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Indian Journal of Anesthesia and Analgesia

Volume  7, Issue 3, May-June 2020, Pages 787-790
 

Original Article

Comparison of Clinical Performance of I-Gel With Proseal Laryngeal Mask Airway in Surgical Procedures

S Arpitha Mary, Dinesh Krishnamurthy

1Post Graduate Resident, 2 Professor and Head, Dept. of Anaesthesiology, Sri Devaraj URS Medical College, Sri Devaraj Urs Academy of Higher Education and Research, Kolar, Karnataka 563101, India

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DOI: http://dx.doi.org/10.21088/ijaa.2349.8471.7320.20

Abstract

Context: LMA is devised as a substitute for the face mask and an alternative for endotracheal Intubation. Aims: The objective of the study is to compare I-Gel and Proseal LMA. Settings and Design: Randomise prospective comparative study. Methods and Material: a study was conducted on 72 patients of age group 18-60 years with ASA I /II of either sex, admitted for elective surgery done under GA. All patients were pre-medicated with i.v Glycopyrrolate and Fentanyl. Preoxygenated for 3 mins.Induced with i.v Propofol and Scoline. Group
A- Proseal LMA Group B- I-Gel was inserted Statistical analysis used: The collected data was coded in an Excel spreadsheet. Demographic data was analyzed with a paired independent student’s T-test. p values < 0.05 is considered statistically significant. Fisher’s exact test or Chi-square was used to compare categorical data. Results: The mean airway leak pressure of the Proseal group was 30 cm H2O and significantly higher than I-Gel 23 cm H2O. There was no statistical difference in the ease of insertion in both devices. The overall
success rate was 100%. The mean insertion time was significantly less for I-Gel (14s) when compared to Proseal (24s). The gastric tube could be inserted easily in all the cases The hemodynamic response was comparable between the two groups. Conclusions: We conclude that Proseal has a higher airway leak pressure of 30cm H20 compared to I-Gel (23cm H2O) enabling positive pressure ventilation at higher pressures and therefore for a wider spectrum of patients. However, I-Gel is better than Proseal in terms of faster and easier insertion.


Keywords : Airway Sealing Pressures, I-gel, Proseal.
Corresponding Author : Dinesh Krishnamurthy