Comparative study on ease of insertion and haemodynamic changes in I-gel versus laryngeal mask airway classic in patients under general anaesthesia
Journal Title: Medpulse International Journal of Anesthesiology - Year 2018, Vol 7, Issue 3
Abstract
Background: Airway management is one of the most important skills in the field of anaesthesiology. The major responsibility of an anaesthesiologist is to provide adequate ventilation to a patient. The most vital element in providing functional respiration is the airway. The aim of this comparative study is to compare the I-gel with the LMA Classic in terms of the ease of insertion of the device, intubation response to hemodynamic changes of two types of supraglottic airway devices- I-gel and cLMA. Method: A prospective study of 60 cases of both sexes belonging to ASA Grade I and II planned various elective procedures lasting for 45min to 1 hour duration, were randomly selected. The study group was divided in two groups of 30 each, Group I (I- gel Group II ( cLMA) were used. Ease of insertion (by number of attempts required and duration of each attempt).Changes in hemodynamic variables (Heart Rate, Systolic Blood Pressure, Diastolic Blood Pressure and Mean Arterial Pressure). compare and analyze the two supraglottic devices with regards to the above said parameters and documentation of adverse events if any. Results: It was found that I-gel was easier to insert as compared to cLMA in terms of duration and number of attempts required but statistically not very significant. As per hemodynamic variables I-gel and cLMA elicit similar degree of pressor response. Incidence of post operative complications as posterior pharyngeal wall trauma and sore throat was minimal with I-gel as compared to cLMA. There was no incidence of regurgitation, bronchospasm or laryngospasm in either group. Conclusion: I-gel is a better alternative subjectively to cLMA during general anaesthesia with respect to ease of insertion and hemodynamic stability with comparable post operative complications, though statistically not very significant.
Authors and Affiliations
Ajay Basarigidad, Vinayak Panchgar
Keywords
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