A comparative evaluation of ProSeal laryngeal mask airway, I-gel and Supreme laryngeal mask airway in adult patients undergoing elective surgery: A randomised trial

Singh, A.; Bhalotra, Anju; Anand, Raktima

doi:10.4103/ija.ija_153_18

Cited by 16 publications

(17 citation statements)

References 17 publications

(21 reference statements)

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“…The mean difference could probably be attributed to cuff inflation time required to inflate LMA-Supreme. Our results are similar to results found by Liew GHC et al 5 , Joly N et al 7 , Singh A et al 8 . Study conducted by Mukadder et al 9 found insertion time for I-Gel (6.7 secs) significantly less to LMA-Supreme (12.9 secs).…”

Section: Discussionsupporting

confidence: 93%

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2020

MIJOANS

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Background: There have been various studies reported about LMA-Supreme and I-Gel due to their acclaimed advantages. However there have been conflicting results regarding the ease of insertion, oropharyngeal leak pressure and postoperative complications. Hence, we proposed to assess these two devices for ease of insertion, oropharyngeal leak pressure, haemodynamic changes and postoperative complications. Aim and Objectives: To compare LMA-Supreme and I-Gel in terms of ease of insertion (which will be assessed by the number of attempts required for device insertion and insertion time), oropharyngeal leak pressure, haemodynamic response and postoperative complications. Materials and Methods: The study was conducted in Department of Anaesthesiology,

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Section: Discussionsupporting

confidence: 93%

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2020

MIJOANS

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“…[1][2][3][4] An unsuitable LMA may lead to leaks, unsatisfactory ventilation, or injury. [1][2][3][4] The LMA size in adults is usually determined by weight, but this method could be inappropriate for Chinese men who weigh >70 kg. [1][2][3][4] In the present study, we used the Ambu AuraOnce laryngeal mask.…”

Section: Discussionmentioning

confidence: 99%

“…[6][7][8] Additionally, various LMA selection methods may be used to choose the most suitable LMA for the patient's laryngeal anatomy. [1][2][3][4] An unsuitable LMA may lead to leaks, unsatisfactory ventilation, or injury. [1][2][3][4] The LMA size in adults is usually determined by weight, but this method could be inappropriate for Chinese men who weigh >70 kg.…”

Section: Discussionmentioning

confidence: 99%

“…A laryngeal mask airway (LMA) is a supraglottic device (either single-use or reusable) that is used to temporarily maintain an open airway for the administration of anesthesia or during life-saving procedures. [1][2][3][4] An LMA is designed to be inserted blindly into the hypopharynx through the mouth (as the hypopharyngeal space where the device will be seated cannot be directly observed 5 ) and to create a seal immediately above the glottis opening. [1][2][3][4] Diverse methods of LMA size selection are available, including methods based on the patient's actual weight, standard weight, sex, height, distance between the nose and chin, tongue width, 6 distance between the mandibular second molars, 7 or distance between the cricoid cartilage and chin.…”

Section: Introductionmentioning

confidence: 99%

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Size selection of the Ambu AuraOnce laryngeal mask in Chinese men weighing >70 kg: a pilot study

Chen

et al. 2021

J Int Med Res

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Objective To collect computed tomography data of the laryngeal anatomy of Chinese men and to determine the feasibility of using the size 4 Ambu AuraOnce laryngeal mask (Ambu A/S, Copenhagen, Denmark) in Chinese men weighing >70 kg. Methods This prospective study involved men who underwent surgery from May 2018 to January 2019 at Jinshan Hospital. Pharyngeal and laryngeal parameters were measured by computed tomography. The laryngeal mask insertion success rate, requirement for tracheal tube insertion, laryngeal mask insertion time, fiberoptic bronchoscopy grading, air leakage pressure, and pharyngeal complications were analyzed. Results In a comparison of the size 4 and 5 Ambu AuraOnce devices, the first insertion success rate was 100% and 87% and the three-times insertion success rate was 100% and 93%, respectively, with no significant differences. However, the insertion time was significantly different at 19.6 ± 5.9 versus 31.1 ± 11.2 s, respectively, and the proportions of fiberoptic grading levels were also significantly different. There were no significant differences in the air leakage pressure or pharyngeal complications. Conclusion The size 4 Ambu AuraOnce is more adequate than the size 5 for Chinese men weighing >70 kg, with a shorter insertion time and higher fiberoptic bronchoscopic grading.

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“…[ 14 ] reported easy placement of nasogastric tube in 94% patients in rotation technique and Singh et al . [ 15 ] reported easy placement of nasogastric tube in 100% patients with standard technique of i-gel™ insertion. Baseline HR and MAP were comparable among all the groups.…”

Section: Discussionmentioning

confidence: 99%

A prospective randomised trial to compare three insertion techniques for i-gel™ placement: Standard, reverse, and rotation

et al. 2020

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Background and Aims: This prospective randomised study was done to compare standard, reverse, and rotation techniques of i-gel™ placement in terms of insertion characteristics and success rate. Material and Methods: After institutional ethics committee approval, 135 patients aged 18-50 years, ASA I and II undergoing elective surgery under general anesthesia were included. After induction of anesthesia, i-gel™ was inserted by standard, reverse, and rotation technique in Groups I, II, and III, respectively. The primary objective was mean time of insertion. Secondary variables included ease of insertion, first attempt success rate, manoeuvres required, fiberoptic view of placement, oropharyngeal leak pressure, ease of placement of nasogastric tube, and complications if any. Results: Mean time of insertion was 18.04 ± 5.65 s, 15.00 ± 5.72 s and 16.12 ± 5.84 s for groups I, II, and III, respectively. Time taken for insertion was shortest and significantly lower ( P = 0.048) for group II compared to group I. Insertion time was comparable between rest of groups. The overall success rate in groups I, II, and III were 91.1%, 95.6%, and 93.3% respectively ( P = 0.7). The first attempt success rate was 82.2%, 89%, and 84.4% in groups I, II and III, respectively ( P = 0.07). Manoeuvres were required in five (12.19%) patients in group I, four (9.30%) patients in group II, and three (7.14%) patients in group III ( P = 0.602). Complications occurred in eight, three, and three patients in groups I, II, and III, respectively. Conclusion: All techniques of i-gel insertion are equally good and choice of technique depends upon the experience and comfort of the investigator with the particular technique.

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A comparative evaluation of ProSeal laryngeal mask airway, I-gel and Supreme laryngeal mask airway in adult patients undergoing elective surgery: A randomised trial

Cited by 16 publications

References 17 publications

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Size selection of the Ambu AuraOnce laryngeal mask in Chinese men weighing >70 kg: a pilot study

A prospective randomised trial to compare three insertion techniques for i-gel™ placement: Standard, reverse, and rotation

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