Application of the LMA-Supreme™ and i-gel™ laryngeal masks during pelvic operations in adults

Wang, Fei; Zhang, Rui

doi:10.1016/j.asjsur.2015.01.011

Cited by 6 publications

(7 citation statements)

References 27 publications

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“…The rates of ‘easy’ when each SAD was inserted were 78.9% and 36.8% for the i-gel Ⓡ and LMA Supreme TM , respectively. Unlike in our study, ease of insertion was comparable in the two studies on adult patients [9,15] and the LMA Supreme TM was easier to insert than the i-gel Ⓡ in another study [12]. However, these previous three studies evaluated the ease of insertion with other standards (5- or 4-point scales), and the standards were completely subjective without definite criteria.…”

Section: Discussioncontrasting

confidence: 42%

“…These findings suggest the importance of selecting appropriately among the several SADs that can be used in geriatric patients. Although there have been a number of investigations of these two SADs [1,6,9–15], few studies have compared time for successful insertion, success rate of insertion, ease of insertion, oropharyngeal leak pressure, gastric insufflation, fiberoptic view grades, and ventilator problems in the elderly. Therefore, we designed this comparative study to compare the clinical performance between i-gel Ⓡ and LMA Supreme TM devices in geriatric patients.…”

Section: Introductionmentioning

confidence: 99%

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Comparison of the clinical performance of airway management with the i-gel® and laryngeal mask airway SupremeTM in geriatric patients: a prospective and randomized study

Cho

Lee

et al. 2019

Korean J Anesthesiol

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Background Geriatric patients are susceptible to respiratory and hemodynamic adverse events during endotracheal intubation and extubation due to anatomic and physiological changes with aging. Supraglottic airway devices (SADs) provide reduced airway morbidity and increased hemodynamic stability in adults. However, studies that have compared the clinical performance of SADs in geriatric patients are limited. Therefore, we evaluated the clinical performance of airway management with i-gel ® and laryngeal mask airway Supreme (LMA Supreme TM ) in geriatric patients. Methods The subjects were American Society of Anesthesiologists physical status classification I–III geriatric (65–85 years) patients who underwent elective surgery with general anesthesia and were randomly allocated into the i-gel ® group and the LMA Supreme TM group. We compared the time for successful insertion on a first attempt as a primary outcome, and the secondary outcomes were success rate, ease of insertion, maneuver for successful ventilation, oropharyngeal leak pressure, gastric insufflation, fiberoptic view grades, ventilator problems, and adverse events. Results Insertion time was significantly shorter for the i-gel ® than the LMA Supreme TM (21.4 ± 6.8 vs. 29.3 ± 9.9 s; P = 0.011). The i-gel ® was also easier to insert than the LMA Supreme TM (P = 0.014). Gastric insufflation was less frequent with the i-gel ® than the LMA Supreme TM (0% vs. 31.3%; P = 0.013). Other measurements were comparable between groups. Conclusions Both devices can be safely applied to geriatric patients with similar success rates and oropharyngeal leak pressures. However, inserting the i-gel ® was faster and easier compared to the LMA Supreme TM in geriatric patients.

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Section: Discussioncontrasting

confidence: 42%

Section: Introductionmentioning

confidence: 99%

Comparison of the clinical performance of airway management with the i-gel® and laryngeal mask airway SupremeTM in geriatric patients: a prospective and randomized study

Cho

Lee

et al. 2019

Korean J Anesthesiol

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“…Study conducted by Radhika KS et al 10 have reported lesser insertion time for LMA-Supreme compared to I-Gel but their result did not attainted statistical significance. Majority of the studies reported that the oropharyngeal leak pressure of I-Gel was higher than LMA-Supreme which was in accordance to our study (11,12) . The airway leak pressure is used to evaluate the safety and efficacy of Supraglottic Airway Devices, because high leak pressures indicate that adequate ventilation can be achieved without air leakage during positive pressure ventilation at high inspiratory pressures.…”

Section: Discussionsupporting

confidence: 91%

Untitled

2020

MIJOANS

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Background: There have been various studies reported about LMA-Supreme and I-Gel due to their acclaimed advantages. However there have been conflicting results regarding the ease of insertion, oropharyngeal leak pressure and postoperative complications. Hence, we proposed to assess these two devices for ease of insertion, oropharyngeal leak pressure, haemodynamic changes and postoperative complications. Aim and Objectives: To compare LMA-Supreme and I-Gel in terms of ease of insertion (which will be assessed by the number of attempts required for device insertion and insertion time), oropharyngeal leak pressure, haemodynamic response and postoperative complications. Materials and Methods: The study was conducted in Department of Anaesthesiology,

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“…5 Significant data is available regarding SAD efficacy and safety during various surgical procedure. [5][6][7] In laparoscopic cholecystectomy (LC), changes in airway mechanics occurred, results in elevated respiratory pressure that sometime exceed from the pressure of the device which is being used. Assessing the effectiveness of SAD during laparoscopic surgeries is still a big challenge for medical technicians.…”

Section: Introductionmentioning

confidence: 99%

Comparison of Frequency of Complications of i-Gel and Laryngeal Mask Airway Supreme™ in Laparoscopic Cholecystectomy

Ali¹,

Kumar²,

Ali³

et al. 2021

PJMHS

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Aim: To compare the frequency of complications of i-gel versus laryngeal mask airway supreme™ (LMA Supreme) in laparoscopic cholecystectomy. Study Design: Randomized Controlled Trial Place and Duration of Study: Department of Anesthesia, Jinnah Postgraduate Medical Institute Karachi from 16th September 2019 to 15th March 2020. Methodology: One hundred and fifty four patients having gallstones ≤5 in numbers (size <2cm) on ultrasound for >6 months requiring cholecystectomy and planned for elective list under general anesthesia of age ranges from 25-55 years of both gender were included. Patients with known or predicted difficult airway, oropharyngeal pathology, cervical spine fracture, GERD and hiatus hernia were excluded. In group A, airway was secured with i-gel while in group B, airway was secured with laryngeal mask airway supreme™. In all patients, anesthesia was given by one consultant anesthetist (at least 3 years 0f post-fellowship experience). All patients were followed by the researcher in the first 24 hours for presence or absence of dysphagia and sore throat. Results: The mean age was 34.78±6.30 years in group A and 34.38±6.37 years in group B. Majority of the patients 119 (77.27%) were between 25 to 40 years of age. There were 54 (35.06%) males and 100 (64.94%) were females with male to female ratio of ratio of 1:2.9. The complications of i-gel vs laryngeal mask airway supreme™ were found to be as follows; dysphagia on 0.0% vs 6.49% (p-value = 0.023) and sore throat in 3.90% vs 20.78% (p=0.001). Conclusion: The frequency of dysphagia and sore throat is less after i-gel use in laparoscopic cholecystectomy as compared to laryngeal mask airway supreme™. Keywords: General anesthesia, I-gel, Dysphagia

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Application of the LMA-Supreme™ and i-gel™ laryngeal masks during pelvic operations in adults

Abstract: The i-gel and LMA-Supreme laryngeal masks are safe and effective for airway management in patients during pelvic operations.

Cited by 6 publications

References 27 publications

Comparison of the clinical performance of airway management with the i-gel® and laryngeal mask airway SupremeTM in geriatric patients: a prospective and randomized study

Comparison of the clinical performance of airway management with the i-gel® and laryngeal mask airway SupremeTM in geriatric patients: a prospective and randomized study

Untitled

Comparison of Frequency of Complications of i-Gel and Laryngeal Mask Airway Supreme™ in Laparoscopic Cholecystectomy

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