COMPARATIVE STUDY OF SEVOFLURANE AND PROPOFOL FOR EASE OF I-GEL INSERTION IN ADULT PATIENTS UNDERGOING GENERALANESTHESIA FOR SHORT PROCEDURES.

2021 ◽  
pp. 8-9
Author(s):  
Devika Krishnan ◽  
Mary A.D ◽  
Reshma Balakrishnan
Keyword(s):  
Airway Device ◽  
Adult Patients ◽  
Supraglottic Airway ◽  
Positive Pressure ◽  
Test Results ◽  
Medical College ◽  
Drug Of Choice ◽  
Pleasant Odor ◽  
System Data ◽  
Spss Software

Background: I-gel is a second generation supraglottic airway device designed to provide and maintain a seal around the laryngeal inlet for spontaneous ventilation and allow controlled ventilation at modest levels of positive pressure thereby endotracheal intubation can be avoided. Propofol has been the drug of choice due to its better safety prole, relaxation and suppression of airway reexes among intravenous induction agents. Sevourane with its pleasant odor, non-irritating to the airways and due to its bronchodilator property are best among the volatile agents. We aim to compare induction characteristics and ease of I gel insertion with sevourane and intravenous propofol. Methods:The study was conducted in 60 eligible adult patients undergoing general anesthesia for short surgical procedures in Pushpagiri Medical College and Research Centre.Group Preceived Propofol and Group S received Sevourane 8%. Consecutive subjects who satisfy inclusion criteria were randomly assigned into one of the two groups of 30 until sample sizes were achieved. I gel insertion attempted after adequate jaw relaxation. Ease of I-gel insertion assessed by a three-point scoring system. Data was analysed by SPSS software .The independent variables assessed in this study includes the drugs given and the comparison was done using unpaired t test. Results: Sevourane group took more time for induction than Propofol group .It was found that insertion time for sevourane was higher than the propofol group. The ease of I Gel insertion based on three point scale showed that in Sevourane group overall insertion conditions was excellent in 36.7% ;satisfactory in 63.3% as compared to group Propofol group which was 83.3%; 16.7% respectively. The results were statistically signicant (p<0.01). Conclusion:It can be concluded that sevourane can be considered as a safer alternative to propofol for I Gel insertion

Comparison of endoscopic endotracheal intubation and the v-gel supraglottic airway device for spontaneously ventilating New Zealand white rabbits undergoing ovariohysterectomy

2020 ◽  
Vol 187 (10) ◽  
pp. e84-e84
Author(s):  
Jessica Comolli ◽  
Rodney Schnellbacher ◽  
Hugues Beaufrere ◽  
Uriel Blas-Machado ◽  
Jane Quandt ◽  
...  
Keyword(s):  
New Zealand ◽  
Endotracheal Intubation ◽  
Airway Device ◽  
Supraglottic Airway ◽  
Controlled Study ◽  
Positive Pressure ◽  
Supraglottic Airway Device ◽  
Arterial Blood ◽  
Airway Trauma ◽  
New Zealand White Rabbits

BackgroundDue to the technical difficulties with endotracheal intubation of rabbits, a prospective, randomised, controlled study was performed to compare a rabbit-specific supraglottic airway device (SGAD), the v-gel, with endoscopic endotracheal intubation (EEI) in spontaneously breathing rabbits undergoing ovariohysterectomy.MethodsFourteen adult female New Zealand white rabbits were randomly allocated to one of two groups based on the method of airway establishment: EEI or v-gel SGAD. Anaesthesia was induced with ketamine and xylazine and maintained using isoflurane in 100 per cent oxygen. Comparisons were made between groups based on placement time of endotracheal tube/SGAD, number of attempts and adjustments, the necessity to increase isoflurane concentrations to maintain a surgical plane of anaesthesia, arterial blood gas values, gross laryngeal evaluation, and laryngotracheal histopathology.ResultsBoth techniques resulted in elevated arterial pCO2 levels, but the v-gel was associated with more elevated pCO2 in comparison with EEI (P=0.045). Airway trauma was histologically present but clinically negligible in both groups, with no statistically significant differences observed between techniques (P>0.05). Placement time of the v-gel was significantly faster (P=0.003) and required less technical skill than EEI, but was more easily displaced when changing the animal’s position (P=0.004).ConclusionThe v-gel is a practical alternative to EEI for securing the airway of healthy spontaneously ventilating rabbits, provided a capnograph is utilised to ensure continuous placement. Both airway techniques appear safe and effective with few complications, as long as intermittent positive pressure ventilation can be employed to correct hypercapnia.

Perception and success rate of using advanced airway management by hospital-based paramedics in the Kingdom of Saudi Arabia

2021 ◽  
Vol 6 (3) ◽  
pp. 24-30
Author(s):  
Amani Alenazi ◽  
Bashayr Alotaibi ◽  
Najla Saleh ◽  
Abdullah Alshibani ◽  
Meshal Alharbi ◽  
...  
Keyword(s):  
Saudi Arabia ◽  
Airway Management ◽  
Success Rate ◽  
Phase 1 ◽  
Adult Patients ◽  
Supraglottic Airway ◽  
Future Research ◽  
Phase 2 ◽  
Advanced Airway ◽  
Supraglottic Airway Devices

Objective: The study aimed to measure the success rate of pre-hospital tracheal intubation (TI) and supraglottic airway devices (SADs) performed by paramedics for adult patients and to assess the perception of paramedics of advanced airway management.Method: The study consisted of two phases: phase 1 was a retrospective analysis to assess the TI and SADs’ success rates when applied by paramedics for adult patients aged >14 years from 2012 to 2017, and phase 2 was a distributed questionnaire to assess paramedics’ perception of advanced airway management.Result: In phase 1, 24 patients met our inclusion criteria. Sixteen (67%) patients had TI, of whom five had failed TI but then were successfully managed using SADs. The TI success rate was 69% from the first two attempts compared to SADs (100% from first attempt). In phase 2, 63/90 (70%) paramedics responded to the questionnaire, of whom 60 (95%) completed it. Forty-eight (80%) paramedics classified themselves to be moderately or very competent with advanced airway management. However, most of them (80%) performed only 1‐5 TIs or SADs a year.Conclusion: Hospital-based paramedics (i.e. paramedics who are working at hospitals and not in the ambulance service, and who mostly respond to small restricted areas in Saudi Arabia) handled few patients requiring advanced airway management and had a higher competency level with SADs than with TI. The study findings could be impacted by the low sample size. Future research is needed on the success rate and impact on outcomes of using pre-hospital advanced airway management, and on the challenges of mechanical ventilation use during interfacility transfer.

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