COMPARATIVE STUDY BETWEEN TWO SUPRAGLOTTIC AIRWAY DEVICES IN ANAESTHETISED, SPONTANEOUSLY VENTILATED ADULT PATIENTS DURING ELECTIVE SURGICAL PROCEDURES
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Keywords
i-gel, Laryngeal Mask Airway Classic, airway management, elective surgery, anesthesia, supraglottic airway devices.
Abstract
Background: Airway management is a critical aspect of anesthesia, with the choice of supraglottic airway devices being a key consideration. This study compares the i-gel and Laryngeal Mask Airway (LMA) Classic in terms of insertion efficiency and ease of use in anaesthetised, spontaneously ventilated adult patients during elective surgeries.
Methods: A prospective, randomized, comparative study was conducted on 100 adult patients. Parameters assessed included insertion time, the number of attempts, and the ease of insertion. Hemodynamic parameters were also monitored.
Results: The i-gel demonstrated a significantly shorter insertion time (13.52±2.79 seconds) compared to the LMA Classic (26.38±3.05 seconds; p<0.0001). The first-attempt success rate was higher for the i-gel (90%) versus the LMA Classic (64%; χ²=9.76, p=0.0076). Quality of insertion was rated as easier in 90% of i-gel cases, as opposed to 62% for the LMA Classic (χ²=10.74, p<0.001).
Conclusion: The i-gel supraglottic airway device shows significant advantages over the LMA Classic in terms of insertion time, ease of insertion, and first-attempt success rate in elective surgeries. These findings support the preference for the i-gel in clinical practice, particularly in scenarios where time efficiency and ease of use are paramount.
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Dr. Anupama Mondal
Dr NB (DNB-SS) Resident Of CTVS-Anaesthesia In Blk-Max Superspeciality Hospital, New Delhi, Md Anaesthesiology, M.B.B.S.
Dr Anjum Naz
Additional Professor, Department of Anaesthesiology, AIIMS Kalyani, West Bengal.
Dr. Saurendranath Mitra
Associate Professor, Dept. Of Anaesthesiology, KPC Medical College and Hospital, Jadavpur, Kolkata, West Bengal.
Dr Ratul Kundu
Consultant, Ruby General Hospital Kolkata, West Bengal.