To compare the frequency of postoperative sore throat with I-gel versus laryngeal mask airway in patients

Background: In case of general anesthesia, airway maintenance along with least complications is the most important goal of team of anesthesiologists. In case of clinical practice, the laryngeal mask airway (LMA) devices have superiority in managing supraglottic airway. Recently i-gel airway has been introduced as supraglottic airway equipment (disposable). Aim: To make comparison between laryngeal mask and I-gel with respect to postoperative complication of sore throat in case of patients who were given general anesthesia. Study design: Randomized trial Setting: Anesthesia Department Study duration: 6 after synopsis approval in total 6months of duration Methods: Candidates were divided randomly divided into two groups. In case of members of group A, patients were given i-gel where as members of group B, disposable LMA was given. General anesthesia was administered according to the standardized protocols. A day after operation, candidates were check post operatively for 24 hours, for sore throat and information was documented on Performa. Results: The candidates mean age was 44.23±15.11years in case of i-gel group members whereas 46.10±15.56 years in case of LMA group. In case of i-gel group, there were about twenty five males members and thirty five were females members . In case of LMA group members, there were about twenty six males and thirty four female members . In present case research, sore throat postoperatively was seen in case of 17(14.2%) cases, i.e. 4 (6.7%) in i-gel group while 13(21.7%) in case of LMA group. The significant difference was witnessed between members of both groups (p<0.05). Conclusion: Thus i-gel is better than LMA for general anesthesia as it has fewer chances of side effects like postoperative sore throat. Keywords: Postoperative sore throat, I-gel, laryngeal mask airway, general anesthesia

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Comparison of Frequency of Complications of i-Gel and Laryngeal Mask Airway Supreme™ in Laparoscopic Cholecystectomy

10.53350/pjmhs2115123180 ◽

2021 ◽

Vol 15 (12) ◽

pp. 3180-3182

Author(s):

Kashif Ali ◽

Ravi Kumar ◽

Abid Ali ◽

Pervaiz Ali ◽

M. Aneeque Alam ◽

...

Keyword(s):

Laparoscopic Cholecystectomy ◽

Laryngeal Mask Airway ◽

General Anesthesia ◽

Sore Throat ◽

Laryngeal Mask ◽

Medical Institute ◽

Female Ratio ◽

Group A ◽

Group B ◽

Laryngeal Mask Airway Supreme

Aim: To compare the frequency of complications of i-gel versus laryngeal mask airway supreme™ (LMA Supreme) in laparoscopic cholecystectomy. Study Design: Randomized Controlled Trial Place and Duration of Study: Department of Anesthesia, Jinnah Postgraduate Medical Institute Karachi from 16th September 2019 to 15th March 2020. Methodology: One hundred and fifty four patients having gallstones ≤5 in numbers (size <2cm) on ultrasound for >6 months requiring cholecystectomy and planned for elective list under general anesthesia of age ranges from 25-55 years of both gender were included. Patients with known or predicted difficult airway, oropharyngeal pathology, cervical spine fracture, GERD and hiatus hernia were excluded. In group A, airway was secured with i-gel while in group B, airway was secured with laryngeal mask airway supreme™. In all patients, anesthesia was given by one consultant anesthetist (at least 3 years 0f post-fellowship experience). All patients were followed by the researcher in the first 24 hours for presence or absence of dysphagia and sore throat. Results: The mean age was 34.78±6.30 years in group A and 34.38±6.37 years in group B. Majority of the patients 119 (77.27%) were between 25 to 40 years of age. There were 54 (35.06%) males and 100 (64.94%) were females with male to female ratio of ratio of 1:2.9. The complications of i-gel vs laryngeal mask airway supreme™ were found to be as follows; dysphagia on 0.0% vs 6.49% (p-value = 0.023) and sore throat in 3.90% vs 20.78% (p=0.001). Conclusion: The frequency of dysphagia and sore throat is less after i-gel use in laparoscopic cholecystectomy as compared to laryngeal mask airway supreme™. Keywords: General anesthesia, I-gel, Dysphagia

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Are there predictive tests that determine the difficulty in LMA insertion?

