Efficacy of Low-dose Succinylcholine and Low-dose Atracurium in Facilitating I-gel Insertion: A Randomised Comparative Study

Mitali, Priya; Manjunath, AC; Suresh, Gautham

doi:10.21088/ijaa.2349.8471.6619.45

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“…Low-dose succinylcholine or atracurium provided adequate jaw relaxation, thereby helping easy and smooth insertion of I-gel. [ 18 ] The shorter insertion time in our study could be related to the use of atracurium. Low-dose muscle relaxant reduces airway pressures, improves thoracic compliance, and inhibits patient–ventilator asynchrony and displacement of the device.…”

Section: Discussionmentioning

confidence: 84%

Comparison of standard weight-based and thenar eminence dimension-based selection of I-gel in pediatric patients – A randomized controlled study

Sachidananda,

Petkar,

Mitragotri

et al. 2023

Journal of Anaesthesiology Clinical Pharmacology

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Background and Aim: Supraglottic airway devices are increasingly being used for airway management. I-gel is being widely used even for pediatric patients. Although the weight-based selection of the size of the device seems to be the standard technique, this method may not be possible in all patients. The aim of the study was to compare the standard weight-based method with the thenar eminence dimension-based method for I-gel selection. Material and Methods: A prospective randomized study was conducted on 74 pediatric patients of either sex, aged between 6 months and 15 years, belonging to American Society of Anesthesiologists (ASA) physical status I, II, and III and who were posted for various surgical procedures under general anesthesia. The study population was divided into two groups of 37 patients each. I-gel was inserted based on weight in group A patients and based on thenar eminence size in group B patients. Parameters like first attempt success rate, ease of insertion, and complications were compared between the two groups using Student’s t-test and Chi-square test. Results: The demographic values between the groups were comparable. The first attempt success rate was 97.4% in group A and 91.7% in group B (P = 0.358). Insertion of I-gel was unsuccessful in two patients in group B. Two patients of group B had blood staining of the device. None of the patients had complications related to insertion. Conclusion: The thenar eminence dimension can be used instead of weight while choosing the size of I-gel in pediatric patients. None of the patients had complications related to device insertion.

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Section: Discussionmentioning

confidence: 84%