I-gel as an alternative to endotracheal tube in adult laparoscopic surgeries: A comparative study

Badheka, Jigisha; Jadliwala, Rashida Mohammedi; Chhaya, V. A.; Parmar, Vandana; Vasani, Amit; Rajyaguru, Ajay

doi:10.4103/0972-9941.140210

Cited by 21 publications

(26 citation statements)

References 20 publications

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“…Although tracheal intubation is considered as an ideal approach, it has disadvantages like raised respiratory and hemodynamic responses during intubation, pneumoperitoneum and extubation (3)(4)(5)(6)(7)(8)(9) . However, supraglottic airway devices (SAD) with facility for gastric suction such as Proseal LMA and I gel have been successfully used in laparoscopic cholecystectomy (10)(11)(12)(13)(14)(15)(16) . Initial experience with Baska mask has demonstrated it to be a suitable device (17,18) and there are only limited literature comparing these devices, so we decided to assess the efficiencies of Baska mask, I gel and Proseal LMA during laparoscopic cholecystectomy.…”

Section: Introductionmentioning

confidence: 99%

A Prospective Randomized Comparative Study between Baska Mask, Proseal LMA and I Gel during Positive Pressure Ventilation in Laparoscopic Cholecystectomy

Dhanasekaran¹,

Mehta²,

Parameswari³

2019

JARSS

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Objective: Supraglottic airway devices with facility for gastric suction such as Proseal LMA and I gel have been successfully used for positive pressure ventilation in laparoscopic surgeries. Baska mask, a novel device with many unique features such as self-sealing membranous cuff and effective sump drainage system was designed in such a way that the perilaryngeal seal increases incrementally with increasing airway pressures. But Baska mask was not extensively evaluated to validate its use in laparoscopic surgeries. The efficiency of Baska mask (B), Proseal LMA (P) and I Gel (I) are compared during positive pressure ventilation in laparoscopic cholecystectomy. Methods: Ninety patients of ASA physical status I-II planned for laparoscopic cholecystectomy were randomized into three groups (B, I, P) of 30 each. The study was proceeded with 88 (B-30, I-29, P-29) patients. Oropharyngeal leak pressure, insertion time, effective airway time and airway morbidity were assessed and compared between the three groups. Mean, standard deviation, paired sample t-test, one way ANOVA with Tukey's Post-Hoc test was used. Results: The oropharyngeal leak pressure at insertion time was 38.33±4.353 cm of H 2 O for group B, 30.57±2.174 cm of H 2 O for group I, 29.36±2.706 cm of H2O for group P. The leak pressure was statistically significant between group B and other groups. Conclusions: Baska mask provided higher oropharyngeal leak pressure in comparison to other two supraglottic devices. ÖZ Amaç: Proseal LMA ve I gel gibi gastrik aspirasyon avantajı olan supraglottik hava yolu araçları, laparoskopik ameliyatlarda pozitif basınçlı ventilasyonda başarıyla kullanılmaktadır. Kendiliğinden yerleşen membranöz cuff ve etkin sıvı drenaj sistemi gibi pek çok benzersiz özelliğe sahip yeni bir cihaz olan Baska mask, perilarengeal yerleşme basıncının, artan hava yolu basınçları ile aşamalı olarak artacağı şekilde tasarlanmıştır. Ancak, Baska maskın, laparoskopik ameliyatlarda kullanımı kapsamlı olarak araştırılmamıştır. Laparoskopik kolesistektomide pozitif basınçlı ventilasyon sırasında Baska mask (B), Proseal LMA (P) ve I Gel (I)'in etkinliği karşılaştırıldı. Yöntem: Laparoskopik kolesistektomi planlanan ASA I-II 90 hasta, üç gruba (B, I, P) randomize edildi. Çalışma 88 (B-30, I-29, P-29) hasta ile sürdürüldü. Orofarengeal kaçak basıncı, yerleştirme zamanı, etkin hava yolu zamanı ve hava yolu morbiditesi değerlendirildi ve üç grup karşılaştırıldı. İstatistiksel analizde; ortalama, standart sapma, paired sample t-testi, Tukey Post-Hoc testi ile tek yönlü ANOVA kullanıldı. Bulgular: Yerleştirme sırasında orofarengeal kaçak basıncı, B grubunda 38.33±4.353 cmH 2 0, I grubunda 30.57±2.174 cmH 2 0, P grubunda 29.36±2.706 cmH 2 0 idi. Kaçak basıncı, B grubu ve diğer gruplar arasında istatistiksel olarak anlamlıydı. Sonuç: Baska mask, diğer iki supraglottik araç ile karşılaştırıldığında daha yüksek orofaringeal kaçak basıncı sağladı. Bu çalışmada kullanılan üç farklı ikinci kuşak supraglottik hava yolu aracı arasında, Baska mask, yüksek orofarengeal ...

