Comparing I-Gel to Proseal Laryngeal Mask Airways in Infants: A Prospective Randomised Clinical Study

Oba, Sibel; Türk, Hacer Şebnem; Kılınç, Leyla; Karaci, Birsen Eksioglu; İslamoğlu, Serkan

doi:10.5152/tjar.2019.47936

Cited by 4 publications

(11 citation statements)

References 15 publications

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“…A total of 26 trials [ 3 , 9 – 15 , 17 – 20 , 22 – 25 , 27 – 28 , 30 – 36 , 40 ] showed that i-gel™ provided a higher rate of first-insertion success [RR = 1.03 (1.0, 1.06), I 2 = 32%, P = 0.03] than LMA ProSeal™ ( Fig 4 ). Exactly 21 trials [ 3 , 9 – 12 , 16 , 17 , 19 , 21 – 23 , 25 , 28 – 31 , 33 , 34 , 39 – 41 ] indicated that the insertion ease was substantially higher for i-gel™ than for LMA ProSeal™ [RR = 1.06 (1.01, 1.11), I 2 = 47%, P = 0.01] ( Fig 4 ). In addition, 23 trials [ 3 , 12 – 16 , 19 , 21 – 25 , 27 – 29 , 31 – 34 , 36 , 37 , 40 ] showed that SAD intubation time was notably shorter for i-gel™ than for LMA ProSeal™ [MD = -5.61 (-7.71, -3.51), I 2 = 98%, and P<0.00001] ( Fig 5 ).…”

Section: Resultsmentioning

confidence: 99%

“…Exactly 21 trials [ 3 , 9 – 12 , 16 , 17 , 19 , 21 – 23 , 25 , 28 – 31 , 33 , 34 , 39 – 41 ] indicated that the insertion ease was substantially higher for i-gel™ than for LMA ProSeal™ [RR = 1.06 (1.01, 1.11), I 2 = 47%, P = 0.01] ( Fig 4 ). In addition, 23 trials [ 3 , 12 – 16 , 19 , 21 – 25 , 27 – 29 , 31 – 34 , 36 , 37 , 40 ] showed that SAD intubation time was notably shorter for i-gel™ than for LMA ProSeal™ [MD = -5.61 (-7.71, -3.51), I 2 = 98%, and P<0.00001] ( Fig 5 ). Twelve trials [ 3 , 11 , 14 , 17 , 19 , 21 , 23 , 25 , 27 , 32 , 33 , 40 ] examined the rate of gastric-tube first-insertion success and observed no great difference between the two SADs [RR = 1.04 (0.99, 1.18), I 2 = 66%, and P = 0.11] ( Fig 5 ).…”

Section: Resultsmentioning

confidence: 99%

“…Seven RCTs [ 9 – 15 ] observed higher OLP values in i-gel™ compared with LMA ProSeal™. However, 15 studies [ 16 – 30 ] recorded lower OLP values in i-gel™ compared with LMA ProSeal™, and 8 other research [ 3 , 31 – 37 ] found no difference. Therefore, RCTs alone cannot sufficiently offer adequate insights into the clinical applications of i-gel™ and LMA ProSeal™.…”

Section: Introductionmentioning

confidence: 99%

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Contrast of oropharyngeal leak pressure and clinical performance of I-gel™ and LMA ProSeal™ in patients: A meta-analysis

