Comparing the functional analysis of I-gel with Baska mask in laparascopic surgeries: an observational study

Background: More than 40% of general anaesthetics are managed with supraglottic airway devices. First generation SADs act as airway conduits whereas second generation devices have safety designs like integrated bite block, gastric drainage channel and act as airway conduit for endotracheal intubation. Supraglottic airway devices are getting accepted by many anaesthetists during laparascopic surgeries.Methods: Authors did a study, comparing the functional analysis of I- gel with Baska mask during laparascopic surgeries with controlled ventilation. The study was conducted on sixty patients of either sex scheduled for short duration laparascopic surgeries (<2 hs). The study conducted on ASA I and II patients with a BMI of <30kg/m2. Patients with restricted mouth opening(<2.5cm), difficult airway, known GERD patients, obese patients (>30kg/m2), and ASA physical status III and IV patients were excluded from the study. patients were induced with fentanyl 2µg/ kg, propofol 2-2.5mg/kg and neuromuscular paralysis facilitated with atracurium 0.5mg/kg. Anaesthesia was maintained with oxygen, air (fio2 40%) with isoflurane1.5-2%. Ease of insertion was evaluated using 4-points scale. Score 1 means easy insertion to score 4 denotes impossible to insert. Oropharyngeal seal pressure was measured after five minutes of placement. FGF 5L/min was used after closing the APL valve at 70cm h2o, recording the pressure at which pressue is plateaued. Presence of sore throat, dysphagia and dysphonia were examined 2hrs and 24hrs post operatively.Results: The insertion time was shorter for I-gel (12.3±3.8secs) than Baska mask (20.1±8.1secs). Oropharyngeal leak pressure was significantly higher for Baska mask (24-32cmh20). Oropharyngeal airway morbidity was not significantly different between two groups. So, it has been decided that both airways are suitable for laparascopic surgeries, but I-gel was quicker to insert, but Baska mask gave good airway seal.Conclusions: In this study, authors have noticed that Baska mask will give good airway seal when compared with I-gel. But I-gel was quicker to insert than Baskamask. The main problem of the study was that it was not blinded.

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Comparison of the Proseal, Supreme, and I-Gel SAD in Gynecological Laparoscopic Surgeries

The Scientific World JOURNAL ◽

10.1155/2015/634320 ◽

2015 ◽

Vol 2015 ◽

pp. 1-6 ◽

Cited By ~ 9

Author(s):

Sanli Mukadder ◽

Begec Zekine ◽

Kayhan Gulay Erdogan ◽

Ozgul Ulku ◽

Ucar Muharrem ◽

...

Keyword(s):

Elective Surgery ◽

Supraglottic Airway ◽

Lower Airway ◽

Trendelenburg Position ◽

Ph Values ◽

Oropharyngeal Leak Pressure ◽

Supraglottic Airway Devices ◽

Pharyngeal Region ◽

Airway Devices ◽

Time Ease

We compared proseal, supreme, and i-gel supraglottic airway devices in terms of oropharyngeal leak pressures and airway morbidities in gynecological laparoscopic surgeries. One hundred and five patients undergoing elective surgery were subjected to general anesthesia after which they were randomly distributed into three groups. Although the oropharyngeal leak pressure was lower in the i-gel group initially (mean ± standard deviation; 23.9 ± 2.4, 24.9 ± 2.9, and 20.9 ± 3.5, resp.), it was higher than the proseal group and supreme group at 30 min of surgery after the trendelenburg position (25.0 ± 2.3, 25.0 ± 1.9, and 28.3 ± 2.3, resp.) and at the 60 min of surgery (24.2 ± 2.1, 24.8 ± 2.2, and 29.5 ± 1.1, resp.). The time to apply the supraglottic airway devices was shorter in the i-gel group (12.2 (1.2), 12.9 (1.0), and 6.7 (1.2), resp.,P=0.001). There was no difference between the groups in terms of their fiber optic imaging levels. pH was measured at the anterior and posterior surfaces of the pharyngeal region after the supraglottic airway devices were removed; the lowest pH values were 5 in all groups. We concluded that initial oropharyngeal leak pressures obtained by i-gel were lower than proseal and supreme, but increased oropharyngeal leak pressures over time, ease of placement, and lower airway morbidity are favorable for i-gel.

