Comparison of I-gel with proseal LMA in adult patients undergoing elective surgical procedures under general anesthesia without paralysis: A prospective randomized study
Identifieur interne : 000940 ( Main/Merge ); précédent : 000939; suivant : 000941Comparison of I-gel with proseal LMA in adult patients undergoing elective surgical procedures under general anesthesia without paralysis: A prospective randomized study
Auteurs : Gurudas Kini [Inde] ; Gopalkrishna Mettinadka Devanna [Inde] ; Koteswara Rao Mukkapati [Inde] ; Souvik Chaudhuri [Inde] ; Daniel Thomas [Inde]Source :
- Journal of Anaesthesiology, Clinical Pharmacology [ 0970-9185 ] ; 2014.
Abstract
We compared i-gel and ProSeal laryngeal mask airway (PLMA) regarding time taken for insertion, effective seal, fiberoptic view of larynx, ease of Ryle's tube insertion, and postoperative sore throat assessment.
In a prospective, randomized manner, 48 adult patients of American Society of Anesthesiologists I-II of either gender between 18 and 60 years presenting for a short surgical procedure were assigned to undergo surgery under general anesthesia on spontaneous ventilation using either the i-gel or PLMA. An experienced nonblinded anesthesiologist inserted appropriate sized i-gel or PLMA in patients using standard insertion technique and assessed the intraoperative findings of the study regarding regarding time taken for respective device insertion, effective seal, fiberoptic view of larynx, ease of Ryle's tube insertion, and postoperative sore throat assessment. Postoperative assessment of sore throat was done by blinded anesthesia resident.
The time required for insertion of i-gel was lesser (21.98 ± 5.42 and 30.60 ± 8.51 s in Group I and Group P, respectively;
Time required for successful insertion of i-gel was less in adult patients undergoing short surgical procedure under general anesthesia on spontaneous ventilation. Patients with airway leak pressure >20 cm H2O were more in PLMA group which indicates its better suitability for controlled ventilation.
Url:
DOI: 10.4103/0970-9185.130008
PubMed: 24803754
PubMed Central: 4009636
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Gopalkrishna Mettinadka" uniqKey="Devanna G" first="Gopalkrishna Mettinadka" last="Devanna">Gopalkrishna Mettinadka Devanna</name><affiliation wicri:level="1"><nlm:aff id="aff1">Departments of Anaesthesia, Kasturba Medical College, Manipal, Karnataka, Department of Anaesthesia and Critical Care, Kasturba Medical College, Manipal University, Karnataka, India</nlm:aff><country xml:lang="fr">Inde</country><wicri:regionArea>Departments of Anaesthesia, Kasturba Medical College, Manipal, Karnataka, Department of Anaesthesia and Critical Care, Kasturba Medical College, Manipal University, Karnataka</wicri:regionArea><wicri:noRegion>Karnataka</wicri:noRegion></affiliation></author><author><name sortKey="Mukkapati, Koteswara Rao" sort="Mukkapati, Koteswara Rao" uniqKey="Mukkapati K" first="Koteswara Rao" last="Mukkapati">Koteswara Rao Mukkapati</name><affiliation wicri:level="1"><nlm:aff id="aff1">Departments of Anaesthesia, Kasturba Medical College, Manipal, Karnataka, Department of Anaesthesia and Critical Care, Kasturba Medical College, Manipal University, Karnataka, India</nlm:aff><country xml:lang="fr">Inde</country><wicri:regionArea>Departments of Anaesthesia, Kasturba Medical College, Manipal, Karnataka, Department of Anaesthesia and Critical Care, Kasturba Medical College, Manipal University, Karnataka</wicri:regionArea><wicri:noRegion>Karnataka</wicri:noRegion></affiliation></author><author><name sortKey="Chaudhuri, Souvik" sort="Chaudhuri, Souvik" uniqKey="Chaudhuri S" first="Souvik" last="Chaudhuri">Souvik Chaudhuri</name><affiliation wicri:level="1"><nlm:aff id="aff1">Departments of Anaesthesia, Kasturba Medical College, Manipal, Karnataka, Department of Anaesthesia and Critical Care, Kasturba Medical College, Manipal University, Karnataka, India</nlm:aff><country xml:lang="fr">Inde</country><wicri:regionArea>Departments of Anaesthesia, Kasturba Medical College, Manipal, Karnataka, Department of Anaesthesia and Critical Care, Kasturba Medical College, 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LMA in adult patients undergoing elective surgical procedures under general anesthesia without paralysis: A prospective randomized study</title><author><name sortKey="Kini, Gurudas" sort="Kini, Gurudas" uniqKey="Kini G" first="Gurudas" last="Kini">Gurudas Kini</name><affiliation wicri:level="1"><nlm:aff id="aff1">Departments of Anaesthesia, Kasturba Medical College, Manipal, Karnataka, Department of Anaesthesia and Critical Care, Kasturba Medical College, Manipal University, Karnataka, India</nlm:aff><country xml:lang="fr">Inde</country><wicri:regionArea>Departments of Anaesthesia, Kasturba Medical College, Manipal, Karnataka, Department of Anaesthesia and Critical Care, Kasturba Medical College, Manipal University, Karnataka</wicri:regionArea><wicri:noRegion>Karnataka</wicri:noRegion></affiliation></author><author><name