Background: This study was conducted to compare and evaluate the effectiveness of I-gel over endotracheal tube with regards to respiratory and  hemodynamic parameters  in laproscopic surgeries. Methods: In this study 60 adult patients of either sex, of ASA status I or II, aged 16 to 60 years, undergoing laparoscopic surgeries under general anesthesia were randomly studied. In Group-A (I-gel) appropriate sized I-gel was inserted, and in Group-B (ETT) patient’s airway was secured with laryngoscopy-guided endotracheal intubation. Monitoring of PR, MBP, SpO2 and EtCO2 was done throughout the peri-operative period. Haemodynamic and ventilatory parameters were recorded before induction (baseline), just after intubation, then at 1, 3 and 5 min after I-gel insertion/intubation, after pneumoperitoneum, after change of position, before and 5 min after release of pneumoperitoneum and after I-gel removal/extubation. Results: Following the insertion of airway device there was significant rise in PR (3 min after intubation [P = 0.011, df-58, CI-95%]) and MBP (3 min after intubation [P = 0.02, df-58, CI-95%], 5 min after intubation [P = 0.04, df-58, CI-95%]) in Group-B patients when compared to Group-A patients. Following insertion of airway device there was no significant difference in EtCO2 (3 min after intubation [P = 0.778, df-58, CI-95%]), 5 min after intubation [P = 0.75, df-58, CI-95%]) in Group-B patients when compared to Group-A patients. Conclusions: I-gel requires less time for insertion with minimal haemodynamic changes when compared to ETT. I-gel can be a safe and suitable alternative to ETT for laparoscopic surgery.

Background: Scoliosis is a complex deformity of the vertebral spines resulting in lateral curvature, rotation of the vertebrae and deformity of the rib cage. 75 -90% of cases of scoliosis are of the idiopathic type, out of which the adolescent type is most common. Patients with scoliosis present challenges in administration of anesthesia during surgical procedures. The common problems are airway management and respiratory conditions. Aims and Objectives: The present study was aimed to study spinal anaesthesia in patients with scoliosis at a tertiary hospital. Materials and Methods: The present study was a prospective, observational study conducted in department of anesthesiology, in patients between age group 18 and 60 years with scoliosis (Cobb’s angle of >15°), American Society of Anesthesiology physical grade I/II, posted for elective, lower limb orthopedic soft tissue release procedures under spinal anesthesia. All details were noted in case proforma and entered in Microsoft excel sheet. Statistical analysis was done using descriptive statistics. Results: A total of thirty-two patients were included in present study. The mean age was 25.27 ± 4.81 years. Male (63%) were more than female (37%). Male to female ratio 1.7:1. As per American society of anaesthesiologist physical grading grade I patients were 78% while grade II was 22%. The onset of sensory block was in 7.9 ± 2.3 mins and onset of motor block was in 4.9 ± 2 mins. Maximum extent of sensory blockade till T5-T4 was noted in 66% patients. Time taken for complete recovery of motor block to its preoperative level was 94.3 ± 26.2 min. Conclusion: With proper preoperative assessment, spinal anesthesia can be safely used in patients with scoliosis. Patients with scoliosis needs good preoperative assessment, well equipped setup and team efforts for good outcome.