A Comparative study of I-gel for general anesthesia in obese and non-obese patients at tertiary health care centre
Journal Title: Medpulse International Journal of Anesthesiology - Year 2019, Vol 9, Issue 1
Abstract
Background: The I-gel supraglottic airway device (Intersurgical Ltd, Wokingham, Berkshire, UK) was developed in 2007 to overcome the limitations of Proseal laryngeal mask airway (PLMA) Aims and Objectives: To study I-gel for general anesthesia in obese and non-obese patients at tertiary health care centre. Methodology: This was cross-sectional study carried out in the department of anesthesiology the one year period during January 2017 to January 2018; in one year period there were 30 non obese individuals and 30 obese individuals were enrolled to study after a written explained consent. All the patients undergone i-gel insertion for General anesthesia. OLP in the patients was measured by closing the adjustable pressure limiting valve of the circle breathing system and noting the pressure at which leak developed (detected by a stethoscope placed just lateral to thyroid cartilage) at fresh gas flow of 3 L/min. The statistical analysis was done by chi-square test and analyzed by SPSS 19 version software. Result: In our study we have seen that The parameters were comparable with each other especially like OLP (CM of H2O )- 26.78 ±3.92 And 28.45 ± 4.56 (p>0.05); LF - 7.91 ± 3.45 and 8.98 ± 3.54 (p>0.05); Time to insert i-gel (s) 15.45 ± 5.86 and 18.1 ± 4.56 (p>0.05) . The grade of ease of insertion was more in Obese individuals was more as compared to non-obese individuals this was statistically significant (X2=7.36,df=2,p<0.02) .The no. of attempts were more in Obese individuals as compared to non obese individuals this was statistically significant (X2=6.955,df=2,p<0.03) Conclusion: It can be concluded from our study that i-gel insertion was comparable with obese and non-obese individuals except to ease of insertion and no. of attempts required more .
Authors and Affiliations
Dantoor Suresh, Nunavath Surya
Keywords
Related Articles
- EP ID EP440075
- DOI 10.26611/1015911
- Views 213
- Downloads 0
Dexmedetomidine as epidural adjuvant to Ropivacaine in elective lower limb surgeries
Epidural adjuvants are used to prolong the action of local anesthetic agent so as to have prolongation of motor and sensory block. Dexmedetomidine a newer α2 agonistic agent with predominant affinity to α2receptor, α2:α1...
Comparative study on the effect of addition of potassium chloride to bupivacaine on the onset time and duration of inter scalene block
Background: The interscalene block is a more established technique and has been used routinely for shoulder surgery. It is also more associated with well known, but short-lived, side effects than the supraclavicular tech...
Spinal anesthesia as contributing factor to chronic low backache: A myth or reality
Background: Backache is a common health problem affecting people and a major cause of physical, psychological and economical burden for the individual as well as society. The occurrence of low back pain in India is high...
Spinal epidural with bupivacaine 0.5% alone and bupivacaine 0.5% with fentanyl 1mcg/kg in prolonging the duration of intra-operative analgesia
Objectives: To compare the study and efficacy of bupivacaine versus bupivacaine with fentanyl in prolonging the duration of intraoperative analgesia. Study Design: Randomized controlled double blinded study. Materials an...
Transient neurological symptoms following spinal anesthesia with 0.5% bupivacaine
Background: Transient neurological symptoms (TNS) are defined as symmetrical bilateral pain in the back or buttocks or pain radiating to the lower extremities after recovery from spinal anesthesia. Aims and Objectives: T...