Comparison of I-gel with proseal LMA in adult patients undergoing elective surgical procedures under general anesthesia without paralysis: A prospective randomized study

Gurudas Kini, Gopalkrishna Mettinadka Devanna, Koteswara Rao Mukkapati, Souvik Chaudhuri, Daniel Thomas

Research output: Contribution to journalArticle

11 Citations (Scopus)

Abstract

Background: We compared i-gel and ProSeal laryngeal mask airway (PLMA) regarding time taken for insertion, effective seal, fiberoptic view of larynx, ease of Ryle′s tube insertion, and postoperative sore throat assessment. Materials and Methods: In a prospective, randomized manner, 48 adult patients of American Society of Anesthesiologists I-II of either gender between 18 and 60 years presenting for a short surgical procedure were assigned to undergo surgery under general anesthesia on spontaneous ventilation using either the i-gel or PLMA. An experienced nonblinded anesthesiologist inserted appropriate sized i-gel or PLMA in patients using standard insertion technique and assessed the intraoperative findings of the study regarding regarding time taken for respective device insertion, effective seal, fiberoptic view of larynx, ease of Ryle′s tube insertion, and postoperative sore throat assessment. Postoperative assessment of sore throat was done by blinded anesthesia resident. Results: The time required for insertion of i-gel was lesser (21.98 ± 5.42 and 30.60 ± 8.51 s in Group I and Group P, respectively; P = 0.001). Numbers of attempts for successful insertions were comparable and in majority, device was inserted in first attempt. The mean airway leak pressures were comparable. However, there were more number of patients in Group P who had airway leak pressure >20 cm H 2 O. The fiberoptic view of glottis, ease of Ryle′s tube insertion, and incidence of complications were comparable. Conclusion: Time required for successful insertion of i-gel was less in adult patients undergoing short surgical procedure under general anesthesia on spontaneous ventilation. Patients with airway leak pressure >20 cm H 2 O were more in PLMA group which indicates its better suitability for controlled ventilation.

Original languageEnglish
Pages (from-to)183-187
Number of pages5
JournalJournal of Anaesthesiology Clinical Pharmacology
Volume30
Issue number2
DOIs
Publication statusPublished - 01-01-2014
Externally publishedYes

Fingerprint

Elective Surgical Procedures
Laryngeal Masks
Paralysis
General Anesthesia
Gels
Prospective Studies
Pharyngitis
Ventilation
Larynx
Pressure
Glottis
Equipment and Supplies
Anesthesia
Incidence

All Science Journal Classification (ASJC) codes

  • Pharmacology, Toxicology and Pharmaceutics(all)
  • Pharmacology (medical)
  • Anesthesiology and Pain Medicine

Cite this

Kini, Gurudas ; Devanna, Gopalkrishna Mettinadka ; Mukkapati, Koteswara Rao ; Chaudhuri, Souvik ; Thomas, Daniel. / Comparison of I-gel with proseal LMA in adult patients undergoing elective surgical procedures under general anesthesia without paralysis : A prospective randomized study. In: Journal of Anaesthesiology Clinical Pharmacology. 2014 ; Vol. 30, No. 2. pp. 183-187.
@article{546cf0aa271646a68fa63ad5a06dfc07,
title = "Comparison of I-gel with proseal LMA in adult patients undergoing elective surgical procedures under general anesthesia without paralysis: A prospective randomized study",
abstract = "Background: We compared i-gel and ProSeal laryngeal mask airway (PLMA) regarding time taken for insertion, effective seal, fiberoptic view of larynx, ease of Ryle′s tube insertion, and postoperative sore throat assessment. Materials and Methods: In a prospective, randomized manner, 48 adult patients of American Society of Anesthesiologists I-II of either gender between 18 and 60 years presenting for a short surgical procedure were assigned to undergo surgery under general anesthesia on spontaneous ventilation using either the i-gel or PLMA. An experienced nonblinded anesthesiologist inserted appropriate sized i-gel or PLMA in patients using standard insertion technique and assessed the intraoperative findings of the study regarding regarding time taken for respective device insertion, effective seal, fiberoptic view of larynx, ease of Ryle′s tube insertion, and postoperative sore throat assessment. Postoperative assessment of sore throat was done by blinded anesthesia resident. Results: The time required for insertion of i-gel was lesser (21.98 ± 5.42 and 30.60 ± 8.51 s in Group I and Group P, respectively; P = 0.001). Numbers of attempts for successful insertions were comparable and in majority, device was inserted in first attempt. The mean airway leak pressures were comparable. However, there were more number of patients in Group P who had airway leak pressure >20 cm H 2 O. The fiberoptic view of glottis, ease of Ryle′s tube insertion, and incidence of complications were comparable. Conclusion: Time required for successful insertion of i-gel was less in adult patients undergoing short surgical procedure under general anesthesia on spontaneous ventilation. Patients with airway leak pressure >20 cm H 2 O were more in PLMA group which indicates its better suitability for controlled ventilation.",
author = "Gurudas Kini and Devanna, {Gopalkrishna Mettinadka} and Mukkapati, {Koteswara Rao} and Souvik Chaudhuri and Daniel Thomas",
year = "2014",
month = "1",
day = "1",
doi = "10.4103/0970-9185.130008",
language = "English",
volume = "30",
pages = "183--187",
journal = "Journal of Anaesthesiology Clinical Pharmacology",
issn = "0970-9185",
publisher = "Journal of Anaesthesiology Clinical Pharmacology",
number = "2",

}

Comparison of I-gel with proseal LMA in adult patients undergoing elective surgical procedures under general anesthesia without paralysis : A prospective randomized study. / Kini, Gurudas; Devanna, Gopalkrishna Mettinadka; Mukkapati, Koteswara Rao; Chaudhuri, Souvik; Thomas, Daniel.

