A Comparative Study of Haemodynamic Changes During General Anaesthesia With I-GEL or Intubating Laryngeal Mask Airway
Journal Title: International Journal of Research and Review - Year 2018, Vol 5, Issue 8
Abstract
Aims and Objective: The technique of securing upper airway that avoids or minimizes pharyngo -laryngeal stimulation may produce lesser hemodynamic response. We compared hemodynamic response with ILMA and I-gel insertion during general anaesthesia. Materials and Methods: The study was carried out as a prospective, randomized, blinded clinical study among 70 patients, divided in two equal groups 35 each, who underwent different surgical procedures under general anesthesia. After induction of anaesthesia, Supraglottic airway device was inserted in both groups, tracheal intubation was attempted through the ILMA. HR, SBP, DBP, ST-T segment changes and SPO2 values were recorded before insertion of airway device, at one minute and at five minute after insertion in each case. Results: There was no change in HR at 1 min in I-gel group, while in ILMA group, it increased. Rise in SBP at 1 min after insertion of supra-glottic airway device was observed in both groups, but at 5 min rise was insignificant in I-GEL group and significant in ILMA group. When both groups were compared significant difference (P<0.05) was observed. Rise in DBP in I-GEL group was insignificant but in ILMA group, rise was significant. When both groups were compared significant difference (P<0.05) was observed in HR and BP. Saturation did not change in both groups and also no change in ST-T segment was observed. Conclusion: We conclude that insertion of I-gel is accompanied by minimal cardiovascular responses than those associated with intubation through intubating laryngeal mask airway (ILMA), so it is recommended for patient where a minimal pressure response to airway manipulation is desired.
Authors and Affiliations
Singh RR
Keywords
Related Articles
- EP ID EP482025
- DOI -
- Views 80
- Downloads 0
Plant Age and Rate of Flower Inducer Affects Flower Initiation of ‘MD2’ Pineapple (Ananas comosus L.)
Pineapple plants are induced to flower especially for commercial production to synchronize harvest and save labor costs. This study was conducted to determine the flowering response of ‘MD2’ pineapple plants of different...
Technology Hurts in Today’s World Scenario
We live in a high tech world, with high tech classrooms. We embrace the benefits of using I pads during class, integrating tweets during presentations, and teaching students while using smart TVs. We know the many benefi...
A Study to Assess the Attitude toward Misconception Regarding Mental Illness among People
Non experimental descriptive, research designs has been used to assess the misconception regarding mental illness among people in Dhainpura in the present study. A structured interview schedule was carried out to assess...
Analysis of the Community Flood Adaption Strategy and Community-Based Disaster Management by Go River in Medan City
The tittle of this research is “Analisys Of The Community Flood Adaption Strategy and Community-Based Disaster Management by Go River in Medan City”. Activities of Go River in the management of the flood disaster based o...
Anti-Hepatotoxic Effect of Soy (Glycine Max) Against Tetra Chloromethane (CCL4)-Induced Liver Damage in Albino Rat
Many liver injuries have been linked to drugs or alcohol. The hepatoprotective potential in Soy bean has remained understudied over the years. The aim of this study was to investigate the anti-hepatotoxic effect of Glyci...