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

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.

scholarly journals Comparison of Safety and Efficacy of Endotracheal Tube, Laryngeal Mask Airway Supreme and I Gel in Laparoscopic Surgeries

2021 ◽  
Vol 8 (11) ◽  
pp. 623-628
Author(s):  
Heena Saini ◽  
Rajesh Angral ◽  
Neelam Gupta
Keyword(s):  
Laryngeal Mask Airway ◽  
Endotracheal Tube ◽  
Gastric Tube ◽  
Airway Device ◽  
Laryngeal Mask ◽  
Supraglottic Airway ◽  
Group I ◽  
Supraglottic Airway Devices ◽  
Lma Supreme ◽  
Airway Devices

BACKGROUND Present study was undertaken to assess the feasibility of laryngeal mask airway (LMA) supreme and I gel, the second generation supraglottic airway devices in laparoscopic surgeries. METHODS 120 patients with American Society of Anaesthesiologists (ASA) I and II (20 - 50 years) of either sex who underwent laparoscopic surgery under general anaesthesia were randomly divided into three groups. Airway was secured with endotracheal tube (ETT) in group E (N = 40), with LMA supreme in Group S (N = 40) and with I-gel in group I (N = 40). Insertion characteristics of airway device, ease of gastric tube insertion, haemodynamic response and perioperative laryngopharyngeal morbidities were assessed. RESULTS I-gel was easier to insert with higher first attempt success rate (95 %) than LMA Supreme (85 %) and ETT (90 %) but it was statistically insignificant. Heart rate (HR) and mean arterial pressure (MAP) was significantly higher in ETT group at the time of intubation, continued till 5 minutes and also at the time of extubation but statistically significant increase in HR and MAP were noted in group S and I only at the time of device insertion. Gastric tube was easier to insert in group S with shortest insertion time which was statistically significant. Incidence of coughing, dysphonia, dysphagia and sore throat was significantly more in group E. CONCLUSIONS I-gel and LMA Supreme can be used as an alternative to ETT for airway management in adult patients undergoing elective laparoscopic surgeries. KEYWORDS Endotracheal Tube, I-gel, LMA Supreme, Supraglottic Airway Device

scholarly journals A Comparative Study of Supreme LMA Vs I-gel : Two Supraglottic Airway Devices in Short Surgical Procedures"

2018 ◽  
Vol 5 (1) ◽  
pp. 5-11
Author(s):  
Balasaheb Tukaram Govardhane ◽  
Shantanu Kulkarni ◽  
Mukesh Parmar ◽  
◽  
◽  
...  
Keyword(s):  
Comparative Study ◽  
Surgical Procedures ◽  
Supraglottic Airway ◽  
Supraglottic Airway Devices ◽  
Airway Devices

scholarly journals A comparative study of supraglottic airway devices Baska mask and ProSeal-laryngeal mask airway in short gynaecological procedures

2019 ◽  
Vol 8 (1) ◽  
pp. 285
Author(s):  
Ranjith Kumar Kachakayala ◽  
Parmeet Bhatia ◽  
Shalendra Singh ◽  
Deepak Dwivedi
Keyword(s):  
Airway Device ◽  
Supraglottic Airway ◽  
Supraglottic Airway Devices ◽  
Significant Difference ◽  
Study Support ◽  
Group 2 ◽  
Low Incidence ◽  
Airway Devices ◽  
To Receive ◽  
Group 1

Background: Baska Mask® (BM) a newer Supraglottic Airway Device (SAD) considered to cause low incidence of Postoperative Pharyngolaryngeal Complications (POPC). This study was designed to assess efficacy, safety and early and late POPC between BM and commonly use ProSeal LMA (PMLA).Methods: Patients between 18 to 60 years of age undergoing elective short gynecological procedures were randomized into two groups, to receive ventilation with either BM (group 1, n=50) or an PMLA (group 2, n=50).Results: There was no significant difference in the ease of insertion for both the devices (p<0.24). There was no significant difference in the number of attempts for both the devices (p<0.69). When compared to PLMA, the time (in seconds) required for insertion of BM was significantly less in duration (20.9 vs. 16) (p<0.0001). Between the two groups significant hemodynamic changes noticed after removal of SGA. The blood staining of device was similar in both groups. Failure to place device, postoperative complication like laryngospasm and bronchospasm did not occur in both BM and PLMA groups.Conclusions: In conclusion, findings of this study support that BM takes significantly shorter placement time and provides a better seal as compared to PLMA but without any reduction in laryngopharyngeal complications.

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

2018 ◽  
Vol 6 (4) ◽  
pp. 1440 ◽  
Author(s):  
G. Shanmugavelu ◽  
T. Kanagarajan
Keyword(s):  
Functional Analysis ◽  
First Generation ◽  
Mouth Opening ◽  
Supraglottic Airway ◽  
Bite Block ◽  
Oropharyngeal Airway ◽  
Oropharyngeal Leak Pressure ◽  
Supraglottic Airway Devices ◽  
Airway Devices ◽  
Neuromuscular Paralysis

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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