Comparison of clinical performance of the I-gel with LMA proseal

Chauhan, Gayatri; Nayar, Pavan; Seth, Anita; Gupta, Kapil; Panwar, Mamta; Agrawal, Nidhi

doi:10.4103/0970-9185.105798

Cited by 73 publications

(113 citation statements)

References 18 publications

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“…(12) A number of other studies reported gastric tube insertion failure in patients who used ProSeal, although it has not been reported in i-gel patients. (16,17,22) Less airway morbidity and fewer complications were observed in the i-gel group as compared with the other two devices in our study. Blood staining of the airway device, which could be indicative of airway mucosal trauma, was observed in the ProSeal and Supreme groups, but not in the i-gel group.…”

Section: Discussionmentioning

confidence: 49%

“…(15) Nevertheless, other researchers have previously highlighted the i-gel's higher first attempt success rates and its shorter insertion time as compared with the ProSeal SAD. (16)(17)(18)(19) We postulated that the i-gel SAD should be easier to insert due to its unique gel-like material, shape and contour, buccal stabiliser, and epiglottis blocker that minimises epiglottis downfolding. The faster effective airway time of the i-gel SAD can be explained by the cuffless nature of the device, which obviates the necessity to inflate the cuff during insertion.…”

Section: Discussionmentioning

confidence: 99%

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Comparison of the clinical performance of i-gel, LMA Supreme and LMA ProSeal in elective surgery

Liew

Shah

et al. 2016

smedj

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INTRODUCTIONThe LMA Supreme™, i-gel ® and LMA ProSeal™ are second-generation supraglottic airway devices. We tested the hypothesis that these devices differ in performance when used for spontaneous ventilation during anaesthesia.METHODS 150 patients who underwent general anaesthesia for elective surgery were randomly allocated into three groups. Data was collected on oropharyngeal leak pressures, ease and duration of device insertion, ease of gastric tube insertion, and airway safety. RESULTSLeak pressure, our primary outcome measure, was found to be higher for the i-gel than the Supreme and ProSeal (mean ± standard error of the mean: 27.31 ± 0.92 cmH 2 O, 23.60 ± 0.70 cmH 2 O and 24.44 ± 0.70 cmH 2 O, respectively; p = 0.003). Devices were inserted on the first attempt for 90%, 82% and 72% of patients in the i-gel, Supreme and ProSeal groups, respectively (p = 0.105); mean device placement times were 23.58 seconds, 25.10 seconds and 26.34 seconds, respectively (p = 0.477). Gastric tubes were inserted on the first attempt in 100% of patients in the Supreme group, and 94% of patients in the i-gel and ProSeal groups (p = 0.100). There was blood staining on removal in 9 (18%) patients in each of the Supreme and ProSeal groups, with none in the i-gel group (p = 0.007). The incidence of postoperative sore throat, dysphagia and hoarseness was lowest for the i-gel. CONCLUSIONThe three devices were comparable in terms of ease and duration of placement, but the i-gel had higher initial oropharyngeal leak pressure and lower airway morbidity compared with the ProSeal and Supreme.

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Section: Discussionmentioning

confidence: 49%

Section: Discussionmentioning

confidence: 99%

Comparison of the clinical performance of i-gel, LMA Supreme and LMA ProSeal in elective surgery

Liew

Shah

et al. 2016

smedj

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“…Mean time for insertion of PLMA found by Chauhan et al, [27] was 15.13±2.91 seconds in compare with i-gel which was 11.12±1.81 seconds. The result was statistically significant and quite similar to our study.…”

Section: Discussionmentioning

confidence: 72%

-gel™ in Ambulatory Surgery: A Comparison with LMA—ProSeal™ in Paralyzed Anaesthetized Patients

Das

Majumdar

Mukherjee

et al. 2014

JCDR

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“…Similarly Trivedi et al and Chauhan et al found i-gel airway was easier to insert with less attempt when compared to PLMA. 9,12,16,17 Das et al had observed higher number of manipulations to insert LMA than i-gel. 18 In our study device was placed in first attempt in 88% patients of group i-gel compared to 64% of group LMA.…”

Section: -13mentioning

confidence: 99%

“…Mean insertion time for the i-gel was significantly lower than LMA. 12 Wharton et al evaluated the performance of i-gel supraglottic airway device in manikins and anesthetized patients. Their results suggest the i-gel is rapidly inserted in both manikins and patients by an inexperienced person and compares favourably to other supraglottic airways available.…”

Section: -13mentioning

confidence: 99%

A comparative study between i-gel and classical laryngeal mask airway in elective surgery under general anaesthesia

2016

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INTRODUCTIONThe approach of airway has evolved greatly in recent times since development of endotracheal intubation by Mc Evan in 1880 to present day use of modern supraglottic airway. The tracheal intubation requires skill and continuous training and practice and usually requires direct laryngoscopy, which may cause laryngopharyngeal lesions. It also produces reflex sympathetic stimulation and is associated with raised levels of plasma catecholamine, hypertension, tachycardia and myocardial ischemia, depression of myocardial contractility, ventricular arrhythmias and intracranial hypertension. Supraglottic airway devices have been widely used as an alternative to tracheal intubation during general anaesthesia both in adults and children. The first successful supraglottic airway device -laryngeal mask airway (LMA) classic, an inflatable supraglottic airway device became available in 1981.2 I-gel is the most recent development in supraglottic airway devices. It is made of ABSTRACT Background: Supraglottic airway devices have been widely used as an alternative to tracheal intubation during general anesthesia both in adults and children. This study was carried out to compare classical laryngeal mask airway (LMA) and i-gel, regarding ease of insertion, adequate placement of device, ability to maintain ETCO 2 and SPO 2 , perioperative hemodynamic parameters and intra operative and postoperative complication. Methods: This prospective, randomized clinical study was done on 100 patients of either sex, age between 5 to 60 years, ASA grade I-III who underwent different surgical procedures under general anesthesia in supine position. After giving premedication, induction of anesthesia was done with inj. Propofol 2-3 mg/kg and inj. Succnylcoline 1.5-2 mg/kg. In "sniffing air" position, airway was secured with either LMA or i-gel. An effective placement of device was checked by a square wave capnography, normal chest expansion, SPO 2 >95%, and absence of audible leak. Patients were observed for time and ease of insertion, number of attempts, perioperative hemodynamic changes and complications. Results: No statistically significant difference was reported between both the groups, regarding heart rate, BP, SPO 2 and ETCO 2 . Duration of insertion was more in group LMA. Insertion was easy and was possible in first attempt in 88% of patients without much manipulation in group i-gel. Conclusions: I-gel is a better alternative supraglottic airway device than LMA in view of ease of insertion with minimal manipulations and minimal complications. Hemodynamic parameters, SPO 2 and ETCO 2 were maintained in both the groups.

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Comparison of clinical performance of the I-gel with LMA proseal

Cited by 73 publications

References 18 publications

Comparison of the clinical performance of i-gel, LMA Supreme and LMA ProSeal in elective surgery

Comparison of the clinical performance of i-gel, LMA Supreme and LMA ProSeal in elective surgery

-gel™ in Ambulatory Surgery: A Comparison with LMA—ProSeal™ in Paralyzed Anaesthetized Patients

A comparative study between i-gel and classical laryngeal mask airway in elective surgery under general anaesthesia

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