Comparison of i-gel® and LMA Supreme® during laparoscopic cholecystectomy

Park, Sang Yoong; Rim, Jong Cheol; Kim, Hyuk; Lee, Ji Hyeon; Chung, Chan Jong

doi:10.4097/kjae.2015.68.5.455

Cited by 29 publications

(33 citation statements)

References 26 publications

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“…There was no statistically significant difference between the two groups (p>0.05) with respect to above. These results are consistent with the findings of Park et al 12 Both groups were compared statistically for baseline hemodynamic parameters like PR, SBP, DBP after immediate insertion of device, 5 min and 10 min after the device. SpO2 and EtCO2 maintained throughout the study.…”

Section: Discussionsupporting

confidence: 91%

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Comparative study between LMA supreme with I-gel in anaesthetised adult patient on effectiveness and safety

Samel

Morale

2017

Int J Res Med Sci

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Background: Supreme laryngeal mask airway (SLMA) and I-gel airway devices are second generation supraglottic airway devices (SAD) and are good alternatives to intubation during surgeries. The study was conducted with the objective to compare two supraglottic airway devices for ease of insertion, number of attempts of insertion, hemodynamic changes, incidence of adverse effects like regurgitation, lip and dental trauma and post-operative sore throat, dysphagia or hoarseness. Methods: This study was conducted at Topiwala National Medical College and BYL Nair hospital, Mumbai. 80 patients of ASA class 1 and 2 with Mallampati grading 1 and 2, between age group of 18-60 years and with BMI <28kg/m 2 were selected for the study. After induction of anesthesia for all the patients, one of SAD (SLMA or I-gel) was inserted randomly and accordingly they are divided into two groups consisting of 40 in each. Insertion parameters, hemodynamic and respiratory parameters were noted. Patients were also observed for any complications for 1 hour and 24 hours postoperatively. Results: Both groups were compared in terms of demographic characteristics, insertion parameters, hemodynamic and respiratory parameters and found no statistically significant differences between them (p>0.05). Postoperatively no significant complications were observed in terms of dental injury, laryngospasm. Complication like sore throat after 1 hour and after 24 hours was comparatively more in I-gel group but difference was not significant at 1 hr (p>0.05). Dysphagia was reported more in SLMA group (8 cases) than I-gel group (1 case) at one hour and the difference was statistically significant (p=0.013). Conclusions: SLMA and I-GEL are better airway management option for patients undergoing short surgical procedures under general anaesthesia.Keywords: Efficacy, I-gel, Safety, Supraglottic airway devices, SLMA DOI: http://dx.doi.org/10.18203/2320-6012.ijrms20175437Samel SA et al. Int J Res Med Sci. 2017 Dec;5(12):5263-5267 International Journal of Research in Medical Sciences | December 2017 | Vol 5 | Issue 12 Page 5264 seal pressure around the laryngeal opening. It has integral bite block and a tab for adhesive fixation of the device. Fixation tab is rectangular structure moulded on to the manifold at right angles and projects over the patient's upper lip. It is designed to facilitate easy insertion and fixation of the SLMA, after insertion and inflation of its cuff. 3 The I-gel is a truly unique latex free SAD. The shape, softness and contours accurately mirror the peri-laryngeal anatomy to create the perfect fit and no cuff inflation is required. I-Gel provides controlled ventilation and spontaneous breathing during anaesthesia and it allows easy recognition of gastric content and passage of drain tube and suctioning and venting. 4 Many studies have been conducted regarding the safety and efficacy of SLMA and I-gel in various situations. [4][5][6][7] But still there is a need to prove their safety and efficiency in short surgical procedures. Henc...