Journal of the Pakistan Medical Association ◽

10.47391/jpma.397 ◽

2020 ◽

pp. 1-17

Author(s):

Gamze Kucukosman ◽

Bengu Gulhan Ayd?n

Keyword(s):

Laryngeal Mask Airway ◽

Success Rate ◽

Laryngeal Mask ◽

Supraglottic Airway ◽

Laryngeal Mask Airway Insertion ◽

Distance Ratio ◽

Predictive Tests ◽

Significant Difference ◽

Group A ◽

Group B

Abstract Objective: To determine the predictive tests for difficulty in laryngeal mask airway insertion, and to observe the success rate of insertion in the first attempt. Methods: The prospective, observational study was conducted at Bülent Ecevit University Hospital, Turkey, from September 2013 to 2014, and comprised patients of American Society of Anesthesiologists grade I to IV adult patients who underwent elective surgery under general anaesthesia. The supraglottic airway device was randomly selected for each patient, and the laryngeal mask airway was used as per the decision of an anaesthesiologist who was not part of the study. Patients were divided into three groups according to laryngeal mask airway types as classic group A, i-gel group B and suprema group C. These were inserted by anaesthesia residents with the same seniority when bispectral index value reached 40-60. Data was noted and analysed using SPSS 24. Results: Of the 120 patients, 40(33.33%) were in group A, 38(31.66%) in group B, and 42(35%) in group C. There was no significant difference among the groups in terms of demographics (p>0.05). Apart from the height/thyromental distance ratio (p=0.046), no predictive test was statistically significant in identifying the difficulty in laryngeal mask airway insertion (p>0.05). There was no significant difference involving number of attempts, difficulty in insertion, and patient response (p>0.05). Placement success rate at first attempt was similar among the groups (p>0.05). Conclusion: Higher height/thyromental distance ratio values were associated with difficulty in laryngeal mask airway insertion, Continuous...

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Comparison of Efficacy of Laryngeal Mask Airway and Intersurgical-Gel Supraglottic Airway Device During General Anesthesia in a Tertiary Care Hospital

Journal of Islamabad Medical & Dental College ◽

10.35787/jimdc.v8i3.331 ◽

2019 ◽

Vol 8 (3) ◽

pp. 151-155

Author(s):

Muhammad Saqib Butt ◽

Noor Un Nisa ◽

Ghulam Mustafa ◽

Hasham Khan

Keyword(s):

Laryngeal Mask Airway ◽

General Anesthesia ◽

Hemodynamic Response ◽

Airway Device ◽

Laryngeal Mask ◽

Supraglottic Airway ◽

Care Hospital ◽

Upper Airways ◽

Group A ◽

Group B

Background: Upper airways collapse during anesthesia is a common issue faced by anesthetists. Air way maintenance is an essential component of general anesthesia. Laryngeal mask airway and Intersurgical-gel (i-gel) air way devices are new advances in general anesthesia. Present study aims to compare the ease of insertion and hemodynamic response of i-gel supraglottic and laryngeal mask airway (LMA). Material and Methods: A Randomized Clinical trial was conducted at the Department of Anesthesia, Shaikh Zayed Hospital, Lahore. Study duration was 6 months (June 2014- December 2014). A total of 60 patients were selected through non-probability consecutive sampling. Ethical approval was taken from ethical review board of Sheikh Zayed Hospital and informed written consents were taken from all the participants. Patients were randomly divided into two groups using lottery method. Group A was given laryngeal mask airway device while group B patients were provided with i-gel supraglottic device during anesthesia. Patients were compared for ease of insertion and hemodynamic parameters. Data was analyzed using SPSS version 24. Chi-square and t-test were applied and p-value ≤0.05 was considered statistically significant. Results: A total of 60 patients were included in study. Mean age of patients was 35.2±11.7 years in LMA group and 36.7±13 years in i-gel group. Group B had lower number of insertion attempts (p=0.01) and high insertion satisfaction (p=0.4) as compared to group A. However, process failure and bleeding rate was found to be slightly higher in group B (16% and 13% respectively) as compared to group A (p>0.05). Conclusion: i-gel supraglottic device is a successful alternative option in terms of ease of insertion and less hemodynamic response as compared to laryngeal mask airway during general anesthesia. Key words: , ,

