Pediatric anesthesia & critical care

Comparison of BlockBuster laryngeal mask with Air‐Q intubating laryngeal airway as a conduit for fiber‐optic guided intubation in children: A prospective randomized controlled study

Paediatr AnaesthPublished Randomised controlled trial

Primary resultResult — go to the resultMean difference 1.6 s 95% CI −7.65 to10.85

Authors' conclusion

BlockBuster SGA may be a useful alternative to Air-Q for SGA-assisted, fiber-optic-guided tracheal intubation in children.

Study context

Population
Children aged 6 months to 12 years with normal airways under GA
Participants
60 children
Comparison
BlockBuster vs Air-Q
Primary endpoint
Time taken for fiber-optic-guided intubation through the SGA
Methodological detailsprospective
  • Prospective

Primary result

As reported in the abstract

Mean difference

1.6 s

95% CI −7.65 to10.85

P = 0.73

By group

BlockBuster vs Air-Q
mean difference 1.6 s (95% CI −7.65 to10.85); P = 0.73

Further findings

s

OutcomeAir-QBlockBusterMean difference (s) (95% CI)P value
Time for SGA insertion16.67 (SD 5.39)14.57 (SD 3.2)−2.1 (−4.39 to 0.19)P = 0.07
Time to SGA removalComparable22.5 (SD 12.8)20.17 (SD 5.8)−2.3 (−7.5 to 2.82)P = 0.37

First-attempt and overall intubation success

First-attempt intubation success, comparable in both groups
96.7%
Overall intubation success, comparable in both groups
100%

Glottic view grade (fiber-optic bronchoscopy), grade 1/2/3/4/5

Group B (BlockBuster): cases with glottic view grade 1/2/3/4/5
25/3/1/1/0
Group A (Air-Q): cases with glottic view grade 1/2/3/4/5
23/3/2/2/0

Safety

No child had any perioperative complication

Original publication

Comparison of BlockBuster laryngeal mask with Air‐Q intubating laryngeal airway as a conduit for fiber‐optic guided intubation in children: A prospective randomized controlled study. Paediatr Anaesth. Published 22 April 2024. doi:10.1111/pan.14906

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