Randamosied Control Study to Evaluate and Compare, Two Supraglottic Airway Devices Classic LMA and I-Gel in Anaesthetized Spontaneously Breathing Adult Patients Posted for Minor Day Care Gynecological Surgeries Under General Anaesthesia
Journal Title: International Journal of Contemporary Medical Research - Year 2018, Vol 5, Issue 2
Abstract
Introduction: The major responsibility of an anesthesiologist is to provide adequate ventilation to the patient. There are wide varieties of supraglottic airway devices available which are used for surgeries requiring general anesthesia, so as to avoid the hemodynamic response associated with endotracheal intubation. Study aimed to record the functional difference exists between classic LMA and I –gel in anaesthetized spontaneously breathing adult patients posted for minor day care gynecological surgeries under general anaesthesia. Material and Methods: Patients undergoing short surgical procedures were randomly assigned to I-gel or classic LMA. Anesthesia was induced with standard doses of propofol and the supraglottic airway device was inserted. The functional difference exists between classic–LMA and I –gel in terms of ease of insertion, airway leak pressure, hemodynamic stability and the complications were studied. Results: There was a significant difference in easiness of insertion. The mean time required for insertion of classic LMA was 25.88 seconds as against the mean time of 22.82 seconds required in case of I-gel. Heart rate, Systolic Blood Pressure and Diastolic blood pressure in classic LMA and I-gel cases had not showed any important difference statistically. In terms of development of either intraoperative or postoperative complications, the difference between the two groups was not found to be significant. Conclusion: Successful and shorter duration of insertion, with less hemodynamic response makes i-gel a suitable alternative to LMA Classic during general anesthesia.
Authors and Affiliations
A. Rajendran, P. Sridhar, Heber Anandan
Keywords
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