Comparison of clinical performance of laryngeal mask airway supremeTM and I-gelTM in patients undergoing elective non-laparoscopic surgeries
Journal Title: Indian Journal of Clinical Anaesthesia - Year 2018, Vol 5, Issue 3
Abstract
Supraglottic airway devices have a special niche for themselves with regards to airway management in modern anaesthesia practice They have become a very good alternative to mask ventilation and tracheal intubation in elective surgeries and have an important place in the emergency settings The singleuse supraglottic airway devices Igel and LMASupreme have been developed with the aim to overcome the limitations and improve the efficacy of currently available supraglottic airway devices like there airway sealing pressure ease of placement but with discordant results with regards to airway sealing pressure ease and success of placement and airway morbidity The aim of this prospective randomized trial was to evaluate these two airway devices in routine clinical practiceMaterials and Methods 80patients ASA grade12 were randomly allocated to two groups Group I IgelTM n40 and Group S LMASupremeTM n40 A size 3 or 4 IgelTM and LMASupremeTM was used in patients and inserted by experienced anaesthesiologistswho had 3 years experience and had performed 20 successful insertions with each device First attempt success rate time for insertion and airway sealing pressure of each device was measured Airway sealing pressure with LMASupremeTM was measured at an intracuff pressure of 60cmH2O Patients were enquired after surgery for the presence of any dysphagia sorethroat or hoarseness of voice Data were analyzed statistically using unpaired t test and Chisquare test A p value of 0 Results The first attempt success rate for IgelTM was 925 and for LMASupremeTM was 875 Ventilation was established in 197 seconds range 1424 seconds in the IgelTM group and in 242 seconds range 1929seconds in LMASupremeTM group pTM 232 cmH2O LMASupremeTM 224 cmH2O p0001ConclusionBoth IgelTM and LMA SupremeTM are disposable latexfree devices which do not need any digital or introducer tool for insertion They have good airway sealing pressures ease of insertion and low airway morbidity especially with Igel so they can be a good choice in patients undergoing elective surgeriesKeywords Igel LMA supreme Airway sealing pressure
Authors and Affiliations
Smita Gogia, Ishwar Singh, Monica Gupta
Keywords
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- EP ID EP476515
- DOI 10.18231/2394-4994.2018.0080
- Views 81
- Downloads 0
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