A COMPARATIVE STUDY OF THREE SUPRAGLOTTIC AIRWAY DEVICES- CLASSIC LMA, PROSEAL LMA AND I-GEL, IN ADULT PATIENTS UNDERGOING ELECTIVE SURGERIES
Journal Title: Journal of Evolution of Medical and Dental Sciences - Year 2018, Vol 7, Issue 9
Abstract
BACKGROUND Supraglottic airway devices are gaining popularity because of their ease of insertion, simplicity as well as effective ventilation. This study is aimed at comparing the clinical performance of LMA-Classic, LMA-ProSeal and i-gel in adult patients undergoing short elective procedures under general anaesthesia with spontaneous respiration. MATERIALS AND METHODS The American society of Anaesthesiologists physical status I-II patients (n=120) posted for elective surgeries were included in this study. General anaesthesia was achieved with intravenous infusion of propofol, fentanyl and midazolam. The patients were randomly assigned to Classic LMA (Group A), ProSeal LMA (Group B) and i-gel (Group C). Properly sized classic LMA (size 3,4 & 5), ProSeal LMA (size 3, 4 & 5) and i-gel (size 3 & 4) was inserted. We assessed the ease of insertion, adequacy of ventilation, hemodynamic stability, intraoperative and postoperative complications RESULTS There were no differences in the demographic data and the hemodynamic data immediately after insertion in all the three groups. The first attempt success rate was better with classic LMA but was not statistically significant. There was a significant reduction in the time to insert i-gel compared to the other two groups (P = 0.005). There was lesser incidence of sore throat and blood staining on the device with i-gel. While gastric insufflation was nil in patients with ProSeal LMA. CONCLUSION From the study we conclude that i-GEL is a better alternative to classic LMA with regard to gastric insufflation and is also a better substitute to ProSeal LMA as it takes much lesser time for insertion and reduced incidence of post-operative complications.
Authors and Affiliations
Aravind Kumar Periasamy, Sivakumar Sivakumar, Afreen Nahar
Keywords
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- EP ID EP411188
- DOI 10.14260/jemds/2018/251
- Views 59
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