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A Study on Complications of I - Gel Versus Cuffed Tracheal Tube in Elective Laparoscopic Cholecystectomy

Ramesh K.*** , Siddharam Jamagond* , Anuradha H.** , Ramesh K.***

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Indian Journal of Anesthesia and Analgesia 3(1):p 39-43, Jan-Apr 2016. | DOI: DOI : https://dx.doi.org/10.21088/ijaa.2349.8471.3116.7

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Abstract

Introduction: In spite of tremendous advances in contemporary anesthesia practice, airway management continues to be of paramount importance to anesthesiologist. Methodology: 60 patients of ASA 1 and 2 with BMI <35kg/m2 ,between 18 and 60 yrs. were enrolled into the study. They were randomized into two groups of equal number using the chit-in-a-box method for the use of either i-gel or endotracheal tube for the maintenance of airway during the anesthesia. Both groups were comparable with respect to age, sex,BMI, ASA grading, airway characteristics and anesthesia technique used was same in both groups. Results:    No gastric distension, regurgitation, aspiration, laryngospasm or bronchospasm seen while using the i-gel  or endotracheal tube  during our study. 4 cases reported of having hoarseness of voice and 2 cases reported of having sore throat in endotracheal group but there were no cases of sore throat or hoarseness of voice in i- gel group, which are well known advantages of laryngeal mask air way.Conclusion:Our study supports the use of i-gel during VCV in elective laparoscopic cholecystectomy using low to moderate tidal volumes provided that peak airway pressure is not more than device leak pressure.

Keywords: I-Gel; Leak Fraction; Pneumoperitoneum; Cholecystectomy; Complications.

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DOI: DOI : https://dx.doi.org/10.21088/ijaa.2349.8471.3116.7

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