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
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- EP ID EP521011
- DOI 10.26611/1015928
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