A comparative Study of Tracheal Intubation through i-gel® and Intubating La- ryngeal Mask Airway ( ILMA ® )
Journal Title: People's Journal of Scientific Research. - Year 2013, Vol 6, Issue 2
Abstract
In this prospective randomized study, success rate of blind tracheal intubation through two different supraglottic airway devices viz. i-gel ® and the intubating laryngeal mask airw ay (ILMA) ® was compared a using conventional polyvinylchloride endotracheal tubes. Eighty patients undergoing elective surgery under general anaesthesia were randomized in two groups comprising of 40 patients each to tracheal intubation using either i-gel or ILMA. After induction of anesthesia, supraglottic airway device(SAD) was inserted and on achieving adequate ventilation with the device, the fibrescopic view of the larynx was obtained through the SAD for laryngeal grading. Then fiberscope was removed and blind tracheal intubation was attempted through the SAD. Success at first attempt and overall tracheal intubation success rates were evaluated and racheal intubation time was measured.There was no difference in the incidence of adequate ventilation with either of the SAD. The glottic view ( Laryngeal grading ) was better in i-gel group. The grade 1 laryngeal grading was obtained in 82.5% cases in i-gel group as compared to 75% cases in ILMA group. The success rate in first attempt was 65% in i-gel group and 52.55% in ILMA group, while overall success rate was 77.5% in i-gel group as compared to 62.5% in ILMA group. Time taken for successful tracheal intubation through i-gel was lesser (20.4 sec.) as compared to ILMA (30.68 sec.) and the difference was statistically significant ( p <0.001). Both the SADs were proved to be useful alternative to conventional laryngoscope for tracheal intubation. In the present study, i-gel had better success rate in tracheal intubation as compared to ILMA.
Authors and Affiliations
G. Bhandari, , K. S. Shahi,, R. Bhakuni
Keywords
Related Articles
- EP ID EP93445
- DOI -
- Views 135
- Downloads 0
Primary Pterygium Surgery –Comparsion of limbal Conjunctival Autografting versus Intra- operative Mitomycin-C
Pterygium is a fibro vascular encroachment of the conjunctival tissue on to the cornea, causing variable degree of ocular morbidity. Various surgical modalities have been developing to decrease the recurrence. The idea o...
SNHL in Diabetics: A Prospective Study
The aim of this study was to assess the hearing threshold level in patients of diabetes mellitus, correlate degree of hearing loss with duration and severity of hyperglycemia and complications of diabetes mellitus. This...
Unmet Need for Contraception: An Assessment for Enriching Public Health Interventions
Unmet need is a powerful concept for designing family planning programmes and has important implications for future population growth. It provides a target of women most likely and willing to use contraceptive methods....
Significance of Fluorescence Microscopy in the Diagnosis of Malaria
The present study was undertaken to find out a new easy and comparable method with the Gold standard in the diagnosis of malaria. Fluorescence microscopy with stained smear was found to be a feasible and more sensitive...
Multiple Splenic Tubercular Abscesses in an Immunocompetent Patient
Tubercular splenic abscess is an extremely rare clinical entity particularly among immunocompetent patients. It has been reported in association with immunodeficiency states. We report a case of 34 years old HIV negative...