Comparison of the efficacies of I-gelTM and LMA-ProSealTM for airway management in pediatric patients

Objective & Hypothesis:The present study was performed to compare the performance of I-gelTM with LMA-ProSealTM in children undergoing anesthesia.

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Key Findings & Data:Materials and methods: A total of 185 patients who were scheduled for elective surgery in Dicle University's hospital were randomly divided into 2 groups: the I-gelTM group (Group-I, n = 95) and the p-LMATM group (Group-P, n = 90).

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Conclusion & Impact:The overall success rate was 95% for Group-I and 94% for Group-P (P = 0.10).

🔬Design:Research Article

📍Scope:Comprehensive Sample

⚙️Variables:Key words: I-gelTM · LMA-ProSealTM · supraglottic airway device

Abstract

The present study was performed to compare the performance of I-gelTM with LMA-ProSealTM in children undergoing anesthesia. Materials and methods: A total of 185 patients who were scheduled for elective surgery in Dicle University's hospital were randomly divided into 2 groups: the I-gelTM group (Group-I, n = 95) and the p-LMATM group (Group-P, n = 90). Airway leakage pressure, insertion time, fiberoptic laryngeal image scores, ease of insertion, and possible complications were compared between these groups. Results: The airway leakage pressure of Group-I was significantly higher than that of Group-P (means ± SD: 28 ± 5 vs. 20 ± 4 cmH2O, P < 0.01). The duration of supraglottic airway device insertion was shorter in Group-I than Group-P (19 ± 4 vs. 28 ± 5 s, P < 0.01). The overall success rate was 95% for Group-I and 94% for Group-P (P = 0.10). The I-gel provided a better view of the glottis than the p-LMA (93% of cases in Group-I and 68% of cases in Group-P, P = 0.03). There were no significant differences with regard to ease of insertion (P = 0.97). Conclusion: This study suggested that I-gel is an effective and safe alternative supraglottic airway device for use in children.

Özet

The present study was performed to compare the performance of I-gelTM with LMA-ProSealTM in children undergoing anesthesia. Materials and methods: A total of 185 patients who were scheduled for elective surgery in Dicle University's hospital were randomly divided into 2 groups: the I-gelTM group (Group-I, n = 95) and the p-LMATM group (Group-P, n = 90). Airway leakage pressure, insertion time, fiberoptic laryngeal image scores, ease of insertion, and possible complications were compared between these groups. Results: The airway leakage pressure of Group-I was significantly higher than that of Group-P (means ± SD: 28 ± 5 vs. 20 ± 4 cmH2O, P < 0.01). The duration of supraglottic airway device insertion was shorter in Group-I than Group-P (19 ± 4 vs. 28 ± 5 s, P < 0.01). The overall success rate was 95% for Group-I and 94% for Group-P (P = 0.10). The I-gel provided a better view of the glottis than the p-LMA (93% of cases in Group-I and 68% of cases in Group-P, P = 0.03). There were no significant differences with regard to ease of insertion (P = 0.97). Conclusion: This study suggested that I-gel is an effective and safe alternative supraglottic airway device for use in children.

Keywords

Key words: I-gelTM LMA-ProSealTM supraglottic airway device

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Cite This Article

AYCAN, İ. Ö., BEYAZ, S. G., TÜFEK, A., TOKGÖZ, O., ÇELİK, F., GÜZEL, A., YÜKSEL, M. U. (2022). Comparison of the efficacies of I-gelTM and LMA-ProSealTM for airway management in pediatric patients. Turkish Journal of Medical Sciences, Cilt: 43 - Sayı: 2, 208–213. https://ajindex.com/articles/611070

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