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Study to Compare Supraglottic Airway Device I-Gel with Classic LMA for Short Surgical Procedures

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Why is it important?

Introduction: Major responsibility of anesthesiologist is to provide adequate ventilation to the patient. Supraglottic airway device is a novel device that fills the gap in airway management between tracheal intubation and the use of face mask. In this study, we aim to compare supraglottic airway devices I-Gel with Classic LMA in relation to time for insertion, success rate of insertion in first attempt, hemodynamic changes and complications. Materials and Methods: The present study, was a prospective, randomized and comparative study, which included 50 patients of age between 18 and 55 years, belonging to ASA I and II, scheduled for elective short surgical procedures under general anesthesia. Patients were divided into Two Groups: Group I (I-Gel) and Group II (Classic LMA). After induction of anesthesia, proper sized supraglottic airway was inserted according to weight of the patient. Results: The success rate of insertion in first attempt in Group I and Group II was 96% and 88% respectively, meantime taken for insertion in Group I and Group II was 12.92 ± 1.41 sec and 18.56 ± 1.23 sec respectively, sore throat seen in Group I and Group II was in 1 (4%) and 3 (12%) patients respectively. Conclusion: I-Gel have higher success rate of insertion in first attempt and shorter time of insertion in comparison to Classic LMA. Lower incidence of blood staining of device and postoperative sore throat was seen in I-Gel as compared to Classic LMA. Hence, I-Gel is a better alternative to existing Classic LMA.

Perspectives

Introduction: Major responsibility of anesthesiologist is to provide adequate ventilation to the patient. Supraglottic airway device is a novel device that fills the gap in airway management between tracheal intubation and the use of face mask. In this study, we aim to compare supraglottic airway devices I-Gel with Classic LMA in relation to time for insertion, success rate of insertion in first attempt, hemodynamic changes and complications. Materials and Methods: The present study, was a prospective, randomized and comparative study, which included 50 patients of age between 18 and 55 years, belonging to ASA I and II, scheduled for elective short surgical procedures under general anesthesia. Patients were divided into Two Groups: Group I (I-Gel) and Group II (Classic LMA). After induction of anesthesia, proper sized supraglottic airway was inserted according to weight of the patient. Results: The success rate of insertion in first attempt in Group I and Group II was 96% and 88% respectively, meantime taken for insertion in Group I and Group II was 12.92 ± 1.41 sec and 18.56 ± 1.23 sec respectively, sore throat seen in Group I and Group II was in 1 (4%) and 3 (12%) patients respectively. Conclusion: I-Gel have higher success rate of insertion in first attempt and shorter time of insertion in comparison to Classic LMA. Lower incidence of blood staining of device and postoperative sore throat was seen in I-Gel as compared to Classic LMA. Hence, I-Gel is a better alternative to existing Classic LMA.

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This page is a summary of: An Observational Study to Compare Supraglottic Airway Device I-Gel with Classic LMA for Short Surgical Procedures, Indian Journal of Anaesthesia and Analgesia, January 2020, Red Flower Publication Private, Ltd.,
DOI: 10.21088/ijaa.2349.8471.7120.31.
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