sortKey="Devanna, Gopalkrishna Mettinadka" sort="Devanna, Gopalkrishna Mettinadka" uniqKey="Devanna G" first="Gopalkrishna Mettinadka" last="Devanna">Gopalkrishna Mettinadka Devanna</name><affiliation wicri:level="1"><nlm:aff id="aff1">Departments of Anaesthesia, Kasturba Medical College, Manipal, Karnataka, Department of Anaesthesia and Critical Care, Kasturba Medical College, Manipal University, Karnataka, India</nlm:aff><country xml:lang="fr">Inde</country><wicri:regionArea>Departments of Anaesthesia, Kasturba Medical College, Manipal, Karnataka, Department of Anaesthesia and Critical Care, Kasturba Medical College, Manipal University, Karnataka</wicri:regionArea><wicri:noRegion>Karnataka</wicri:noRegion></affiliation></author><author><name sortKey="Mukkapati, Koteswara Rao" sort="Mukkapati, Koteswara Rao" uniqKey="Mukkapati K" first="Koteswara Rao" last="Mukkapati">Koteswara Rao Mukkapati</name><affiliation wicri:level="1"><nlm:aff id="aff1">Departments of Anaesthesia, Kasturba Medical College, Manipal, Karnataka, Department of Anaesthesia and Critical Care, Kasturba Medical College, Manipal University, Karnataka, India</nlm:aff><country xml:lang="fr">Inde</country><wicri:regionArea>Departments of Anaesthesia, Kasturba Medical College, Manipal, Karnataka, Department of Anaesthesia and Critical Care, Kasturba Medical College, Manipal University, Karnataka</wicri:regionArea><wicri:noRegion>Karnataka</wicri:noRegion></affiliation></author><author><name sortKey="Chaudhuri, Souvik" sort="Chaudhuri, Souvik" uniqKey="Chaudhuri S" first="Souvik" last="Chaudhuri">Souvik Chaudhuri</name><affiliation wicri:level="1"><nlm:aff id="aff1">Departments of Anaesthesia, Kasturba Medical College, Manipal, Karnataka, Department of Anaesthesia and Critical Care, Kasturba Medical College, Manipal University, Karnataka, India</nlm:aff><country xml:lang="fr">Inde</country><wicri:regionArea>Departments of Anaesthesia, Kasturba Medical College, Manipal, Karnataka, Department of Anaesthesia and Critical Care, Kasturba Medical College, Manipal University, Karnataka</wicri:regionArea><wicri:noRegion>Karnataka</wicri:noRegion></affiliation></author><author><name sortKey="Thomas, Daniel" sort="Thomas, Daniel" uniqKey="Thomas D" first="Daniel" last="Thomas">Daniel Thomas</name><affiliation wicri:level="1"><nlm:aff id="aff1">Departments of Anaesthesia, Kasturba Medical College, Manipal, Karnataka, Department of Anaesthesia and Critical Care, Kasturba Medical College, Manipal University, Karnataka, India</nlm:aff><country xml:lang="fr">Inde</country><wicri:regionArea>Departments of Anaesthesia, Kasturba Medical College, Manipal, Karnataka, Department of Anaesthesia and Critical Care, Kasturba Medical College, Manipal University, Karnataka</wicri:regionArea><wicri:noRegion>Karnataka</wicri:noRegion></affiliation></author></analytic><series><title level="j">Journal of Anaesthesiology, Clinical Pharmacology</title><idno type="ISSN">0970-9185</idno><idno type="eISSN">2231-2730</idno><imprint><date when="2014">2014</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><sec id="st1"><title>Background:</title><p>We compared i-gel and ProSeal laryngeal mask airway (PLMA) regarding time taken for insertion, effective seal, fiberoptic view of larynx, ease of Ryle's tube insertion, and postoperative sore throat assessment.</p></sec><sec id="st2"><title>Materials and Methods:</title><p>In a prospective, randomized manner, 48 adult patients of American Society of Anesthesiologists I-II of either gender between 18 and 60 years presenting for a short surgical procedure were assigned to undergo surgery under general anesthesia on spontaneous ventilation using either the i-gel or PLMA. An experienced nonblinded anesthesiologist inserted appropriate sized i-gel or PLMA in patients using standard insertion technique and assessed the intraoperative findings of the study regarding regarding time taken for respective device insertion, effective seal, fiberoptic view of larynx, ease of Ryle's tube insertion, and postoperative sore throat assessment. Postoperative assessment of sore throat was done by blinded anesthesia resident.</p></sec><sec id="st3"><title>Results:</title><p>The time required for insertion of i-gel was lesser (21.98 ± 5.42 and 30.60 ± 8.51 s in Group I and Group P, respectively; <italic>P</italic> = 0.001). Numbers of attempts for successful insertions were comparable and in majority, device was inserted in first attempt. The mean airway leak pressures were comparable. However, there were more number of patients in Group P who had airway leak pressure >20 cm H<sub>2</sub>O. The fiberoptic view of glottis, ease of Ryle's tube insertion, and incidence of complications were comparable.</p></sec><sec id="st4"><title>Conclusion:</title><p>Time required for successful insertion of i-gel was less in adult patients undergoing short surgical procedure under general anesthesia on spontaneous ventilation. 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