Advertisement!
Author Information Pack
Editorial Board
Submit article
Special Issue
Editor's selection process
Join as Reviewer/Editor
List of Reviewer
Indexing Information
Most popular articles
Purchase Single Articles
Archive
Free Online Access
Current Issue
Recommend this journal to your library
Advertiser
Accepted Articles
Search Articles
Email Alerts
FAQ
Contact Us
Indian Journal of Anesthesia and Analgesia

Volume  5, Issue 8, August 2018, Pages 1372-1381
 

Original Article

Comparison of Clinical Performance of Supraglottic Airway Devices I– gel vs LMA-Proseal in Paediatric Elective Surgeries

Punidha Vardhani R.1, Rajaram J.2

1,2Assistant Professor, Department of Anaesthesiology, Government Stanley Medical College and Hospital, Chennai, Tamil Nadu 600001, India.

Choose an option to locate / access this Article:
90 days Access
Check if you have access through your login credentials.        PDF      |
|

Open Access: View PDF

DOI: http://dx.doi.org/10.21088/ijaa.2349.8471.5818.20

Abstract

Introduction: Newer supraglottic airway devices, LMA-Proseal & I-Gel [2,3] have gastric channel which reduces the risk of aspiration when the baby is placed in lateral for caudal epidural placement [5]. We designed a prospective randomized study in which the clinical performance of I-Gel was compared with LMA-Proseal in paediatric elective surgeries under general anaesthesia. 

Aim of the study: The aim is to compare clinical performance of I-Gel and LMA -
Proseal in anaesthetized, spontaneously breathing, paediatric patients posted for elective, below umbilical surgical procedures.

Methodology: After getting informed written parental consent and ethical committee approval 100 pediatric cases posted for below umbilical surgeries were selected based on inclusion and exclusion criteria. Optimal conditions for supraglottic device insertion were attained with Inj.Propofol 3 mg/kg I.V mixed with Inj. Lignocaine 0.5 mg/kg and 2% to 3% Sevoflurane Either Igel or Proseal was inserted. Ease of insertion, first attempt success rate, Number of attempts,Time taken for insertion, Airway seal pressure Ease of gastric tube placement were monitored.

Results: I-Gel supraglottic airway device is advantageous over LMA-Proseal in terms of short insertion time, ease of insertion, ease of gastric tube placement and less incidence of complications in children; whereas LMA- Proseal has got advantage over the I-Gel in regards to high airway sealing pressure.

Conclusion: we conclude that I-Gel aids easy and rapid insertion with an acceptable airway seal pressure when compared to proseal. Both devices can be safely used in anaesthetized spontaneously ventilating children for short surgical procedures.


Keywords : Igel; Proseal LMA; Airway Sealing Presures; Peadiatric Lower Abdomen Suregeries.
Corresponding Author : Rajaram J., Assistant Professor, Department of Anaesthesiology, Government Stanley Medical College and Hospital, Chennai, Tamil Nadu 600001, India.