2022

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Background Conflicting outcomes have been reported for the i-gel™ and laryngeal mask airway (LMA) ProSeal™ in children and adults during general anesthesia. Randomized controlled trials (RCTs) that yielded wide contrast outcomes between i-gel™ and LMA ProSeal™ were included in this meta-analysis. Methods Two authors independently identified RCTs that compared i-gel™ with LMA ProSeal™ among patients receiving general anesthesia by performing searches in EMBASE, Cochrane, PubMed, and ScienceDirect. Discussion was adopted to resolve disagreements. Data were counted with Review Manger 5.3 and pooled by applying weighted mean difference (MD) and rlsk ratio (RR), and related 95% confidence intervals. Results A total of 33 RCTs with 2605 patients were included in the meta-analysis. I-gel™ provided a considerably lower oropharyngeal leak pressure [weighted average diversity (MD) = -1.53 (-2.89, -0.17), P = 0.03], incidence of blood staining on the supraglottic airway devices [RR = 0.44, (0.28, 0.69), P = 0.0003], sore throat [RR = 0.31 (0.18, 0.52), P<0.0001], and a short insertion time [MD = -5.61 (-7.71, -3.51), P<0.00001] than LMA ProSeal™. Compared with LMA ProSeal™, i-gel™ offered a significantly higher first-insertion success rate [RR = 1.03 (1.00, 1.06), P = 0.03] and ease of insertion [RR = 1.06 (1.01, 1.11), P = 0.03]. The gastric-tube-placement first insertion rate [RR = 1.04 (0.99, 1.10), P = 0.11], laryngospasm [RR = 0.76 (0.17, 3.31), P = 0.72], and cough [RR = 1.30 (0.49, 3.44), P = 0.60] between the two devices were similar. Conclusions Both devices could achieve a good seal to provide adequate ventilation. Compared with the used LMA ProSeal™, the i-gel™ was found to have fewer complications (blood stainning, sore throat) and offers certain advantages (short insertion time, higher first-insertion success rate and ease of insertion) in patients under general anesthesia.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Contrast of oropharyngeal leak pressure and clinical performance of I-gel™ and LMA ProSeal™ in patients: A meta-analysis

2022

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“…O I-gel apresentou taxa de sucesso de 100% na primeira tentativa (35) , em consonância com o encontrado na literatura, onde sua inserção é definida como fácil pela maioria dos profissionais que a utilizam (47) . Quando comparado à LMA, o I-gel foi colocado mais rapidamente (35) .…”

Section: Dispositivos De Segunda Geraçãounclassified

“…Quando comparado à LMA, o I-gel foi colocado mais rapidamente (35) . Estudos evidenciaram que a inserção do I-gel foi mais rápida quando comparada com outros tipos de ML (47,48) . O que pode estar relacionado com sua característica de possuir um manguito não inflável (3) .…”

Section: Dispositivos De Segunda Geraçãounclassified

Inserção da máscara laríngea por enfermeiros: revisão integrativa da literatura

Silva

Pires

Silveira

et al. 2022

Rev. Eletr. Enferm.

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Objetivo: Identificar as evidências científicas da literatura sobre a inserção de máscara laríngea por enfermeiros. Método: Revisão integrativa de literatura, realizada em novembro de 2020, cuja busca ocorreu nas bases de dados Cumulattive Index to Nursing and Allied Health Literature, Cochrane, Excerpta Médica Database, Literatura Latino-Americana e do Caribe em Ciências da Saúde, US National Library of Medicine National Institutes Database Search of Health e Web of Science por meio do programa Rayyan para seleção dos estudos. Resultados: Identificaram-se 1.156 estudos, do quais oito atenderam aos critérios de inclusão. Os estudos foram categorizados em dispositivos de primeira e segunda geração. Conclusão: Conclui-se que o uso de máscara laríngea de primeira e segunda geração por enfermeiros é uma alternativa recomendada por sua rapidez, sucesso e eficácia em garantir a via aérea avançada, em especial, em situações de parada cardiorrespiratória em adultos, porém, recomenda-se verificar os efeitos adversos de seu uso.

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Update 2022: Interdisziplinäre Stellungnahme zum Atemwegsmanagement mit supraglottischen Atemwegshilfen in der Kindernotfallmedizin – die Larynxmaske ist und bleibt State of the Art

et al. 2023

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Comparing I-Gel to Proseal Laryngeal Mask Airways in Infants: A Prospective Randomised Clinical Study

Cited by 4 publications

References 15 publications

Contrast of oropharyngeal leak pressure and clinical performance of I-gel™ and LMA ProSeal™ in patients: A meta-analysis

Contrast of oropharyngeal leak pressure and clinical performance of I-gel™ and LMA ProSeal™ in patients: A meta-analysis

Inserção da máscara laríngea por enfermeiros: revisão integrativa da literatura

Update 2022: Interdisziplinäre Stellungnahme zum Atemwegsmanagement mit supraglottischen Atemwegshilfen in der Kindernotfallmedizin – die Larynxmaske ist und bleibt State of the Art

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