A COMPARATIVE STUDY OF THREE SUPRAGLOTTIC AIRWAY DEVICES- CLASSIC LMA, PROSEAL LMA AND I-GEL, IN ADULT PATIENTS UNDERGOING ELECTIVE SURGERIES
Journal Title: Journal of Evolution of Medical and Dental Sciences - Year 2018, Vol 7, Issue 9
Abstract
BACKGROUND Supraglottic airway devices are gaining popularity because of their ease of insertion, simplicity as well as effective ventilation. This study is aimed at comparing the clinical performance of LMA-Classic, LMA-ProSeal and i-gel in adult patients undergoing short elective procedures under general anaesthesia with spontaneous respiration. MATERIALS AND METHODS The American society of Anaesthesiologists physical status I-II patients (n=120) posted for elective surgeries were included in this study. General anaesthesia was achieved with intravenous infusion of propofol, fentanyl and midazolam. The patients were randomly assigned to Classic LMA (Group A), ProSeal LMA (Group B) and i-gel (Group C). Properly sized classic LMA (size 3,4 & 5), ProSeal LMA (size 3, 4 & 5) and i-gel (size 3 & 4) was inserted. We assessed the ease of insertion, adequacy of ventilation, hemodynamic stability, intraoperative and postoperative complications RESULTS There were no differences in the demographic data and the hemodynamic data immediately after insertion in all the three groups. The first attempt success rate was better with classic LMA but was not statistically significant. There was a significant reduction in the time to insert i-gel compared to the other two groups (P = 0.005). There was lesser incidence of sore throat and blood staining on the device with i-gel. While gastric insufflation was nil in patients with ProSeal LMA. CONCLUSION From the study we conclude that i-GEL is a better alternative to classic LMA with regard to gastric insufflation and is also a better substitute to ProSeal LMA as it takes much lesser time for insertion and reduced incidence of post-operative complications.
Authors and Affiliations
Aravind Kumar Periasamy, Sivakumar Sivakumar, Afreen Nahar
Keywords
Related Articles
- EP ID EP411188
- DOI 10.14260/jemds/2018/251
- Views 103
- Downloads 0
MULTIPLE ANTENATALLY DIAGNOSED CLASSIC DUPLICATION CYSTS WITH A CONCURRENT COMPLETELY ISOLATED DUPLICATION CYST (CIDC) – A RARE COEXISTENCE
Alimentary tract duplications are uncommon congenital anomalies. A case of male neonate referred with antenatally diagnosed cystic lesions in the thorax and abdomen is presented, which represents a rare example...
Registrar, Department of Anaesthesiology, Cloudnine Hospital, Malleswaram, Bangalore.
BACKGROUND S. aureus is a versatile pathogen that causes human diseases ranging from mild infections to life-threatening sepsis. Therefore, to prevent S. aureus infections, effective infection control practices and antib...
SONOGRAPHIC CORRELATION OF CAROTID INTIMA MEDIA THICKNESS AND HEPATIC ECHOTEXTURE WITH SERUM LIPID PROFILE
BACKGROUND Today ultrasound has emerged as a powerful diagnostic medical tool as it is cost effective, widely available and there is no risk of radiation. Driven by an increasing public awareness, as well as advances in...
CLINICAL OUTCOME OF LAPAROSCOPIC SUBTOTAL CHOLECYSTECTOMY IN THE TREATMENT OF COMPLICATED CHOLECYSTITIS
Laparoscopic cholecystectomy has replaced open cholecystectomy as the surgical procedure of choice for symptomatic gallstones. The presence of risk factors such as difficult Calot’s triangle, various liver pathologies li...
A STUDY OF COMPLICATIONS IN SUBJECTS WITH SNAKE BITE IN RELATION TO TIMING OF ASV ADMINISTRATION IN A TERTIARY CARE HOSPITAL
BACKGROUND India is a tropical country, where snake bite is a major public health problem. It is a common occupational hazard mainly in farmers and rural population are affected mainly. India is reported to have highest...