A Comparative Study between I-gel and Proseal LMA in Adult Patients Undergoing Elective Laparoscopic Cholecystectomy under General Anaesthesia
Journal Title: International Journal of Contemporary Medical Research - Year 2018, Vol 5, Issue 5
Abstract
Introduction: Supraglottic airway devices are recommended as good alternatives to intubation for laparoscopic surgeries. This study was thus undertaken to compare I-gel and PLMA for airway sealing pressure during positive pressure ventilation and post operative complications for their use in elective laparoscopic cholecystectomy. Material and Methods: After approval from hospital ethical committee and written informed consent from patient, this randomised prospective study was performed on 60 ASA Grade I and II patients of either sex (30 patients for I-gel and PLMA each) admitted in CSS Hospital undergoing elective laproscopic cholecystectomy under general anaesthesia. An evaluation of hemodynamic changes at time of insertion, number of attempts required and time taken for insertion was done. Results: The results for Mean systolic blood pressure (SBP), Mean diastolic blood pressure (DBP), Mean arterial pressure (MAP), Mean arterial oxygen saturation (SpO2), Mean of End tidal CO2 (ETCO2) before induction were comparable for two groups. The variation in readings for heart rate after insertion of devices in the two groups was comparable. An average of 0.90 attempts and 0.93 attempts for insertion of devices was recorded for Group I and Group II respectively (p value = 0.647). Mean time taken for insertion of devices was 6.60 seconds and 6.70 seconds for Group I and Group II respectively (p value = 0.865). Conclusions: Both the I-gel and PLMA devices are equally efficient for their use in patients undergoing laparoscopic cholecystectomy. They present with similar ease of insertion in terms of attempts and time required for insertion of devices.
Authors and Affiliations
Bharat Verma, Amrita Nidhi, Manish Jain
Keywords
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