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Abandoning first generation supraglottic airway devices

Anaesthesia ◽

10.1111/anae.13557 ◽

2016 ◽

Vol 71 (8) ◽

pp. 978-979 ◽

Cited By ~ 2

Author(s):

K. L. Pearson ◽

G. E. Rodney

Keyword(s):

First Generation ◽

Supraglottic Airway ◽

Supraglottic Airway Devices ◽

Airway Devices

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A Comparative Study of Two Disposable Supraglottic Devices in Diagnostic Laparoscopy in Gynecology

Journal of SAFOG with DVD ◽

10.5005/jp-journals-10006-1243 ◽

2013 ◽

Vol 5 (3) ◽

pp. 124-128

Author(s):

Sebanti Goswami ◽

Suman Chattopadhyay

Keyword(s):

Comparative Study ◽

Diagnostic Laparoscopy ◽

Supraglottic Airway ◽

Leak Pressure ◽

Bite Block ◽

Inflatable Cuff ◽

Supraglottic Airway Devices ◽

Lma Supreme ◽

Airway Devices ◽

To Receive

ABSTRACT Introduction This prospective study compares the efficacy of two disposable supraglottic airway devices with separate gastric access and integral bite block, the inflatable cuff of the LMA SupremeTM against the noninflatable i-gelTM cuff in providing an adequate seal for laparoscopic surgery. Materials and methods Ninety women of ASA grade I and II undergoing diagnostic laparoscopy with Trendelenburg position were randomly allocated to receive either size 3 LMA Supreme or i-gel. Induction and maintenance protocols were similar and patients were not paralyzed. We compared the airway leak pressure, ease and time to insert the device and a 10 FG nasogastric tube through it, and to note complications if any. Results There was no difference in airway leak pressure between the two devices (24.4 ± 4.0 vs 23.6 ± 3.8 cm H2O, p > 0.05). Forty-one (91%) LMA Supremes and forty (88.8%) i-gels were successfully inserted on the first attempt, with similar ease, and comparable times (13.8 ± 4.9 sec for LMA Supreme vs 14.5 ± 6.7 sec for i-gel; p > 0.05). Gastric tube insertion was easier and achieved more quickly with LMA Supreme compared to i-gel (9.0 ± 3.1 sec vs 14.3 ± 7.5 sec, respectively; p < 0.01), but clinical significance of this finding is questionable. There was blood on removal of four LMA Supremes and three i-gel. Four patients in the LMA Supreme group and one patient in the i-gel group experience mild postoperative sore throat. Conclusion Both LMA Supreme and i-gel are equally effective ventilator devices for diagnostic gynecological laparoscopic procedures. How to cite this article Chattopadhyay S, Goswami S. A Comparative Study of Two Disposable Supraglottic Devices in Diagnostic Laparoscopy in Gynecology. J South Asian Feder Obst Gynae 2013;5(3):124-128.

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Abandoning first generation supraglottic airway devices in paediatric anaesthesia

Anaesthesia ◽

10.1111/anae.13771 ◽

2016 ◽

Vol 72 (1) ◽

pp. 125-126 ◽

Cited By ~ 1

Author(s):

J. P. Montague ◽

C. J. Halloran

Keyword(s):

First Generation ◽

Paediatric Anaesthesia ◽

Supraglottic Airway ◽

Supraglottic Airway Devices ◽

Airway Devices

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Comparison of the efficacy of supraglottic airway devices in low-risk adult patients: a network meta-analysis and systematic review

Scientific Reports ◽

10.1038/s41598-021-94114-7 ◽

2021 ◽

Vol 11 (1) ◽

Author(s):

Chih-Jun Lai ◽

Yi-Chun Yeh ◽

Yu-Kang Tu ◽

Ya-Jung Cheng ◽

Chih-Min Liu ◽

...