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Section: Discussionsupporting

confidence: 91%

“…Similar findings were made by Park et al and Belena et al 12,16 On contrary Ragazzi et al reported incidence of sore throat was more in SLMA group compared to I-gel. 17 Dysphagia was reported more in SLMA group (8 cases) than I-gel group (1 case) at one hour.…”

Section: Discussionsupporting

confidence: 87%

Comparative study between LMA supreme with I-gel in anaesthetised adult patient on effectiveness and safety

Samel

Morale

2017

Int J Res Med Sci

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“…[1314] A number of randomized clinical trials and a meta-analysis also reported that OLP between i-gel™ and LMA-S™ is similar. [678915] On the contrary to our findings, Chew et al . and Ragazzi et al .…”

Section: Discussioncontrasting

confidence: 99%

“…A number of RCTs also reported similar insertion time between LMA-S™ and i-gel™. [81220] Theiler et al . reported that LMA-S™ insertion is significantly shorter in patients with cervical collar.…”

Section: Discussionmentioning

confidence: 99%

“…[5] Although a number of randomized controlled trials and a meta-analysis have compared i-gel™ and LMA-S™ in adult patients and found that both the device provided equivalent oropharyngeal leak pressure (OLP). [6789] After reviewing the literature, we did not found any study till now that has compared air-Q™ with either of these two devices in adult patients. Jagannathan et al .…”

Section: Introductionmentioning

confidence: 99%

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Comparison of oropharyngeal leak pressure of air-Q™,i-gel™, and laryngeal mask airway supreme™ in adult patients during general anesthesia: A randomized controlled trial

et al. 2017

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Study Objective:Various randomized controlled trials and a meta-analysis have compared i-gel™ and laryngeal mask airway Supreme™ (LMA-S™) in adult patients and found that both the devices provided equivalent oropharyngeal leak pressure (OLP). However, no randomized controlled trial has compared air-Q™ with i-gel™ and LMA-S™ in adult patient. Hence, we designed this study to compare air-Q™ with LMA-S™ and i-gel™ in adult patients.Materials and Methods:A total of 75 adult patients of the American Society of Anesthesiologists physical status I/II of both sexes, between 18 and 60 years, were included in this prospective randomized controlled trial conducted in a tertiary care center. Randomization of patients was done in three equal groups according to the insertion of supraglottic airway device by a computer-generated random number sequence: group air-Q™ (n = 25), group i-gel™ (n = 25), and group LMA-S™ (n = 25). Primary outcome of this study was OLP. We also recorded time for successful placement of device, ease of device insertion, number of attempts to insert device, and ease of gastric tube insertion along with postoperative complications.Results:The mean ± standard deviation OLP of air-Q™, i-gel™, and LMA-S™ was 26.13 ± 4.957 cm, 23.75 ± 5.439 cm, and 24.80 ± 4.78 cm H2O (P = 0.279). The first insertion success rate for air-Q™, i-gel™, and LMA-S™ was 80%, 76%, and 92%, respectively (P = 0.353). The insertion time of air-Q™, i-gel™, and LMA-S™ was 20.6 ± 4.4, 14.8 ± 5.4, and 15.2 ± 4.7 s, respectively (P = 0.000). Time taken for air-Q™ insertion was significantly higher than time taken for i-gel™ (mean difference 5.8 s, P < 0.0001) and LMA-S™ (mean difference 5.4 s, P = 0.0001) insertion. Postoperative complications were similar with all three devices.Conclusions:We concluded that air-Q™, i-gel™, and LMA-S™ were equally efficacious in terms of routine airway management in adult patients with normal airway anatomy.

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Choice of supraglottic airway devices: a network meta-analysis of randomised controlled trials

Kanakaraj,

Bhat,

Singh

et al. 2024

British Journal of Anaesthesia

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Comparison of i-gel® and LMA Supreme® during laparoscopic cholecystectomy

Cited by 29 publications

References 26 publications

Comparative study between LMA supreme with I-gel in anaesthetised adult patient on effectiveness and safety

Comparative study between LMA supreme with I-gel in anaesthetised adult patient on effectiveness and safety

Comparison of oropharyngeal leak pressure of air-Q™,i-gel™, and laryngeal mask airway supreme™ in adult patients during general anesthesia: A randomized controlled trial

Choice of supraglottic airway devices: a network meta-analysis of randomised controlled trials

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