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- Title
Comparison of the LMA Supreme vs the i-gel™ in paralysed patients undergoing gynaecological laparoscopic surgery with controlled ventilation Comparison of the LMA Supreme vs the i-gel™ in paralysed patients undergoing gynaecological laparoscopic surgery with controlled ventilation LMA Supreme vs i-gel in paralysed, ventilated patients
- Authors
Teoh, W. H. L.; Lee, K. M.; Suhitharan, T.; Yahaya, Z.; Teo, M. M.; Sia, A. T. H.
- Abstract
We compared the efficacy of the inflatable cuff of the LMA Supreme™ against the non-inflatable i-gel™ cuff in providing an adequate seal for laparoscopic surgery in the Trendelenburg position in 100 female patients. There was no difference in our primary outcome, oropharyngeal leak pressure, between the LMA Supreme and the i-gel (mean (SD) 26.4 (5.1) vs 25.0 (5.7) cmHO, respectively; p = 0.18). Forty-seven (94%) LMA Supremes and 48 (96%) i-gels were successfully inserted on the first attempt, with similar ease, and comparable times to the first capnograph trace (mean (SD) 14.3 (4.7) s for the LMA Supreme vs 15.4 (8.2) s for the i-gel; p = 0.4). Gastric tube insertion was easier and achieved more quickly with the LMA Supreme vs the i-gel (9.0 (2.5) s vs 15.1 (7.3) s, respectively; p < 0.001). After creation of the pneumoperitoneum, there was a smaller difference between expired and inspired tidal volumes with the LMA Supreme (21.5 (15.2) ml) than with the i-gel (31.2 (23.5) ml; p = 0.009). There was blood on removal of two LMA Supremes and one i-gel. Four patients in the LMA Supreme group and one patient in the i-gel group experienced mild postoperative sore throat.
- Subjects
LAPAROSCOPIC surgery; MEDICAL equipment; AIRWAY (Anatomy); POSITIONING in surgery; SURGERY
- Publication
Anaesthesia, 2010, Vol 65, Issue 12, p1173
- ISSN
0003-2409
- Publication type
Article
- DOI
10.1111/j.1365-2044.2010.06534.x