- Introduction: LMA Proseal™ is considered the premier supraglottic airway device in children. I-gel circumvents the cuff related problems of second generation devices as its seal is made of thermoplastic elastomer. Its potential advantages include easy insertion, minimal tissue compression and good stability. We planned this study to assess the clinical performance of Igel and LMA Proseal™ in children breathing spontaneously. Methodology: 60 patients of ASA grade I and II, weighing between 10-25 kg, posted for elective surgery with a duration of less than 1hr, were randomly divided into two groups (30 each). Standard general anesthesia was administered to all children. Ease of insertion of the device and nasogastric tube, oropharyngeal seal pressure, hemodynamic parameters and intra- and postoperative complications were noted. Results: The patients were comparable with respect to demographic data. Insertion was assessed as very easy in both groups. Success rate of insertion in first attempt was >90% in each group. I-gel showed shortest mean time for insertion (16 ± 4 seconds). I-gel had highest seal pressure (25.2 ± 2.8) than LMA Proseal™ (22.6 ± 2.8)). Conclusion: We conclude that I-gel is comparable to LMA Proseal of the same size in pediatric patients with respect to hemodynamic parameters, ease of insertion, ease of insertion of gastric tube and post-operative complications. Therefore, it can be reliably used in pediatric anesthesia children in both elective surgeries and in procedure requiring anesthesia outside the operating room

Keywords : Proseal; LMA Prosseal; Ssupraglottic Airway.