2. A Comparative Study Between Two Supraglottic Airway Devices: I Gel Vs Classic Laryngeal Mask Airway
Raza Farrukh1, Asad Rizwan Rana3 and Makhdom Ahmad Aziz Jilani2
ABSTRACT
Objective: During general anesthesia, in case of adults and children, supraglottis airway devices are good alternate to securing airway than tracheal intubation. This case study aimed at comparison between classical laryngeal mask airway (LMA) and modern i-gel with respect to adequate placement, ease of insertion of device, maintaining of parameters like ETCO2 and SPO2, intra operative and postoperative complication point of view.
Study Design: Comparative Study
Place and Duration of Study: This study was conducted at the Department of Anaesthesia DHQ Teaching Hospital, Sargodha from September 2019 to February 2020.
Materials and Methods: There was selection of 120 patients in this randomized clinical trial from age ranged from 5 to 60 years of either sex and from ASA grading ranged from I-III. These all patients were operated in supine position under general anesthesia. Anesthesia was induced to all these patients after receiving premedication. Agents that were used in anesthesia were primarily, inj. Succinylcholine 1.5-2mg/kg and inj. Propofol 2-3 mg/kg. Patient‟s airway was secured with either classical LMA or i-gel in „sniffing air” position. The device placement was monitored by normal chest expansion, by square wave capnography, absence of audible leak and SPO2 >95%. The patients were checked keeping in view the parameters like number of attempts, ease of insertion, time utilized in insertion, hemodynamic changes preoperatively and complication involved intraoperatively as well as postoperatively
Results: Statistically, no significant difference was seen in patients of both the groups with respect to BP, SPO2 ETCO2 and heart rate, however it was observed that insertion time was greater in group classical LMA as compared to group i-gel.
Conclusion: I-gel is regarded as better and good alterative replacement device to LMA as its insertion is way easy, along with minimal complications intraoperatively as well as post operatively.
Key Words: I-gel, LMA, advantages, disadvantages.
Citation of article: Farrukh R, Rana AR, Jilani MAA. A Comparative Study between Two Supraglottic Airway Devices: I Gel Vs Classic Laryngeal Mask Airway. Med Forum 2020;31(10):7-11.