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Performance of Supraglottic Airway Devices I– gel vs LMA-Proseal in Paediatric Elective Surgeries

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Introduction: Newer supraglottic airway devices, LMA-Proseal & I-Gel [2,3] have gastric channel which reduces the risk of aspiration when the baby is placed in lateral for caudal epidural placement [5]. We designed a prospective randomized study in which the clinical performance of I-Gel was compared with LMA-Proseal in paediatric elective surgeries under general anaesthesia. Aim of the study: The aim is to compare clinical performance of I-Gel and LMA - Proseal in anaesthetized, spontaneously breathing, paediatric patients posted for elective, below umbilical surgical procedures. Methodology: After getting informed written parental consent and ethical committee approval 100 pediatric cases posted for below umbilical surgeries were selected based on inclusion and exclusion criteria. Optimal conditions for supraglottic device insertion were attained with Inj.Propofol 3 mg/kg I.V mixed with Inj. Lignocaine 0.5 mg/kg and 2% to 3% Sevoflurane Either Igel or Proseal was inserted. Ease of insertion, first attempt success rate, Number of attempts,Time taken for insertion, Airway seal pressure Ease of gastric tube placement were monitored. Results: I-Gel supraglottic airway device is advantageous over LMA-Proseal in terms of short insertion time, ease of insertion, ease of gastric tube placement and less incidence of complications in children; whereas LMA- Proseal has got advantage over the I-Gel in regards to high airway sealing pressure. Conclusion: we conclude that I-Gel aids easy and rapid insertion with an acceptable airway seal pressure when compared to proseal. Both devices can be safely used in anaesthetized spontaneously ventilating children for short surgical procedures.

Perspectives

Introduction: Newer supraglottic airway devices, LMA-Proseal & I-Gel [2,3] have gastric channel which reduces the risk of aspiration when the baby is placed in lateral for caudal epidural placement [5]. We designed a prospective randomized study in which the clinical performance of I-Gel was compared with LMA-Proseal in paediatric elective surgeries under general anaesthesia. Aim of the study: The aim is to compare clinical performance of I-Gel and LMA - Proseal in anaesthetized, spontaneously breathing, paediatric patients posted for elective, below umbilical surgical procedures. Methodology: After getting informed written parental consent and ethical committee approval 100 pediatric cases posted for below umbilical surgeries were selected based on inclusion and exclusion criteria. Optimal conditions for supraglottic device insertion were attained with Inj.Propofol 3 mg/kg I.V mixed with Inj. Lignocaine 0.5 mg/kg and 2% to 3% Sevoflurane Either Igel or Proseal was inserted. Ease of insertion, first attempt success rate, Number of attempts,Time taken for insertion, Airway seal pressure Ease of gastric tube placement were monitored. Results: I-Gel supraglottic airway device is advantageous over LMA-Proseal in terms of short insertion time, ease of insertion, ease of gastric tube placement and less incidence of complications in children; whereas LMA- Proseal has got advantage over the I-Gel in regards to high airway sealing pressure. Conclusion: we conclude that I-Gel aids easy and rapid insertion with an acceptable airway seal pressure when compared to proseal. Both devices can be safely used in anaesthetized spontaneously ventilating children for short surgical procedures.

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This page is a summary of: Comparison of Clinical Performance of Supraglottic Airway Devices I– gel vs LMA-Proseal in Paediatric Elective Surgeries, Indian Journal of Anaesthesia and Analgesia, January 2018, Red Flower Publication Private, Ltd.,
DOI: 10.21088/ijaa.2349.8471.5818.20.
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