A COMPARATIVE STUDY ON INTRAOCULAR PRESSURE CHANGES ON INSERTION OF ENDOTRACHEAL TUBE, AMBU AURAGAIN AND I-GEL IN PAEDIATRIC PATIENTS IN NON-OCULAR SURGERIES
Journal Title: Journal of Evolution of Medical and Dental Sciences - Year 2017, Vol 6, Issue 75
Abstract
BACKGROUND Newer supraglottic devices provide better perilaryngeal seal and cause lesser sympathetic stimulation and IOP changes, so they can be used as an alternative to conventional laryngoscopy and intubation. The aim of the study is to compare the changes in Intraocular Pressure (IOP) during and after insertion of endotracheal tube, Ambu AuraGain and I-gel in paediatric patients in non-ocular surgeries. MATERIALS AND METHODS A total of 45 paediatric patients, aged 1-12 years, of either sex, ASA grade I-II, posted for elective non-ocular surgeries under general anaesthesia were randomly divided into three groups of 15 patients each, in whom airways were secured by one of the devices. IOP changes of both eyes were measured at various pre-defined time intervals and mean IOPs were calculated and compared between the groups. Data was analysed using SPSS 23 and presented as Mean ± SD. Test applied: one-way ANOVA. Value of p<0.05 was considered statistically significant while p<0.001 was considered highly significant. RESULTS Both AMBU AuraGain and I-gel insertion caused lesser percentage increase in IOPs (10.69% and I-gel 3.73% respectively) unlike endotracheal intubation which caused highly significant 42.26% increase in IOP (p value <0.001). After initial rise, Post-insertion IOPs were equal to or below their baseline pre-insertion values with AMBU AuraGain and I-gel unlike endotracheal tube where IOPs exceeded pre-insertion values at all times of observations. Though IOP changes were statistically non-significant (p value >0.05) between AMBU AuraGain and I-gel, I-gel showed better stability over AMBU AuraGain clinically. Both devices also provide stable IOPs prior to their removal unlike endotracheal extubation. CONCLUSION Ambu AuraGain and I-gel are better alternatives to endotracheal tubes for securing airway in paediatric patients under general anaesthesia as far as stability of IOP is concerned.
Authors and Affiliations
Priyanka Dwivedi, Shailendra Upadhyay, Satish Kumar, Narendra Deo, Shahbaz Ahmad, Santosh Sharma, Raka Rani, Aashish Agarwal
Keywords
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- EP ID EP266970
- DOI 10.14260/Jemds/2017/1166
- Views 88
- Downloads 0
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