The Efficacy Of Non Inflatable Cuff (I-gel and SLIPA) Versus Inflatable Cuff(Soft Seal LMA) Supraglottic Airways In Paralyzed Adult Patients

Mogahed, Mona Mohamed; Anwar, Atteia Gad

doi:10.4172/2155-6148.1000733

Cited by 1 publication

(4 citation statements)

References 24 publications

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“…Moreover, the incidence of sore throat was 30% in LMA device in Mogahed's study. The difference of our study from the Mogahed's study 24 was that the surgery time and the mean of surgery time in our study were five folds that of the Mogahed's study.…”

Section: Discussioncontrasting

confidence: 81%

“… 15 23 This fact shows that the LMA is a faster method among the studied SADs. However, the insertion time of Mogahed's study 24 was lower in I-Gel and LMA and SLIPA placed in the second and third rank. Moreover, the incidence of sore throat was 30% in LMA device in Mogahed's study.…”

Section: Discussionmentioning

confidence: 80%

“…However, other studies showed that LMA, I-Gel, and SLIPA groups create stable hemodynamic responses regarding to the insertion and removal of the supraglottic airways devices. 22 23 24 In addition, in Koga et al 25 study the incidence of respiratory side effects was significantly lower in LMA group.…”

Section: Discussionmentioning

confidence: 90%

“…The Mogahed et al study showed that blood traces on the device and gastric air insufflations were higher in SLIPA method in comparison with LMA and I-Gel. 24 Another study showed that video laryngoscopy was an easier method and has a shorter intubation time than LMA using bougie, although the authors suggested that the LMA could be used as replacement of video laryngoscopy in hard situations. 22 …”

Section: Discussionmentioning

confidence: 99%

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Comparing the efficacy and safety of laryngeal mask airway, streamlined liner of the pharyngeal airway and I-gel following tracheal extubation

et al. 2017

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Adverse events following surgical operations are common complications due to removal of tracheal tube in contrast to the tracheal intubation. Awareness about the new methods and strategies for tracheal tube extubation is necessary for a safe and successful extubation. Therefore, we aimed to assess the safety and efficacy of laryngeal mask airway (LMA), streamlined liner of the pharyngeal airway (SLIPA) and I-gel in extubation time of tracheal tube. A one-single randomized clinical trial was conducted in 105 eligible patients in three groups including LMA, SLIPA and I-gel. The patients were under surgery after general anesthesia with propofol (2–3 mg/kg) and fentanyl (1–2 μg/kg). Hemodynamic responses and extubation consequences including coughing rate, laryngospasm, airway obstruction, apnea, breath holding and straining of patients, vomiting, and need for re-intubation were recorded every 5 minutes since inserting of supraglottic airway devices (SADs) until patients restore consciousness. Analysis of data was conducted in SPSS software by analysis of variance (ANOVA) and ANOVA for repeated measurements tests. The overall successful insertion was 100% for LMA and I-Gel and this rate was 97.1% for SLIPA method. A significant decrease was observed in trend of hemodynamic responses in all three groups. Nevertheless, the MBP was lower in LMA group and lower HR was observed in I-Gel and higher HR occurred in SLIPA (P < 0.05). Three groups was same statistically regarding sore throat, vomiting, coughing, breath holding, apnea, laryngospasm, and re-intubation need (P > 0.05). However, the incidence rate of apnea, and laryngospasm, as well as re-intubation need in SLIPA group was 2.9%, respectively. LMA, I-GEL and SLIPA could be considered as useful and safe devices for ventilation control after tracheal tube removal at the end of operation. Three devices were same regarding to sore throat, vomiting, coughing, and breath holding. However, LMA showed lower side effects while SLIPA was related to more occurrences of apnea, laryngospasm, and re-intubation need.

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Section: Discussioncontrasting

confidence: 81%