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
Abstract
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
Keywords
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