Comparative Evaluation of Supraglottic Devices i-gel and Fastrach LMA as Conduit for Blind Endotracheal Intubation
Journal Title: International Journal of Contemporary Medical Research - Year 2017, Vol 4, Issue 7
Abstract
Introduction: Recent supraglottic airway device (SAD) has been claimed to be efficient for airway management and can also be used as a conduit for endotracheal intubation. However intubating LMA is specifically used for this purpose. In the present randomized controlled study, success rate and ease of blind endotracheal intubation through two different SAD’s “iGel” and LMA Fastrach was evaluated and their complication if any were also studied. Material and Methods: The present study was being conducted in the department of anesthesia, M.L.B. Medical college, Jhansi, after approval from Hospital Ethical committee. The subject of study comprises of patients belonging to ASA I and II, Presenting for surgery under general anesthesia. After obtaining written and informed consent and a thorough evaluation patients are randomly divided in 2 groups, i.e. group A(i-gel) and group B(Fastrach), where igel and Fastrach LMA were used for Blind endotracheal intubation respectively. Following induction of anesthesia SAD was inserted and on achieving adequate ventilation, endotracheal intubation was attempted. Success at first attempt and overall success rates were noted as also the intubation time. Data were analysed using IBM SPSS Statistics 20.0 software (Statistical Package for Social Sciences by International Business Machines Corporation). P < 0.05 wasconsidered as statistically significant. Results: Ventilation with either of the SAD was found to be adequate and no difference was found. The rate of success tracheal intubation in first attempt was 65% in Group A and 71.67% in Group B, while overall success rate of tracheal intubation was 88.33% in Group A when compared to 91.67% in Group B. Time taken for successful tracheal intubation through LMA Fastrach was lesser (21.50 sec) when compared to i‑gel (26.90 sec). Complication rates were comparable in both the groups. Conclusion: LMA Fastrach is a better device for blind intubation but as far as rescue ventilation is concern i-gel is better due to its easy and quick insertion.
Authors and Affiliations
Pradeep Sahi, Roopesh Kumar, Sharad Srivastava, Mahesh Verma
Keywords
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