In: Journal of Anaesthesiology Clinical Pharmacology, Vol. 30, No. 2, 01.01.2014, p. 183-187.

Research output: Contribution to journalArticle

TY - JOUR

T1 - Comparison of I-gel with proseal LMA in adult patients undergoing elective surgical procedures under general anesthesia without paralysis

T2 - A prospective randomized study

AU - Kini, Gurudas

AU - Devanna, Gopalkrishna Mettinadka

AU - Mukkapati, Koteswara Rao

AU - Chaudhuri, Souvik

AU - Thomas, Daniel

PY - 2014/1/1

Y1 - 2014/1/1

N2 - Background: We compared i-gel and ProSeal laryngeal mask airway (PLMA) regarding time taken for insertion, effective seal, fiberoptic view of larynx, ease of Ryle′s tube insertion, and postoperative sore throat assessment. Materials and Methods: In a prospective, randomized manner, 48 adult patients of American Society of Anesthesiologists I-II of either gender between 18 and 60 years presenting for a short surgical procedure were assigned to undergo surgery under general anesthesia on spontaneous ventilation using either the i-gel or PLMA. An experienced nonblinded anesthesiologist inserted appropriate sized i-gel or PLMA in patients using standard insertion technique and assessed the intraoperative findings of the study regarding regarding time taken for respective device insertion, effective seal, fiberoptic view of larynx, ease of Ryle′s tube insertion, and postoperative sore throat assessment. Postoperative assessment of sore throat was done by blinded anesthesia resident. Results: The time required for insertion of i-gel was lesser (21.98 ± 5.42 and 30.60 ± 8.51 s in Group I and Group P, respectively; P = 0.001). Numbers of attempts for successful insertions were comparable and in majority, device was inserted in first attempt. The mean airway leak pressures were comparable. However, there were more number of patients in Group P who had airway leak pressure >20 cm H 2 O. The fiberoptic view of glottis, ease of Ryle′s tube insertion, and incidence of complications were comparable. Conclusion: Time required for successful insertion of i-gel was less in adult patients undergoing short surgical procedure under general anesthesia on spontaneous ventilation. Patients with airway leak pressure >20 cm H 2 O were more in PLMA group which indicates its better suitability for controlled ventilation.

AB - Background: We compared i-gel and ProSeal laryngeal mask airway (PLMA) regarding time taken for insertion, effective seal, fiberoptic view of larynx, ease of Ryle′s tube insertion, and postoperative sore throat assessment. Materials and Methods: In a prospective, randomized manner, 48 adult patients of American Society of Anesthesiologists I-II of either gender between 18 and 60 years presenting for a short surgical procedure were assigned to undergo surgery under general anesthesia on spontaneous ventilation using either the i-gel or PLMA. An experienced nonblinded anesthesiologist inserted appropriate sized i-gel or PLMA in patients using standard insertion technique and assessed the intraoperative findings of the study regarding regarding time taken for respective device insertion, effective seal, fiberoptic view of larynx, ease of Ryle′s tube insertion, and postoperative sore throat assessment. Postoperative assessment of sore throat was done by blinded anesthesia resident. Results: The time required for insertion of i-gel was lesser (21.98 ± 5.42 and 30.60 ± 8.51 s in Group I and Group P, respectively; P = 0.001). Numbers of attempts for successful insertions were comparable and in majority, device was inserted in first attempt. The mean airway leak pressures were comparable. However, there were more number of patients in Group P who had airway leak pressure >20 cm H 2 O. The fiberoptic view of glottis, ease of Ryle′s tube insertion, and incidence of complications were comparable. Conclusion: Time required for successful insertion of i-gel was less in adult patients undergoing short surgical procedure under general anesthesia on spontaneous ventilation. Patients with airway leak pressure >20 cm H 2 O were more in PLMA group which indicates its better suitability for controlled ventilation.

UR - http://www.scopus.com/inward/record.url?scp=84898965694&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=84898965694&partnerID=8YFLogxK

U2 - 10.4103/0970-9185.130008

DO - 10.4103/0970-9185.130008

M3 - Article

AN - SCOPUS:84898965694

VL - 30

SP - 183

EP - 187

JO - Journal of Anaesthesiology Clinical Pharmacology

JF - Journal of Anaesthesiology Clinical Pharmacology

SN - 0970-9185

IS - 2

ER -