Comparison of the LMA Supreme vs the i‐gel™ in paralysed patients undergoing gynaecological laparoscopic surgery with controlled ventilation*

Teoh, Wendy H.; Lee, K. M.; Suhitharan, Thangavelautham; Yahaya, Z.; Teo, M.; Sia, Angelia

doi:10.1111/j.1365-2044.2010.06534.x

Cited by 124 publications

(142 citation statements)

References 20 publications

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“…(9) Similarly, Teoh et al's trial of both the i-gel and Supreme SADs demonstrated comparable ease and duration of insertion between the two tested devices. (14) A meta-analysis comparing the i-gel and Supreme SADs also concluded that there was no statistical difference in device placement time and first attempt insertion success rates. (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.…”

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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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: 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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“…Six of the studies compared the LMA Supreme with the LMA Proseal. 10,[13][14][15][16][17] The remaining studies compared the LMA Supreme with the LMA Classic, 23 i-gel, [18][19][20] facemask, 21 or endotracheal tube. 22 In the six RCTs comparing the LMA Supreme with the LMA Proseal, 418 patients were identified and 295 (70%) of those were female.…”

Section: Use Of Lma Supreme In Normal Airway/elective Surgerymentioning

confidence: 99%

“…[18][19][20] Two hundred fifty patients were identified and 191 (76%) of those were female. All patients were undergoing elective surgery.…”

Section: Comparison Of the Lma Supreme And I-gelmentioning

confidence: 99%

Brief review: The LMA Supreme™ supraglottic airway

Wong

Yang

Jagannathan³

2012

Can J Anesth/J Can Anesth

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“…These devices all incorporate a drain tube to separate the respiratory and gastrointestinal tracts and minimise the risk of aspiration. They also create a higher oropharyngeal leak pressure compared with the first generation SADs [4][5][6][7][8] …”

Section: Definitions and Devicesmentioning

confidence: 99%

Supraglottic airways in difficult airway management: successes, failures, use and misuse

Timmermann

2011

Anaesthesia

167

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SummarySupraglottic airway devices (SAD) play an important role in the management of patients with difficult airways. Unlike other alternatives to standard tracheal intubation, e.g. videolaryngoscopy or intubation stylets, they enable ventilation even in patients with difficult facemask ventilation and simultaneous use as a conduit for tracheal intubation. Insertion is usually atraumatic, their use is familiar from elective anaesthesia, and compared with tracheal intubation is easier to learn for users with limited experienced in airway management. Use of SADs during difficult airway management is widely recommended in many guidelines for the operating room and in the pre‐hospital setting. Despite numerous studies comparing different SADs in manikins, there are few randomised controlled trials comparing different SADs in patients with difficult airways. Therefore, most safety data come from extended use rather than high quality evidence and claims of efficacy and particularly safety must be interpreted cautiously.

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Comparison of the LMA Supreme vs the i‐gel™ in paralysed patients undergoing gynaecological laparoscopic surgery with controlled ventilation*

Cited by 124 publications

References 20 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

Brief review: The LMA Supreme™ supraglottic airway

Supraglottic airways in difficult airway management: successes, failures, use and misuse

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