Comparison of i-gel™ supraglottic device with classic laryngeal mask airway in anesthetized paralyzed children undergoing elective surgery
| Autor: | Arijit Samanta, Bikramjit Das, Subhro Mitra, Bhavani S Vijay |
|---|---|
| Rok vydání: | 2012 |
| Předmět: |
medicine.medical_specialty
pediatric patients business.industry Classic laryngeal mask airway Hemodynamics Context (language use) i-gel Tertiary care Surgery Laryngeal mask airway Anesthesia Orthopedic surgery Materials Chemistry Medicine Original Article Elective surgery business Airway Prospective cohort study |
| Zdroj: | Anesthesia, Essays and Researches |
| ISSN: | 0259-1162 |
| DOI: | 10.4103/0259-1162.108305 |
| Popis: | Context: The newest variation of the i-gel supraglottic airway is a pediatric version. Aims: This study was designed to investigate the usefulness of the size 2 i-gel compared with the classic laryngeal mask airway (cLMA) of the same size in anesthetized, paralyzed children. Settings and Design: A prospective, randomized, single-blinded study was conducted in tertiary care teaching hospital. Subject and Methods: Sixty ASA grade I-II patients undergoing lower abdominal, inguinal, and orthopedic surgery were included in this prospective study. The patients were randomly assigned to i-gel and cLMA groups (30 patients in each group). Size 2 supraglottic airway was inserted according to the assigned group. We assessed ease of insertion, hemodynamic data, oropharyngeal sealing pressure, and postoperative complications. Statistical Analysis Used: Parametric data were analyzed with the unpaired t-test and non-parametric data were analyzed with the Chi-square test. Unless otherwise stated, data are presented as mean (SD). Significance was taken as P Results: There were no differences in the demographic and hemodynamic data among the two groups. The airway leak pressure of the i-gel group (26.1 ± 2.4 cm H 2 O) was significantly higher than that of the cLMA group (22.64 ± 2.2 cm H 2 O). The success rates for first attempt of insertion were similar among the two devices. There were no differences in the incidence of postoperative airway morbidity among the two groups. Conclusions: Hemodynamic parameters, ease of insertion, and postoperative complications were comparable between the i-gel and cLMA groups, but airway sealing pressure was significantly higher in i-gel group. |
| Databáze: | OpenAIRE |
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