Efficacy of I-gel laryngeal mask airways in mechanically ventilated patients
Journal Title: Medpulse International Journal of Anesthesiology - Year 2017, Vol 2, Issue 3
Abstract
Background: I-gel is a new single use, non-inflatable supraglottic device for both spontaneous and controlled ventilation. It mirrors the laryngeal anatomy design. A supraglottic airway without an inflatable cuff has potential advantages including easier insertion and use, minimal risk of mucosal ischemia, stability after insertion and manufacturing advantages in terms of simplicity and decreased cost. This inspired us to evaluate the I-gel in surgical procedures undergoing mechanical ventilation. Material and Methods: In this prospective study 40 patients were studied where I-gel for airway management was used for surgery under general anaesthesia and controlled ventilation. The insertion time of the devices, difficulty during insertion, difficulty during gastric tube insertion, coverage of airway pressure, and complications were recorded. Results: In 85% (34/40) patients I gel was inserted in first attempt, required lesser time (10.78±2.10 seconds) for insertion. Placement of nasogastric tube was 100% successful with better hemodynamic stability. Postoperative complications like sore throat was found in 3 cases, whereas cough occurred in one patient. Discussion: The I gel proved to be efficient with regards to the ease of insertion evidenced by less number of attempts required and the maneuvers required. The time taken for insertion was considerably less highlighting its efficacy in controlled conditions as well as resuscitative scenarios.
Authors and Affiliations
Kalyani Venkatrao Malshetwar, Sachin R Totawar
Keywords
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