Comparison of laryngeal mask airway Proseal and I-gel in patients posted for elective surgeries under general anaesthesia
Journal Title: Medpulse International Journal of Anesthesiology - Year 2019, Vol 9, Issue 2
Abstract
Background: In spite of tremendous advances in contemporary anesthesia practice, airway management continues to be of paramount importance to the anesthesiologist. Hemodynamic changes are the major undesirable consequences of endotracheal intubation and laryngoscopy. The supraglottic airway device is a novel device that fills the gap in airway management between tracheal intubation and use of face mask. In view of this, the present study was undertaken to compare the performance of two supraglottic airway devices L MA Proseal and I-gel. Methodology: Sixty ASA I-II patients scheduled for elective surgeries under general anaesthesia were randomised into two groups of 30 each. In Group P (n=30) LMA Proseal and Group I (n=30) I-gel were used respectively. Both the devices were compared in relation to ease of insertion assessed in terms of Modified Lund and Stovener criteria, jaw relaxation based on Young’s criteria, number of attempts for insertion and hemodynamic changes. Results: There were no significant differences in demographic data. I-gel was significantly easier to insert than LMA-Proseal (P < 0.05) (Chi-square test). The mean time for insertion was more with Group P (17.80 + 1.69 secs) than with Group I (15.9 + 2.52 secs) (P < 0.05). The success rate of first attempt insertion was more with Group I (P < 0.05). There was siginificant difference in SBP and MAP changes during insertion and after proseal LMA compared with Igel(P<0.001). There was no evidence of airway complications. Sore throat was significantly more evident in Group P. Conclusion: Both LMA Proseal and I-gel can be used safely and effectively in selected patients undergoing general anaesthesia. I-gel is easy to insert compared to LMA Proseal.
Authors and Affiliations
Ramadas B, Subhash Mashalkar V, Ravi Kumar
Keywords
Related Articles
- EP ID EP521011
- DOI 10.26611/1015928
- Views 177
- Downloads 0
A study of effectiveness of Intravenous Lidocaine and Gabapentin and their combination on postoperative analgesia for thyroid surgeries at tertiary health care center
Background: An ultimate goal of surgical treatment is approaching better recovery for a high quality of life without complications and sequelaes. More than 80% of surgical patients experience postoperative pain. Aims and...
Study of various technical difficulties encountered during the administration of quicke's needle 22 and 26 for spinal anesthesia
Background: Neuraxial blocks, such as spinal and epidural block, are common practice in anesthesia and are widely used for a number of surgical and endoscopic procedures. Aims and Objectives: To Study various technical d...
Comparison of low volume high concentration of local anesthetic with high volume low concentration local anesthetic for supraclavicular block
Regional anesthesia in form of brachial plexus block is a common and reliable mode of anesthesia for upper limb blocks. By virtue of anatomy of brachial plexus supraclavicular approach for brachial plexus is one of favou...
Anaesthetic management of a patient with dilated cardiomyopathy for femoral embolectomy – A case report
We report the successful anesthetic management of a patient with dilated cardiomyopathy, scheduled for left femoral artery Embolectomy. The risks involved and the potential benefit of the use of regional versus general a...
Clonidine- An ideal premedicant for attenuation of haemodynamic side effects of intravenous Ketamine anaesthesia
Background: Using Ketamine as an anaesthetic agent is often associated with tachycardia and hypertension due to cardiostimulatory effects. Clonidine being an α2 agonist is supposed to be an ideal premedicant for it. Mate...