A Study on Complications of I - Gel Versus Cuffed Tracheal Tube in Elective Laparoscopic Cholecystectomy

Jamagond, Siddharam; Anuradha, H.; Ramesh, K

doi:10.21088/ijaa.2349.8471.3116.7

Cited by 1 publication

(3 citation statements)

References 0 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…This association was also found to be statistically not significant (P>0.05), similar finding was also found in previous study. 7 In this study, on comparing the ease of insertion in terms of number of attempts and time for insertion, it was found that the mean time of insertion in Group A (Endotracheal Tube) was 13.33±2.106 s and in Group B (I-Gel) it was 11.70±2.054 s. This association was found to be statistically significant (P<0.05) which means that there was significantly less time required for insertion of I-gel as compared to endotracheal tube because I-gel does not required laryngoscopy for insertion so less time was required. On the other hands in view of number of attempts, I-gel was successfully inserted in first attempt in 90% of the patients while 73.3% patients of endotracheal tube group were intubated in 1 st attempt and rest of all patients were intubated in the 2 nd attempt but this association was found to be statistically insignificant (P>0.05), similar finding was also found in the previous study.…”

Section: Discussionmentioning

confidence: 99%

“…4 Gastric tube provide protection against regurgitation and prevents gastric insufflation, better oxygenation during emergence, and decreased post-operative sore throat and voice alteration. 6,7 I-gel is a single use second generation supraglottic airway device made of medical grade thermoplastic elastomer. It has a non-inflatable cuff to reduce the complications associated with compression, trauma and high pressure and it provides a tight seal sufficient for maintain spontaneous as well as intermittent positive pressure ventilation.…”

Section: Introductionmentioning

confidence: 99%

“…After induction mean arterial pressure (MAP) for the I-gel was 97.32±6.9 and MAP after induction in ET tube 7…”

mentioning

confidence: 99%

See 2 more Smart Citations

A comparative study between I-gel and endotracheal tube in elective laparoscopic cholecystectomy surgeries under general anesthesia

Kapil Ahirwar,

Suman Gupta,

Abhishek Gupta

et al. 2023

Asian J Med Sci

View full text Add to dashboard Cite

Background: With increase in incidence of gall bladder stone the laparoscopic cholecystectomy preferred in various hospitals. Laryngoscopic stimulation of oropharyngeal and laryngeal structures leads to hemodynamic stress response. I-gel is a second generation supraglottic airway device with noninflatable cuff, having several advantages such as minimal hemodynamic changes during insertion and easy to insert. Aims and Objectives: The aim of this study was to compare I-gel and endotracheal tube regarding hemodynamic stability, adequacy of ventilation, ease of insertion through number of attempts, and time for insertion and associated complications in patients undergoing laparoscopic cholecystectomy. Materials and Methods: Total 60 patients of either sex, 25–55 years age of ASA Grades I and II were randomly allocated into two groups of 30 patients each; Group A (endotracheal tube) and Group B (I-gel). Ease of insertion in terms of number of attempts and time for insertion, hemodynamic variation and their complications were recorded. Results: Significantly less time was required for insertion of I-gel as compared to endotracheal tube (P=0.04), while number of attempts required for insertion were comparable, highly significant difference in heart rate, systolic blood pressure, mean arterial pressure just after insertion and at extubation of endotracheal tube than I-gel group (P<0.01), peak airway pressure at insufflation with endotracheal tube was highly significant (P<0.01), and SPO2 and ETCO2 were comparable. The complications were statistically insignificant among the study groups. Conclusion: Comparison to endotracheal tube, I-gel required less time and less number of attempts for insertion and causes fewer hemodynamic alterations. In addition, peak airway pressure was also significantly more in endotracheal tube just before and at pneumoperitoneum.

show abstract

Section: Discussionmentioning

confidence: 99%