We found a match
Your institution may have rights to this item. Sign in to continue.
- Title
Comparison of i-el™ and laryngeal mask airway in anesthetized paralyzed patients.
- Authors
Hashemian, Seyed Mohammad Reza; Nouraei, Navid; Razavi, Seyed Sadjad; Zaker, Ebrahim; Jafari, Alireza; Eftekhari, Parivash; Radmand, Golnar; Mohajerani, Seyed Amir; Radpay, Badiozzaman
- Abstract
Background: The i-gel™ is a new device introduced recently. It differs from other supraglottic airway devices. It has a non-inflatable, gel-made cuff. Previously used devices, have some disadvantages which are claimed to be absent in i-gel™. In this study we aimed to compare the performance of the laryngeal mask airway (LMA)-Classic™ and i-gel™ during anesthesia in paralyzed patients. Materials and Methods: A total of 64 anaesthetized patients with paralysis were enrolled in a single-blind, randomized control trial to be intubated with one of the devices. We compared the device insertion parameters, some ventilatory parameters, and adverse effects after device insertion. Results: Vital signs were not significantly different between groups. Regarding duration of insertion attempts, the difference between groups was significant (P < 0.05); while the number of insertion attempts was insignificant (P = 0.265). There was no significant difference between both groups regarding postoperative complications (cough, sore throat, and blood on the cuff) (P > 0.05). Airway leak was assessed in both groups and data showed no significant difference (P = 0.662). Additionally, end-tidal CO2 change regarding the baseline value was significantly different after 10 and 15 min of anesthesia (P < 0.05). Conclusions: Successful insertion time was shorter significantly for i-gel™. As i-gel™ has easy application, it is advantageous to be used during cardiopulmonary resuscitation by non-anesthetists in which time is very important. We concluded that i-gel™ can be an alternative to LMA-Classic™ for controlled ventilation during anesthesia as it is easier to be placed.
- Subjects
LARYNGEAL masks; PEOPLE with paralysis; PARALYSIS treatment; ANESTHESIA; RESUSCITATION
- Publication
International Journal of Critical Illness & Injury Science, 2014, Vol 4, Issue 4, p288
- ISSN
2229-5151
- Publication type
Article
- DOI
10.4103/2229-5151.147520