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Evaluation of postoperative sore throat complaints using the i-gel supraglottic airway compared to a standard disposable laryngeal mask airway: Significant less postoperative sore throat complaints in the igel study arm

European Journal of Anaesthesiology ◽

10.1097/00003643-200805001-00769 ◽

2008 ◽

Vol 25 (Sup 44) ◽

pp. 238

Author(s):

D. Buitelaar ◽

C. Keijzer ◽

T. Efthymiou ◽

P. Schutte ◽

M. Sramek

Keyword(s):

Laryngeal Mask Airway ◽

Sore Throat ◽

Laryngeal Mask ◽

Supraglottic Airway ◽

Postoperative Sore Throat

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A comparative study between i-gel and classical laryngeal mask airway in elective surgery under general anaesthesia

International Journal of Scientific Reports ◽

10.18203/issn.2454-2156.intjscirep20163110 ◽

2016 ◽

Vol 2 (9) ◽

pp. 227

Author(s):

Smita R. Engineer ◽

Digant B. Jansari ◽

Saumya Saxena ◽

Rahul D. Patel

Keyword(s):

Laryngeal Mask Airway ◽

General Anesthesia ◽

Elective Surgery ◽

Laryngeal Mask ◽

Supraglottic Airway ◽

Hemodynamic Parameters ◽

Randomized Clinical Study ◽

Group I ◽

Supraglottic Airway Devices ◽

Significant Difference

Background: Supraglottic airway devices have been widely used as an alternative to tracheal intubation during general anesthesia both in adults and children. This study was carried out to compare classical laryngeal mask airway (LMA) and i-gel, regarding ease of insertion, adequate placement of device, ability to maintain ETCO2 and SPO2, perioperative hemodynamic parameters and intra operative and postoperative complication.Methods: This prospective, randomized clinical study was done on 100 patients of either sex, age between 5 to 60 years, ASA grade I-III who underwent different surgical procedures under general anesthesia in supine position. After giving premedication, induction of anesthesia was done with inj. Propofol 2-3 mg/kg and inj. Succnylcoline 1.5-2 mg/kg. In “sniffing air” position, airway was secured with either LMA or i-gel. An effective placement of device was checked by a square wave capnography, normal chest expansion, SPO2 >95%, and absence of audible leak. Patients were observed for time and ease of insertion, number of attempts, perioperative hemodynamic changes and complications.Results: No statistically significant difference was reported between both the groups, regarding heart rate, BP, SPO2 and ETCO2. Duration of insertion was more in group LMA. Insertion was easy and was possible in first attempt in 88% of patients without much manipulation in group i-gel.Conclusions: I-gel is a better alternative supraglottic airway device than LMA in view of ease of insertion with minimal manipulations and minimal complications. Hemodynamic parameters, SPO2 and ETCO2 were maintained in both the groups.

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A Comparison of Effectiveness f Betamethasone Gel and Lignocaine Jelly Applied to Tracheal Tube on Postoperative Sore Throat

Faridpur Medical College Journal ◽

10.3329/fmcj.v13i2.43621 ◽

2019 ◽

Vol 13 (2) ◽

pp. 58-61

Author(s):

Muhammad Sazzad Hossain ◽

Lipika Sanjowal ◽

Md Afzalur Rahman ◽

Mamunur Rashid ◽

Mahiuddin Alamgir ◽

...

