SGA insertionAuraGain vs i-gel · i-gel easier to insertP = 0.002
Ease of SGA removalAir-Q Blocker vs i-gel · Air-Q Blocker easier to removeP < 0.001

Success of SGA insertion, success of intubation, number of attempts

Similar across the three groups

Original publication

A randomized controlled trial comparing three supraglottic airway devices used as a conduit to facilitate tracheal intubation with flexible bronchoscopy. Can J Anaesth. Published 13 April 2023. doi:10.1007/s12630-023-02444-z

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