Comparison of I-gel versus proseal laryngeal mask airway (PLMA) for elective surgical elective surgical procedures
Journal Title: Medpulse International Journal of Anesthesiology - Year 2019, Vol 10, Issue 3
Abstract
Background:Securing airway of patient during surgery is one of the most important responsibility of anesthesiologist.Though Endotracheal Tube is gold standard for securing airway during general anesthesia, various supraglottic airway devices are invented and are in use effectively. These supraglottic airways are supposed to decrease stress response during intubation, Proseal laryngeal Mask Airway and I Gel are newer supraglottic airway devices which also contains a port for nasogastric tube.Aims and Objectives: To compare I-gel and Proseal LMA regarding ease of insertion of these devices, complications, and to compare ease of nasogastric tube insertion. Materials and Methods: Total 120 patientsof age 18-65 years withASA I and II grade were studied. Patients were premedicated with standard protocol. Induced with Inj. Propofol 2 mg/kg, and then giving proper position Supraglottic airway devices are inserted. Both the airway deices were compared regarding ease of insertion, ease of NGT insertion and complications.Observations and Results: Out of 60,I-gel insertion was successful in 57 cases (95%) in first attempt, while PLMA was inserted successfully in only 49 cases(81.7%).NGT insertion was easy in 56 cases (93.3%) in I-gel group compared to 47 cases (78.3%) in PLMA group. Regarding complications blood staining of the devices were more with PLMA group(25%) compared to I gel group(6.7%)Conclusion: I-gel was more easy to insert with less complications compared to PLMA, also insertion of nasogastric tube was easy through I-gel.
Authors and Affiliations
Sagar Sahil, Manohar Mane, J Paranjape
Keywords
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- EP ID EP616734
- DOI 10.26611/10151031
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