Keyword(s):

General Anesthesia ◽

Sore Throat ◽

Outer Surface ◽

Postoperative Period ◽

Lower Incidence ◽

Postoperative Sore Throat ◽

Significant Difference ◽

Airway Symptoms ◽

Group B ◽

Comparison Of Effectiveness

Post-operative airway symptoms specially postoperative sore throat (POST) can be troublesome to patients following an uneventful general anesthesia with endotracheal intubation. Ninety ASA I and II informed consenting patients aged 20-50 years were recruited and randomly allocated into three groups of 30 each. The outer surface of the tracheal tubes used in intubating patients were lubricated with 0.05% betamethasone gel for group B, 2% lignocaine jelly for group L from the distal tip of the tube to the 15 cm mark and group C without lubrication. The incidence and severity of sore throat was then assessed at 1 hour, 6 hours and 24 hours during postoperative period. At 24 hours following extubation, there was a statistically significant lower incidence of POST in group B compared to other two groups. (group B= 6.66% vs group L= 33.33% vs group C= 40%, p<0.05). When the groups were compared in pairs, there was a statistically significant difference of POST between groups B and L also groups B and C with lower incidence of POST in group B at 24 hours, p<0.05. Significant difference in incidence of POST was, however, not found when group C was compared with group L separately, at different time of interval, p>0.05. It could be concluded that 0.05% betamethasone gel applied widely over endotracheal tube effectively reduces postoperative sore throat in comparison with 2% lignocaine jelly application. Faridpur Med. Coll. J. Jul 2018;13(2): 58-61

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Evaluation of Medicated Pharyngeal Pack for Prevention of Postoperative Sore Throat following Nasal Septal Surgery

Life and Science ◽

10.37185/lns.1.1.16 ◽

2020 ◽

Vol 1 (1) ◽

pp. 4

Author(s):

Tarique Ahmed Maka ◽

Akeel Ur Rehman ◽

Sajid Ali

Keyword(s):

Sore Throat ◽

Normal Saline ◽

Military Hospital ◽

Postoperative Sore Throat ◽

Septal Surgery ◽

Significant Difference ◽

Group A ◽

The Difference ◽

Group B ◽

Pharyngeal Packing

Objective: To compare the difference in frequency of postoperative sore throat, dysphagia, hoarseness and cough after nasal septal surgery between pharyngeal packings soaked in normal saline, soluble aspirin or ketorolac. Study Design: A comparative study. Place and Duration of Study: The study was carried at ENT Department of Combined Military Hospital, Risalpur from July 2017 to June 2018. Materials and Methods: The study was performed on 180 patients of both genders, aged between 20-50 years. Cases were randomly allocated into three groups of 60 each. In group A (control), postoperative pharyngeal packing was done with ribbon gauze impregnated with 50 ml normal saline, in group B (soluble aspirin group) packing was done with gauze impregnated in 50 ml of normal saline in which 300 mg of soluble aspirin was dissolved, whereas in group C (ketorolac group) packing was done with gauze impregnated in 50 ml of normal saline in which 30 mg of ketorolac was dissolved. Results: In group A, 10 patients (16.7%) complained of sore throat, 8 (13.3%) dysphagia, 11 (18.3%) hoarseness and 12 (20%) cough. In group B, 4 (6.7%) patients complained of sore throat, 3 (5%) dysphagia, 3 (5%) hoarseness and 4 (6.7%) cough whereas in group C, 3 (5%) patients complained sore throat, 1 (1.7%) dysphagia, 2 (3.3%) hoarseness and 4 (6.7%) cough. All parameters were significantly raised (p<0.001) in group A as compared to group B and C whereas there was no significant difference found in the parameters between group B and C except dysphagia which was significantly lower (p<0.001) in group C as compared to group B. Conclusion: Use of soluble aspirin or ketorolac impregnated pharyngeal packing significantly reduced frequency of post-operative sore throat, dysphagia, hoarseness and cough as compared to simple normal saline impregnated packing among patients undergoing nasal surgery. How to cite this: Maka TA, Rehman A, Ali S. Evaluation of Medicated Pharyngeal Pack for Prevention of Postoperative Sore Throat following Nasal Septal Surgery. Life and Science. 2020; 1(1): 33-36. doi: https://doi.org/10.37185/L&S.1.1.16

