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- Title
A randomised trial to compare i-gel and ProSeal™ laryngeal mask airway for airway management in paediatric patients.
- Authors
Nirupa, R.; Gombar, Satinder; Ahuja, Vanita; Sharma, Preeti
- Abstract
Background and Aims: i-gel is a newer supraglottic airway device with a unique non-inflatable cuff. We aimed to compare i-gel with ProSeal laryngeal mask airway (PLMA) in children scheduled for surgery under general anaesthesia (GA) with controlled ventilation. Methods: This prospective, randomised controlled study was conducted in 100 surgical patients, aged 2-6 years of American Society of Anesthesiologists Physical Status I-II scheduled under GA. Patients were randomly allocated to receive either size 2 i-gel or PLMA as an airway device. The primary aim was oropharyngeal leak pressure assessed at 5 min following correct placement of the device. Secondary outcomes measured included number of attempts, ease of insertion, time of insertion, quality of initial airway, fibre-optic grading and effects on pulmonary mechanics. Statistical analysis was done using paired t-test and Chi-square test. Results: The demographic data were similar in both the groups. The oropharyngeal leak pressure in the i-gel group was 29.5 ± 2.5 cm H2O as compared to 26.1 ± 3.8 cmH2O in PLMA group (P = 0.002). The time taken for successful insertion in PLMA was longer as compared to i-gel (12.4 ± 2.7 vs. 10.2 ± 1.9 s, P = 0.007). The quality of initial airway was superior with i-gel. The number of attempts, ease of insertion of supraglottic device, insertion of orogastric tube and pulmonary mechanics were similar in both the groups. Conclusion: Size 2 i-gel exhibited superior oropharyngeal leak pressure and quality of airway in paediatric patients with controlled ventilation as compared to PLMA although the pulmonary mechanics were similar.
- Subjects
LARYNGEAL masks; GENERAL anesthesia; VENTILATION; CHI-squared test; T-test (Statistics)
- Publication
Indian Journal of Anaesthesia, 2016, Vol 60, Issue 10, p726
- ISSN
0019-5049
- Publication type
Article
- DOI
10.4103/0019-5049.191670