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Comparison of I-gel Supraglottic Airway with LMA Classic in Children Undergoing Elective Surgeries

Mahesh M Patel , Krunalkumar Patel1 , Mahesh M Patel2

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Indian Journal of Anesthesia and Analgesia 6(4):p 1145-1149, July-August 2019. | DOI: http://dx.doi.org/10.21088/ijaa.2349.8471.6419.12

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Krunalkumar Patel, Mahesh M Patel. Comparison of I-gel Supraglottic Airway with LMA Classic in Children Undergoing Elective Surgeries. Indian J Anesth Analg. 2019;6(4):1145-1149.

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Received : N/A         Accepted : N/A          Published : N/A

Abstract

Background: A new SADs called I-gel has several advantages such as easy insertion, stability after insertion and minimal risk of tissue compression. Incidence of postoperative complication was not differ among I- gel and c-LMA. Very few reports that have evaluated the paediatric I-gel, especially in small children. Methodology: Total 90 ASA grade I-II patients of 1-12 years age group (45 patients in Group I: I – gel, 45 patients in group L: c-LMA classic) who undergone elective urology surgery from civil hospital, Ahmedabad were included in the study. A supraglottic device was inserted after required depth of anaesthesia achieved. The ease of insertion, insertion time, attempt of insertion and sealing pressure were noted. Vital parameter during surgery and complication in post anaesthesia care unit were recorded. Result: Success rate for first attempt in I-gel group was significantly higher (85.0%) as compared to cLMA (80.0%). The insertion time was shorter with I-gel (14.64 + 16.7 sec) than with c-LMA (20.11 + 28.5 sec). Airway leak pressure of I-gel is higher (26 + 2.63 mmHg) than c-LMA (22 + 2.3 mmHg). On removal, blood stain was present in one patient in I-gel group and 3 patient in c-LMA group. There was no significant change in hemodynamic parameters before and after insertion in both the group. Conclusion: I-gel is superior than c-LMA in terms of significantly easier and more rapid insertion with high leak pressure. The hemodynamic changes after insertion and the postoperative complication are not significantly differ between c-LMA and I-gel patients.

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Krunalkumar Patel, Mahesh M Patel. Comparison of I-gel Supraglottic Airway with LMA Classic in Children Undergoing Elective Surgeries. Indian J Anesth Analg. 2019;6(4):1145-1149.

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DOI: http://dx.doi.org/10.21088/ijaa.2349.8471.6419.12

Keywords

I-gel; LMA Classic; Leak pressure; Insertion time.

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