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Section: Introductionmentioning

confidence: 99%

A Prospective Randomized Comparative Study between Baska Mask, Proseal LMA and I Gel during Positive Pressure Ventilation in Laparoscopic Cholecystectomy

Dhanasekaran¹,

Mehta²,

Parameswari³

2019

JARSS

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“…Badheka noticed that the time required for I-gel insertion was significantly less when compared with ETT. 8,9 Shi YB et al, noticed that the insertion time, sealing pressure and incidence of sore throat was lower with I-gel than with proseal LMA and LMA supreme. 10 Abdel aziz et al, found that the insertion time was significantly shorter in the I-gel group, but oropharyngeal seal was better with Baskamask.…”

Section: Discussionmentioning

confidence: 99%

Comparing the functional analysis of I-gel with Baska mask in laparascopic surgeries: an observational study

Shanmugavelu

Kanagarajan

2018

Int J Res Med Sci

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Background: More than 40% of general anaesthetics are managed with supraglottic airway devices. First generation SADs act as airway conduits whereas second generation devices have safety designs like integrated bite block, gastric drainage channel and act as airway conduit for endotracheal intubation. Supraglottic airway devices are getting accepted by many anaesthetists during laparascopic surgeries.Methods: Authors did a study, comparing the functional analysis of I- gel with Baska mask during laparascopic surgeries with controlled ventilation. The study was conducted on sixty patients of either sex scheduled for short duration laparascopic surgeries (<2 hs). The study conducted on ASA I and II patients with a BMI of <30kg/m2. Patients with restricted mouth opening(<2.5cm), difficult airway, known GERD patients, obese patients (>30kg/m2), and ASA physical status III and IV patients were excluded from the study. patients were induced with fentanyl 2µg/ kg, propofol 2-2.5mg/kg and neuromuscular paralysis facilitated with atracurium 0.5mg/kg. Anaesthesia was maintained with oxygen, air (fio2 40%) with isoflurane1.5-2%. Ease of insertion was evaluated using 4-points scale. Score 1 means easy insertion to score 4 denotes impossible to insert. Oropharyngeal seal pressure was measured after five minutes of placement. FGF 5L/min was used after closing the APL valve at 70cm h2o, recording the pressure at which pressue is plateaued. Presence of sore throat, dysphagia and dysphonia were examined 2hrs and 24hrs post operatively.Results: The insertion time was shorter for I-gel (12.3±3.8secs) than Baska mask (20.1±8.1secs). Oropharyngeal leak pressure was significantly higher for Baska mask (24-32cmh20). Oropharyngeal airway morbidity was not significantly different between two groups. So, it has been decided that both airways are suitable for laparascopic surgeries, but I-gel was quicker to insert, but Baska mask gave good airway seal.Conclusions: In this study, authors have noticed that Baska mask will give good airway seal when compared with I-gel. But I-gel was quicker to insert than Baskamask. The main problem of the study was that it was not blinded.

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“…In addition, the gastric channel in i-gel provides protection against aspiration. Hence, i-gel can be a safe and suitable alternative to ETT [7].…”

Section: Discussionmentioning

confidence: 99%

Can i-gel Replace Endotracheal Tube during Elective Cesarean Section?

Amin¹,

Fathy²

2016

J Anesth Clin Res

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I-gel as an alternative to endotracheal tube in adult laparoscopic surgeries: A comparative study

Cited by 21 publications

References 20 publications

A Prospective Randomized Comparative Study between Baska Mask, Proseal LMA and I Gel during Positive Pressure Ventilation in Laparoscopic Cholecystectomy

A Prospective Randomized Comparative Study between Baska Mask, Proseal LMA and I Gel during Positive Pressure Ventilation in Laparoscopic Cholecystectomy

Comparing the functional analysis of I-gel with Baska mask in laparascopic surgeries: an observational study

Can i-gel Replace Endotracheal Tube during Elective Cesarean Section?

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