Comparative study of supraglottic airway device proseal versus I-gel in mechanically ventilated patients
Journal Title: Medpulse International Journal of Anesthesiology - Year 2017, Vol 4, Issue 2
Background: Laryngeal mask airways (LMA) represent a good alternative to endotracheal intubation in suitable cases. I-gel is more frequently used in patients under general anesthesia and receiving positive pressure ventilation. Another supraglottic airway device that enables gastric aspiration is the LMA ProSeal. In this study, we compared supraglottic airway device proseal versus I-gel with respect to ease of insertion, duration, number of attempts required and complications in surgeries under general anaesthesia and controlled ventilation. Material and Methods: A total of 80 patients were randomly assigned in two groups: Group I (n- 40) in which I-gel was used and in Group P (n- 40) Proseal was used for airway management. In both groups, the insertion time of the devices, difficulty during insertion, difficulty during gastric tube insertion, coverage of airway pressure, and complications were recorded. Results: In 85% (34/40) patients I gel was inserted in first attempt, whereas in 80% (32/40) patients Proseal was inserted in first attempt. I gel required lesser time (10.78±2.10 seconds) for insertion compared to the PLMA (12.30 ± 2.54 seconds). Placement of nasogastric tube was 100% successful in both the groups. Hemodynamic response for insertion between two groups did not show any statistically significant differences. The incidence of post-operative complaints of cough and sore throat were similar in both the groups. It was minimal with both groups.
Authors and Affiliations
Kalyani Venkatrao Malshetwar, Sachin R Totawar
Effect of provider communication on perception of pain during intravenous cannulation: A double blinded randomized controlled trail
Background: Anaesthesiologists utilize communication skills in their day to day practice in order to reduce the pain perception of patients during invasive procedures like intravenous cannulation. Our study aimed to know...
Evaluation of the effects of P6 acupressure application on postoperative nausea and vomiting during laparoscopic cholecystectomy
Background: Postoperative nausea and vomiting (PONV) are most common and distressing complication of anesthesia. Acupressure at P6 acupoint is non-pharmacological method which can reduce postoperative nausea and vomiting...
Clinical efficacy of isobaric ropivacaine alone, ropivacaine-fentanyl and ropivacaine-dexmedetomidine in spinal anaesthesia for vaginal hysterectomy: A prospective randomized double-blind comparative study
Background: Around 40% of parous woman have problem of Pelvic organ prolapsed (POP) and it effects their life quality. Regional anaesthesia has good patient and surgeon acceptability as well as early discharge of the pat...
Comparative study of intubating conditions after rocuronium bromide and succinylcholine: A randomised controlled double blinded study
Background and Aims: Succinylcholine is most commonly used muscle relaxant to facilitate rapid sequence endotrachealintubation. When Succinylcholine is undesirable or contraindicated, we have to use non-depolarizing musc...
Comparison of intracuff dexamethasone, lignocaine and normal saline on post extubation response - A prospective study
Background: Endotracheal intubation, being a definitive method has been known to cause post-intubation airway related adverse effects, including postoperative cough, restlessness, hoarseness, sore throat, bronchospasm, a...
How To Cite
Kalyani Venkatrao Malshetwar, Sachin R Totawar (2017). Comparative study of supraglottic airway device proseal versus I-gel in mechanically ventilated patients. Medpulse International Journal of Anesthesiology, 4(2), 59-65. https://europub.co.uk/articles/-A-260436