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Comparison of I-GelTM and LMA ProSealTM as Airway Device for Laparoscopic Hernioplasty

Richa Gupta, Senior Resident, Department of Anaesthesiology, Govt. Medical College and New Civil Hospital, Surat, Gujarat 395001, India , Richa Gupta1 , NeetaKavishvar2

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Indian Journal of Anesthesia and Analgesia 5(12):p 2047-2052, November 2018. | DOI: http://dx.doi.org/10.21088/ijaa.2349.8471.51218.13

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Abstract

  Background and Aims: Supraglottic device can provide adequate ventilation for laparoscopic surgeries. This study was aimed to compare Proseal Laryngeal Mask Airway and I­Gel as airway device in laparoscopic hernioplasty. Methods: This was a prospective randomised study, conducted on 60 American Society of Anaesthesiology I­II adult patients posted for laparoscopic hernioplasty. Anaesthesia was induced with propofol and rocuronium. PLMA or I­Gel were introduced and fixed and Ryle’s tube was inserted. The attempts, ease of insertion, quality of airway sealing, haemodynamic changes, oxygenation, ventilation, respiratory mechanics and postoperative adverse event were noted. Statistical analysis was done with EPI 2000 software and
ease of insertion was the primary outcome variable. Results: Success rate of I­Gel insertion was 100% and that of PLMA was 96.67%. I­Gel was inserted at first attempt in 96.67% patients but for PLMA it was possible in 73.34% patients. Ease of insertion was more with I­Gel (score 3­93.33%) as compared to PLMA (score 3­ 70%). Difference between two device was statistically not significant in quality of airway sealing, haemodynamic parameters, attempts of Ryle’s tube insertion, oxygenation and ventilation (p>0.05). After capnoperitoneum, the peak airway pressure was 19±3.47 cmH2O, 21.03±3.77 cmH2O in I­Gel and PLMA group respectively. Insignificant adverse event were noted in both groups. Conclusion: Both I­Gel and PLMA can be used as airway
device in laparoscopic hernioplasty. Insertion of PLMA is more difficult than I­Gel but it provides effective ventilation similar to I­Gel, with minimum increase in peak airway pressure as compared to I­Gel.

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DOI: http://dx.doi.org/10.21088/ijaa.2349.8471.51218.13

Keywords

I­Gel; PLMA; Capnoperitoneum.

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