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The novel video‐assisted intubating laryngeal mask Totaltrack compared to the intubating laryngeal mask Fastrach – a controlled randomized manikin study

Background The novel Totaltrack combines a supraglottic airway device with video laryngoscopic tracheal intubation. The intubation laryngeal mask Fastrach is an established device without visual control of intubation. We hypothesized that supraglottic ventilation success with Totaltrack would be sim...

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Bibliographic Details
Published in:Acta anaesthesiologica Scandinavica 2017-04, Vol.61 (4), p.381-389
Main Authors: Ott, T., Barth, A., Kriege, M., Jahn‐Eimermacher, A., Piepho, T., Noppens, R. R.
Format: Article
Language:English
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Summary:Background The novel Totaltrack combines a supraglottic airway device with video laryngoscopic tracheal intubation. The intubation laryngeal mask Fastrach is an established device without visual control of intubation. We hypothesized that supraglottic ventilation success with Totaltrack would be similar to Fastrach, but intubation would be performed faster due to visual control of the procedure. Methods Fifty‐five anaesthesiologists were randomized into one of two study arms: Fastrach Totaltrack. After a standardized introduction, six consecutive attempts of supraglottic ventilation and intubation attempts with each of one of the devices were performed on an airway manikin. The combined primary outcome was: time to supraglottic ventilation and time to ventilation after intubation. Additionally, success rate and learning curves were evaluated. Results Supraglottic time to ventilation was shorter when using the Fastrach compared to the Totaltrack (median: 7.8 s [confidence interval [CI]: 7.0–8.6 s] vs. 11 s [CI: 7.8–14.2 s], P 
ISSN:0001-5172
1399-6576
DOI:10.1111/aas.12872