Comparative Study of Clinical Performance of the I-Gel with LMA Proseal: A Randomised Control Study
Journal Title: Scholars Journal of Applied Medical Sciences - Year 2018, Vol 6, Issue 3
Abstract
Abstract: The major responsibility of anaesthesiologist is to provide adequate ventilation to the patient. The most vital element in providing functional respiration is airway. Supraglottic airway devices have become a standard fixture in airway management, filling a niche between facemask and tracheal tube. To compare clinical performance of two different supraglottic devices. Seventy patients of ASA I and ASA II status with age between 18-65 years were divided into two groups. PLMA group and I-GEL group. PLMA and I-GEL were inserted after anaesthesia and adequate muscle relaxation. The parameters like insertion time for the device, insertion device score, airway sealing pressure, airway sealing quality score (ASQ score), blood staining of devices and post-op complication were recorded. The mean airway sealing pressure was higher with PLMA (28.11 cm of H20) than I-GEL (24.60 cm of H20). The insertion time of I-GEL 12.14 seconds as opposed to PLMA which was 16? 29 seconds. Insertion device score and ASQ score was better with I-GEL than PLMA. Blood staining and post-op complication were seen more in patients with PLMA. Securing airway is comparatively faster and easier in I-GEL which can be advantages in patient with difficult airway and emergency situation. As higher Airway sealing pressure was achieved in patient with PLMA, it can be considered in patients for laparoscopic surgeries.
Authors and Affiliations
Dr. Ajit Desai, Dr. Varshali Keniya, Dr. S. S. Swami
Keywords
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