Keyword(s):

Systematic Review ◽

Meta Analysis ◽

Laryngeal Tube ◽

Airway Device ◽

Supraglottic Airway ◽

Randomized Controlled ◽

Oropharyngeal Leak Pressure ◽

Supraglottic Airway Devices ◽

Tube Suction ◽

Airway Devices

AbstractNumerous supraglottic airway device (SADs) have been designed for adults; however, their relative efficacy, indicated by parameters such as adequacy of sealing, ease of application, and postinsertion complications, remains unclear. We conducted a systematic review and network meta-analysis to evaluate the efficacy of various SADs. We searched electronic databases for randomized controlled trials comparing at least two types of SADs published before December 2019. The primary outcomes were oropharyngeal leak pressure (OLP), risk of first-attempt insertion failure, and postoperative sore throat rate (POST). We included 108 studies (n = 10,645) comparing 17 types of SAD. The Proseal laryngeal mask airway (LMA), the I-gel supraglottic airway, the Supreme LMA, the Streamlined Liner of the Pharynx Airway, the SoftSeal, the Cobra Perilaryngeal Airway, the Air-Q, the Laryngeal Tube, the Laryngeal Tube Suction II, the Laryngeal Tube Suction Disposable, AuraGain, and Protector had significantly higher OLP (mean difference ranging from 3.98 to 9.18 cmH2O) compared with that of a classic LMA (C-LMA). The Protector exhibited the highest OLP and was ranked first. All SADs had a similar likelihood of first-attempt insertion failure and POST compared with the C-LMA. Our findings indicate that the Protector may be the best SAD because it has the highest OLP.Systematic review registration PROSPERO: CRD42017065273.

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Data for oropharyngeal leak pressure, peak inspiratory pressure, and gastric tube insertion success rate of supraglottic airway devices in laparoscopic surgeries (A network meta-analysis dataset)

Data in Brief ◽

10.1016/j.dib.2019.104852 ◽

2020 ◽

Vol 28 ◽

pp. 104852

Author(s):

Sang Won Yoon ◽

Hyun Kang ◽

Geun Joo Choi ◽

Choongun Ryu ◽

Yong Hee Park ◽

...

Keyword(s):

Gastric Tube ◽

Meta Analysis ◽

Peak Inspiratory Pressure ◽

Supraglottic Airway ◽

Leak Pressure ◽

Tube Insertion ◽

Oropharyngeal Leak Pressure ◽

Supraglottic Airway Devices ◽

Pressure Peak ◽

Airway Devices

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A Randomized Controlled Trial Comparing Ambu AuraGain and i-gel in Young Pediatric Patients

Journal of Clinical Medicine ◽

10.3390/jcm8081235 ◽

2019 ◽

Vol 8 (8) ◽

pp. 1235 ◽

Cited By ~ 2

Author(s):

Ha-Jung Kim ◽

Hee-Sun Park ◽

Soo-Young Kim ◽

Young-Jin Ro ◽

Hong-Seuk Yang ◽

...

Keyword(s):

Primary Outcome ◽

Pediatric Patients ◽

Clinical Performance ◽

Controlled Trial ◽

Supraglottic Airway ◽

Leak Pressure ◽

Oropharyngeal Leak Pressure ◽

Supraglottic Airway Devices ◽

Effective Ventilation ◽

Airway Devices

Supraglottic airway devices have been increasingly used because of their several advantages. Previous studies showed that the small-sized i-gel provides effective ventilation for young pediatric patients; however, few studies have reported the use of AuraGain in these patients. Herein, we compared the clinical performance of AuraGain and i-gel in young pediatric patients aged between 6 months and 6 years old and weighing 5–20 kg, who were scheduled to undergo extremity surgery under general anesthesia. In total, 68 patients were enrolled and randomly allocated into two groups: AuraGain group and i-gel group. The primary outcome was the requirement of additional airway maneuvers. We also analyzed insertion parameters, fiberoptic bronchoscopic view, oropharyngeal leak pressure, and peri-operative adverse effects. Compared with the AuraGain group, the i-gel group required more additional airway maneuvers during the placement of the device and maintenance of ventilation. The fiberoptic view was better in the AuraGain group than in the i-gel group. However, the oropharyngeal leak pressure was higher in the i-gel group. AuraGain might be a better choice over i-gel considering the requirement of additional airway maneuvers. However, when a higher oropharyngeal leak pressure is required, the i-gel is more beneficial than AuraGain.

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