A comparative evaluation of I-gel and laryngeal mask airway supreme in laparoscopic surgeries: a randomized comparative study

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dc.contributor.authorVerma, Reetuen_US
dc.contributor.authorKumar, Nitinen_US
dc.contributor.authorHemlataen_US
dc.contributor.authorVerma, Sateeshen_US
dc.contributor.authorSingh, Dineshen_US
dc.date.accessioned2020-11-18T10:00:03Z
dc.date.available2020-11-18T10:00:03Z
dc.date.issued2019-12
dc.description.abstractBackground: Supraglottic airway device results in less hemodynamic responses during laparoscopic surgery but supraglottic airway device to be used should have higher oropharyngeal seal pressure than peak pressure for effective ventilation as laparoscopic surgery also leads to higher airway pressure. In this study the efficiency of the I-gel with SLMA is compared in patients undergoing laparoscopic cholecystectomy surgeries.Methods: Sixty patients were randomized in to two groups, group A where I-gel was considered for airway management and group B where LMA Supreme was the device chosen for airway management.Results: Oropharyngeal seal pressure was significantly lower in group A than group B, 5 minutes after insertion of airway device it was 24.90±3.03 cm H2O and 27.30±3.41 cm H2O in group A and group B, respectively and 5 minutes after creation of pneumoperitoneum it was 25.53±3.17 cm H2O and 27.57±3.36 cm H2O in group A and group B, respectively. There was significant difference in the difference between inspiratory and expiratory tidal volume between the groups at all the time periods being higher in group A than group B. Hemodynamics were comparable between the two groups. Time taken to insert the airway device and Ryle’s tube insertion was significantly lesser in group B in comparison to group A. The percentage of complications was higher in group A than group B with no significant (p>0.05) association.Conclusions: Both the I-gel and SLMA devices can be used safely in laparoscopic cholecystectomy in non-obese patients. But in SLMA group oropharyngeal seal pressure was higher with lesser leak volume in comparison to I-gel group.en_US
dc.identifier.affiliationsDepartment of Anaesthesiology, KGMU, Lucknow, Uttar Pradesh, Indiaen_US
dc.identifier.citationVerma Reetu, Kumar Nitin, Hemlata, Verma Sateesh, Singh Dinesh. A comparative evaluation of I-gel and laryngeal mask airway supreme in laparoscopic surgeries: a randomized comparative study. International Journal of Research in Medical Sciences. 2019 Dec; 7(12): 4794-4795en_US
dc.identifier.issn2320-6071
dc.identifier.issn2320-6012
dc.identifier.placeIndiaen_US
dc.identifier.urihttps://imsear.searo.who.int/handle/123456789/211807
dc.languageenen_US
dc.publisherMedip Academyen_US
dc.relation.issuenumber12en_US
dc.relation.volume7en_US
dc.source.urihttps://dx.doi.org/10.18203/2320-6012.ijrms20195525en_US
dc.subjectCholecystectomy, I-gel, Laparoscopic surgery, Laryngeal mask airway supremeen_US
dc.titleA comparative evaluation of I-gel and laryngeal mask airway supreme in laparoscopic surgeries: a randomized comparative studyen_US
dc.typeJournal Articleen_US
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