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
Related Articles
- EP ID EP476515
- DOI 10.18231/2394-4994.2018.0080
- Views 69
- Downloads 0
Hip replacement in a patient of sickle cell disease: an anaesthetic challenge
Majority of surgical procedures in patients with sickle cell disease are a result of the disease process itself and require intervention for either treatment or prevention of certain complications. Avascular necrosis of...
Palonosetron-dexamethasone versus ondansetron-dexamethasone to prevent postoperative nausea and vomiting undergoing laparoscopic sleeve gastrectomy: a preliminary, randomized, double blinded study
Introduction: Post-operative nausea and vomiting (PONV) is associated with wound dehiscence, pulmonary aspiration, electrolyte disturbances, delayed recovery and patient dis-satisfaction. The present study was aimed to c...
A prospective randomized double-blind controlled trial on evaluating the Efficacy of Inj.Metoprolol 50µgm/Kg. I.V., in attenuating the hemodynamic response to laryngoscopy, intubation and carbon dioxide pneumoperitoneum in patients undergoing laparoscopic appendicectomy
Introduction: We evaluated the efficacy of inj.Metoprolol 50 µgms/kg. i.v. given 5 minutes before induction of anesthesia in attenuating the hemodynamic response to intubation and CO2 pneumoperitoneum. Materials and Meth...
A study to evaluate efficacy and safety of dexmedetomidine (1 µg/Kg) as an adjuvant to caudal ropivacaine (0.25%1 Ml/Kg) in paediatric infraumbilical surgeries
Aim: Clinical evaluation of efficacy and safety of dexmedetomidine used as an adjuvant to caudal ropivacaine in paediatric infraumbilical surgeries. Materials and Method: In randomized, prospective, double blind study, 6...
A comparative study between clonidine and dexmedetomidine in attenuation of pressor response during endotracheal intubation
Aims 1To study and compare efficiency of clonidine and dexmedetomidine to reduce haemodynamic response ie attenuation of pressor response to laryngoscopy and tracheal intubation with single premedication dose2 To evaluat...