Authors :
Dr. R. Haritha; Dr. O. Srinivas
Volume/Issue :
Volume 8 - 2023, Issue 2 - February
Google Scholar :
https://bit.ly/3IIfn9N
Scribd :
https://bit.ly/3Y60CoP
DOI :
https://doi.org/10.5281/zenodo.7684840
Abstract :
- 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.
- 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.
