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I-GEL for Insertion Success Rate and Working Performance in Laparoscopic Pelvic Surgery

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Aims: Study aimed at comparison of recent addition Supra Glottic Airway Devices I-gel and Baska mask during general anesthesia in patients undergoing elective laparoscopic pelvic surgery. Settings and Design: Prospective, randomized, single blind study. Materials and Methods: After institutional review board approval and written informed consent, 50 patients aged 18–60 years scheduled for elective laparoscopic pelvic surgery were randomly assigned into two groups either I-gel or Baska mask. After premedication and preoxygenation, patients were induced with Inj. fentanyl 2 mcg/kg and Inj. propofol 2- 2.5 mg/kg IV. Insertion of SGA was done according to group assigned. The insertion characteristics were recorded in form of number of attempt, time of insertion, manipulation required and failed insertions. Success of orogastric tube insertion was noted in both the groups. Working performance was compared in form of hemodynamic stability, oropharyngeal leak pressure, mean tidal expiratory volume and postoperative complications. Statistical analysis used: Data were analyzed by using unpaired t-test, Chi-square test. Results: Shorter insertion time was found with I-gel (16.80 ± 02.23) as compared to Baska mask (21.56 ± 04.20). Oropharyngeal leak pressure and mean tidal expiration volume were higher for Baska mask (25 ± 02.50;679 ± 98.17) as compared to I-gel (22.72 ± 02.13;600.08 ± 88.06). Hemodynamic parameters and postoperative complications were comparable among both the groups. Conclusion: Baska mask has a better working performance with higher oropharyngeal leak pressure and mean tidal expiratory volume while I-gel has lesser insertion time.

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Aims: Study aimed at comparison of recent addition Supra Glottic Airway Devices I-gel and Baska mask during general anesthesia in patients undergoing elective laparoscopic pelvic surgery. Settings and Design: Prospective, randomized, single blind study. Materials and Methods: After institutional review board approval and written informed consent, 50 patients aged 18–60 years scheduled for elective laparoscopic pelvic surgery were randomly assigned into two groups either I-gel or Baska mask. After premedication and preoxygenation, patients were induced with Inj. fentanyl 2 mcg/kg and Inj. propofol 2- 2.5 mg/kg IV. Insertion of SGA was done according to group assigned. The insertion characteristics were recorded in form of number of attempt, time of insertion, manipulation required and failed insertions. Success of orogastric tube insertion was noted in both the groups. Working performance was compared in form of hemodynamic stability, oropharyngeal leak pressure, mean tidal expiratory volume and postoperative complications. Statistical analysis used: Data were analyzed by using unpaired t-test, Chi-square test. Results: Shorter insertion time was found with I-gel (16.80 ± 02.23) as compared to Baska mask (21.56 ± 04.20). Oropharyngeal leak pressure and mean tidal expiration volume were higher for Baska mask (25 ± 02.50;679 ± 98.17) as compared to I-gel (22.72 ± 02.13;600.08 ± 88.06). Hemodynamic parameters and postoperative complications were comparable among both the groups. Conclusion: Baska mask has a better working performance with higher oropharyngeal leak pressure and mean tidal expiratory volume while I-gel has lesser insertion time.

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This page is a summary of: Comparison of Baska Mask with I-GEL for Insertion Success Rate and Working Performance in Laparoscopic Pelvic Surgery, Indian Journal of Anaesthesia and Analgesia, April 2020, Red Flower Publication Private, Ltd.,
DOI: 10.21088/ijaa.2349.8471.7220.21.
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