Insertion Success of the Laryngeal Tube in Emergency Airway Management

Table 4

Comparison of insertion success rates of laryngeal tubes with laryngeal mask airways.

Authors	Study design	Healthcare provider	Patients	Type of laryngeal tube	FPIS ()	OPIS ()	Type of laryngeal mask airway	FPIS (	OPIS ()
Asai et al., 2002 [24]	p, randomized	Anaesthetists	Adult, ASA I/II	LT	19/22	21/22	cLMA	20/22	21/22
Bein et al., 2005 [27]	p, randomized	Anaesthetists	Adult, ASA I/II/III	LTS	28/30	30/30	PLMA	26/30	30/30
Brimacombe et al., 2002 [28]	p, randomized	Anaesthetists	Adult, ASA I/II	LT	52/60	55/60	PLMA	51/60	60/60
Cavus et al., 2009 [29]	p, randomized	Anaesthetists	Adult, ASA I/II	LTS II	18/22	21/22	PLMA	15/22	20/22
Cook and Cranshaw, 2005 [30]	p, randomized	Anaesthetists	Adult, ASA I/III	LTS	22/32	32/32	PLMA	28/32	32/32
Cook et al., 2003 [31]	p, randomized	Anaesthetists	Adult, ASA I–III	LT	NS	30/32	PLMA	NS	32/32
Cook et al., 2003 [32]	p, randomized	Anaesthetists	Adult, ASA I/II	LT	31/36	35/36	cLMA	31/36	36/36
Esa et al., 2011 [35]	p, randomized	Anaesthetists	Adult, ASA I/II	LTS II	24/27	27/27	PLMA	26/27	27/27
Figueredo et al., 2003 [36]	p, randomized	Anaesthetists	Adult, ASA I/II	LTS	18/35	34/35	PLMA	27/35	35/35
Gaitini et al., 2004 [38]	p, randomized	Anaesthetists	Adult, ASA I/II	LTS	60/75	71/75	PLMA	57/75	72/75
Genzwuerker et al., 2007 [39]	p, randomized	Anaesthetists	Adult, ASA I/II/III	LTS II	44/50	48/50	PLMA	43/50	49/50
Gruber et al. [57], Resuscitation, 2011	p, randomized	BLS nurses	Adult, ASA I/II	LTS-D	NS	39/50	LMAS	NS	49/50
Kikuchi et al., 2008 [41]	p, randomized	Anaesthetists	Adult, ASA I/II	LTS II	30/50	37/50	PLMA	29/50	48/50
Klaver et al., 2007 [42]	p, randomized	Anaesthetists	Adult, ASA I/II	LTS	56/82	73/82	PLMA	57/78	74/78
Komatsu et al., 2005 [43]	p, randomized	Anaesthetists	Adult, ASA I/II	LT	16/51	43/51	ILMA	42/51	51/51
Kurola et al., 2006 [58]	p, random order	Para. students	Adult, ASA I/II	LT	14/32	25/32	ILMA	24/32	31/32
Noor Zairul and Khairul Faizi, 2006 [45]	p, randomized	Anaesthetists	Adult, ASA I/II	LT	20/20	20/20	cLMA	17/20	20/20
Ocker et al., 2002 [46]	p, randomized	Anaesthetists	Adult, ASA I/II	LT	25/25	25/25	cLMA	25/25	25/25
Ratajczyk et al., 2013 [48]	p, randomized	Anaesthetists	Adult, ASA I/II	LT	27/30	NS	cLMA	24/30	NS
Roth et al., 2005 [49]	p, randomized	Anaesthetists	Adult, ASA I/II	LTS	23/25	25/25	PLMA	23/25	25/25
Russo et al., 2012 [50]	p, randomized	Anaesthetists	Adult, ASA I/II	LTS-D	21/40	28/40	LMAS	28/39	37/39
Thee et al., 2010 [52]	p, randomized	Anaesthetists	Adult, ASA I/II/III	LTS II/D	57/60	59/60	ILMA/D	58/60	60/60
Turan et al., 2006 [53]	p, randomized	Anaesthetists	Adult, ASA I/II	LT	21/30	30/30	cLMA	17/30	30/30
Wrobel et al., 2004 [54]	p, randomized	Anaesthetists	Adult, ASA I/II/III	LT	45/50	47/50	cLMA	34/50	44/50
Yildiz et al., 2007 [55]	p, randomized	Anaesthetists	Adult, ASA I/II	LT	56/66	66/66	cLMA	37/66	66/66
Zand et al., 2007 [56]	p, randomized	Anaesthetists	Adult, ASA I/II	LTS	43/50	49/50	PLMA	44/50	49/50
			Cumulative sum; (%)		770/1000; 77.0	970/1052; 92.2		783/995; 78.7	1023/1047; 97.7

NS: not stated; p: prospective; FPIS: first-pass insertion success; BLS: basic life support; para: paramedic; ASA: American Society of Anesthesiologists classification; OPIS: overall-pass insertion success; LT: laryngeal tube; LTS: laryngeal tube suction; cLMA: classic laryngeal mask; PLMA: ProSeal laryngeal mask; LMAS: laryngeal mask supreme; ILMA: intubating laryngeal mask; D: disposable.