-gel™ in Ambulatory Surgery: A Comparison with LMA—ProSeal™ in Paralyzed Anaesthetized Patients

Das, Anjan; Majumdar, S. K.; Mukherjee, Anindya; Mitra, Tapobrata; Kundu, Ratul; Hajra, Bimal Kumar; Mukherjee, Dipankar; Das, B. C.

doi:10.7860/jcdr/2014/7890.4113

Cited by 18 publications

(43 citation statements)

References 19 publications

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“…(9) These findings have been demonstrated by other studies as well. (23,24) The i-gel SAD has a non-inflatable cuff that was designed to provide an anatomical fit over the perilaryngeal structures, minimising the risk of compression of neurovascular structures in these tissues and thereby reducing the incidence of airway complications. (25,26) Our study had several limitations.…”

Section: Discussionmentioning

confidence: 99%

Comparison of the clinical performance of i-gel, LMA Supreme and LMA ProSeal in elective surgery

Liew

Shah

et al. 2016

smedj

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INTRODUCTIONThe LMA Supreme™, i-gel ® and LMA ProSeal™ are second-generation supraglottic airway devices. We tested the hypothesis that these devices differ in performance when used for spontaneous ventilation during anaesthesia.METHODS 150 patients who underwent general anaesthesia for elective surgery were randomly allocated into three groups. Data was collected on oropharyngeal leak pressures, ease and duration of device insertion, ease of gastric tube insertion, and airway safety. RESULTSLeak pressure, our primary outcome measure, was found to be higher for the i-gel than the Supreme and ProSeal (mean ± standard error of the mean: 27.31 ± 0.92 cmH 2 O, 23.60 ± 0.70 cmH 2 O and 24.44 ± 0.70 cmH 2 O, respectively; p = 0.003). Devices were inserted on the first attempt for 90%, 82% and 72% of patients in the i-gel, Supreme and ProSeal groups, respectively (p = 0.105); mean device placement times were 23.58 seconds, 25.10 seconds and 26.34 seconds, respectively (p = 0.477). Gastric tubes were inserted on the first attempt in 100% of patients in the Supreme group, and 94% of patients in the i-gel and ProSeal groups (p = 0.100). There was blood staining on removal in 9 (18%) patients in each of the Supreme and ProSeal groups, with none in the i-gel group (p = 0.007). The incidence of postoperative sore throat, dysphagia and hoarseness was lowest for the i-gel. CONCLUSIONThe three devices were comparable in terms of ease and duration of placement, but the i-gel had higher initial oropharyngeal leak pressure and lower airway morbidity compared with the ProSeal and Supreme.

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Section: Discussionmentioning

confidence: 99%

Comparison of the clinical performance of i-gel, LMA Supreme and LMA ProSeal in elective surgery

Liew

Shah

et al. 2016

smedj

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“…[13] Our findings for complications with use of the three devices are similar to the results obtained by other authors. [16,22,23] Soliveres et al found that the use of PLMA produced more sore throat as compared to the i-gel. [24] Various studies have reported similar findings, wherein the incidence of sore throat is minimal with i-gel in comparison with other supraglottic airway devices.…”

Section: Discussionmentioning

confidence: 99%

A Comparative Study of Pro Seal Laryngeal Mask Airway, i-gel and Combitube under General Anaesthesia for Elective Surgical Patients Requiring Controlled Ventilation

Anand¹

2018

jmscr

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“…The use of supraglottic airway devices reduces the need for muscle relaxants, shortens the duration to discharge, and allows the patients to return early to their social and occupational activities (1,2).…”

Section: Introductionmentioning

confidence: 99%

“…Various types of supraglottic airway devices are used in relation to age group, intubation diffi culty, and elective and emergency situations in a reliable fashion (1,3,4). Airway devices may have infl atable cuffs similar to those in cobraPLA and LMA and may be produced from thermoplastic elastomer appropriate to the anatomy of the perilaryngeal area, similar to I-gel, while non-infl atable supraglottic airway devices are also available (5,6).…”

Section: Introductionmentioning

confidence: 99%

Comparison of effects of classic LMA, cobraPLA and V-gel rabbit on QTc interval

Toman¹,

Erbaş²,

Kiraz³

et al. 2015

BLL

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AIM: We aimed to compare the effects of three different supraglottic airway devices, the classic LMA, PLA, and V-gel, on hemodynamics and QTc in rabbits under general anesthesia. METHOD: The rabbits were divided into four groups: Group C (n = 5) control group with no airway device used, Group L (n = 5, classic LMA), Group P (n = 5, CobraPLA) and Group V (n = 5, V-gel-rabbit). Basal values of heart rate (HR), mean arterial pressure (MAP) and ECG for QTc interval were measured and the measurements were evaluated at 1, 5, 15, and 30 minutes after inserting the airway device RESULTS: The values of HR, MAP and QTc in Group V at minutes 1 and 5 were signifi cantly different to those in Group L and Group P (p < 0.05). DISCUSSION: The classic-LMA and cobraPLA cover a wide part of the perilaryngeal area with cuffs infl ated to about 60 cmH 2 O of pressure resulting in mucosal compression. As V-gel rabbit does not have a cuff, it covers a smaller part of the laryngopharyngeal area, and thus does not cause mucosal compression, and the hemodynamic response is weaker. CONCLUSION: When comparing hemodynamic responses to other supraglottic airway devices, the response to V-gel rabbit is minimal and we consider that similar studies using the I-gel on humans are required (Fig. 5

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-gel™ in Ambulatory Surgery: A Comparison with LMA—ProSeal™ in Paralyzed Anaesthetized Patients

Cited by 18 publications

References 19 publications

Comparison of the clinical performance of i-gel, LMA Supreme and LMA ProSeal in elective surgery

Comparison of the clinical performance of i-gel, LMA Supreme and LMA ProSeal in elective surgery

A Comparative Study of Pro Seal Laryngeal Mask Airway, i-gel and Combitube under General Anaesthesia for Elective Surgical Patients Requiring Controlled Ventilation

Comparison of effects of classic LMA, cobraPLA and V-gel rabbit on QTc interval

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