A prospective single-center observational study to assess the efficacy of the second-generation supraglottic airway device I-gel in laparoscopic surgeries in children

Goyal, Rakhee; Chauhan, Rajat; Anand, Rajan; Goyal, Manu

doi:10.4103/joacp.joacp_295_19

Cited by 4 publications

(8 citation statements)

References 13 publications

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“…Seyed et al and Jindal et al also did similar studies and reported acceptable haemodynamic parameters which are in accordance with our study. 13,14 Airway leak and oral capnograph showed minimal leak during initial 2 minutes which subsides thereafter is comparable with study conducted by Soi et al They studied in laparoscopic Cholecystectomy whereas our study was on open and surface surgeries. 15 There was no evidence of regurgitation and aspiration in any of the cases.…”

Section: Discussionsupporting

confidence: 89%

“…In our study all patients were ventilated with I-gel and there were satisfactory end tidal expiratory volume (ETV) and end tidal CO 2 (ETCO 2 ) and it was found to provide adequate ventilations without any adverse events .In a study conducted by Goyal et al, where 119 patients between the age of 6 months to 18 years were ventilated with I-gel and it was found to provide adequate ventilation without any adverse effects though the insertion technique was classic one. 12 Regarding the haemodynamic parameters, no statistically significant variation in the heart rate, systolic blood pressure, diastolic blood pressure and mean arterial pressure were recorded during the intraoperative period except just before insertion of I-gel. It was probably due to sedative and hypotensive effects of propofol.…”

Section: Discussionmentioning

confidence: 81%

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Efficacy of two-person technique for I-gel insertion: a prospective observational study

Barman

Hazarika

2021

Int J Res Med Sci

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Background: Recently anesthesiologists favoring I-gel over ET in securing airway during general anaesthesia because of better haemodynamic response and post-operative complications. In this study, we have assessed the efficacy of two -person technique for insertion of I- gel in paralysed patients.Methods: I- gel is insertion was done in 40 patients undergoing general anaesthesia. Insertion time, number of attempts, air leaks, Tidal volume (TV) and expired tidal volume (ETV), emergence from anaesthesia, post-operative complications were assessed.Results: Mean insertion time was 14.02±1.99 seconds. Insertion was successful in 37 patients (92.5%) in first attempt. 3 (7.5%) patients needed second attempts. Emergence from anaesthesia was satisfactory in all cases (100%).3 patients (7.5%) had mild cough and there were blood stained in the device in 2 cases (5%).6 patients (15%) had mild, 5 patients (12.5%) had moderate sore throat in first 24 hours. 4 patients (10%) had mild pain during swallowing.Conclusions: Two- person technique for insertion of I-gel is easier and lower insertion time with fewer complications.

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Section: Discussionsupporting

confidence: 89%

Section: Discussionmentioning

confidence: 81%

Efficacy of two-person technique for I-gel insertion: a prospective observational study

Barman

Hazarika

2021

Int J Res Med Sci

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“…Mean OLP was 34.2 ± 5.2 cm H 2 0, and the adverse events included sore throat (4.9%) and desaturation (3.9%). 9 We found all three SADs (Ambu Auragain, I gel, and PLMA) as clinically effective for ventilation in laparoscopic pediatric surgeries.…”

Section: Discussionmentioning

confidence: 81%

“…LMA Classic and PLMA were first used in pediatric laparoscopic procedures successfully 4,5 . Later, I gel was compared with ETT and was equally effective and safe for ventilation 7,9 . Kohli et al compared I gel and ETT in 80 patients of age group 2–8 years for adequacy of ventilation in pediatric laparoscopic surgeries of duration <1 h. They found I gel comparable to ETT, and no sore throat or cough was observed with I gel use in any patient 7 .…”

Section: Discussionmentioning

confidence: 99%

“…The sample size was calculated based on the study of Goyal et al, 9 where they found a difference of 13% in the OLP between I gel and PLMA (26 ± 2.6 cm H 2 O vs 23 ± 1.2 cm H 2 O) in pediatric patients and was found to be statistically significant. The sample size was calculated to be 28 in each group, considering a projected difference of 15% between the two groups for airway leak pressures to be significant, at 95% confidence limits, a type 1 error of 0.05, and a power of 80%.…”

Section: Methodsmentioning

confidence: 99%

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Comparison of the oropharyngeal leak pressure between three second generation supraglottic airway devices during laparoscopic surgery in pediatric patients

Kumar

Sinha

Kumar

et al. 2022

Pediatric Anesthesia

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Background Previous studies have shown Proseal LMA and I gel similar to endotracheal intubation in ventilatory ability in pediatric laparoscopic surgeries. Aims The primary aim of this study was to assess whether there is a significant difference in the oropharyngeal leak pressure between Ambu Auragrain, I‐gel, and Proseal LMA during pediatric laparoscopic surgery. Methods In this randomized controlled trial, 90 male patients of American Society of Anesthesiologists physical status I aged between 6 months and 10 years who were scheduled for laparoscopic single‐sided inguinal hernia repair were recruited and randomly allocated to three groups in which airway was secured with Ambu Auragain, I gel, or Proseal LMA. The primary outcome was oropharyngeal leak pressure. The secondary outcomes were peak pressures before and after pneumoperitoneum, fiberoptic view, insertion attempts, insertion time, manipulations, perioperative and postoperative anesthesia‐related problems. Continuous variables were compared using the one‐way analysis of variance or the Kruskal–Wallis test with post hoc Turkey analysis. Categorical and ordinal data were compared using the chi‐square test or Fisher's exact test. Results Oropharyngeal leak pressure before pneumoperitoneum was higher with I gel as compared to Ambu Auragain (27.36 ± 5.72 cm of H2O vs 23.56 ± 5.72 cm of H2O) (p = .021) and PLMA (27.36 ± 5.72 cm of H2O vs 23.24 ± 4.35 cm of H2O) (p = .011). Oropharyngeal leak pressure after pneumoperitoneum was also higher with I gel as compared to Ambu Auragain (31.58 ± 4.35 cm of H2O vs 26.83 ± 5.00 cm of H2O) (p = .001) and Proseal LMA (31.58 ± 4.35 cm of H2O vs 27.03 ± 3.80 cm of H2O) (p = .002). Oropharyngeal leak pressures of Ambu Auragain and Proseal LMA were comparable. Postoperative complications were similar in all the supraglottic airway devices. No regurgitation or aspiration‐related problem was observed in our study. Conclusion I gel had a higher oropharyngeal leak pressure than the other two supraglottic airway devices and therefore may represent a better choice in situations where higher ventilatory pressures may be necessary, for example, in extremes of weight trendelenburg position, etc. Clinical Trial Identifier Clinical trial registry of India (CTRI/2018/11/016445).

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Update 2022: interdisciplinary statement on airway management with supraglottic airway devices in pediatric emergency medicine—The laryngeal mask is and remains state of the art

et al. 2023

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A prospective single-center observational study to assess the efficacy of the second-generation supraglottic airway device I-gel in laparoscopic surgeries in children

Cited by 4 publications

References 13 publications

Efficacy of two-person technique for I-gel insertion: a prospective observational study

Efficacy of two-person technique for I-gel insertion: a prospective observational study

Comparison of the oropharyngeal leak pressure between three second generation supraglottic airway devices during laparoscopic surgery in pediatric patients

Update 2022: interdisciplinary statement on airway management with supraglottic airway devices in pediatric emergency medicine—The laryngeal mask is and remains state of the art

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