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Success Rate of Insertion and Postoperative Sore Throat: I-Gel Versus Laryngeal Mask Airway Classic

Med Phoenix ◽

10.3126/medphoenix.v6i1.34548 ◽

2021 ◽

Vol 6 (1) ◽

pp. 6-9

Author(s):

Prakriti Pokhrel ◽

Prastab Parajuli

Keyword(s):

Laryngeal Mask Airway ◽

Success Rate ◽

Sore Throat ◽

Laryngeal Mask ◽

P Value ◽

Postoperative Sore Throat ◽

Elective Surgical Procedures ◽

Surgery Patient ◽

Group I ◽

Significant Difference

Introduction: Supraglottic devices are a useful advent in airway management filling a gap between the facemask and tracheal tube in terms of both anatomical position and degree of invasiveness. Laryngeal mask airway classic (LMA-C) being first of its kind and I-gel is second generation non-inflatable supraglottic device. The objective of our study was to compare the two supraglottic devices, Laryngeal mask airway classic (LMA-C) and I-gel for a success rate of insertion and postoperative sore throat. Materials and Methods: A total of 80 patients scheduled for elective surgical procedures were studied in a prospective, randomly assigned, comparative and interventional manner. Patients were randomly allocated into two groups with forty patients in each group. I-gel and LMA-C were used in Groups 1 and 2 respectively. After achieving adequate depth of anesthesia the supraglottic device of appropriate size was inserted. The success rate of insertion of the device was represented by the number of insertion attempts. In the postoperative ward within 24 hours after surgery patient was asked whether a sore throat was present. Results: There was a statistically significant difference between the two supraglottic devices in terms of successful attempts of insertion (p-value 0.02).In group 1(I-gel)34 out of 40 patients had first attempt insertion success,6 patients in the second attempt, and no patient had third insertion attempt. In group 2 (LMA-C) first-time insertion success was in 14 patients, 23 patients in the second attempt, and 3 patients in the third attempt. The incidence of postoperative sore throat was higher in the LMA-C group than the I-gel group(17.5% vs 5% respectively) with a p-value of 0.154. Conclusion: Compared to the laryngeal mask airway classic, I-gel was inserted with less number of attempts and had a lower incidence of postoperative sore throat.

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Prevalensi Nyeri Tenggorok Pascaoperasi dengan Pemberian Lubrikasi VCO pada Pemasangan LMA

Jurnal Ilmu Kesehatan Indonesia ◽

10.25077/jikesi.v1i2.156 ◽

2020 ◽

Vol 1 (2) ◽

Author(s):

Rahmadhya Khairina Rianti

Keyword(s):

Laryngeal Mask Airway ◽

General Anaesthesia ◽

Sore Throat ◽

Elective Surgery ◽

Coconut Oil ◽

Laryngeal Mask ◽

Supraglottic Airway ◽

Virgin Coconut Oil ◽

Postoperative Sore Throat ◽

Post Operative Period

Background. Postoperative sore throat (POST) is a common complication after general anaesthesia. It affects patient satisfaction and can affect activity after discharge. The supraglottic airway device (SAD) offers an alternative to traditional tracheal intubation with potential benefit in preventing sore throat. Numerous agents have been used as lubricant to reduce the incidence of POST with variable efficacy. The purpose of this study is to determine the prevalence of postoperative sore throat in patients with Virgin Coconut Oil (VCO) as a lubricant for Laryngeal Mask Airway (LMA) insertion in patients undergoing general anaesthesia for elective surgery. Objective. Determine the prevalence of postoperative sore throat in patients by giving Virgin Coconut Oil (VCO) as a lubricant for the Laryngeal Mask Airway (LMA) installation under general anesthesia for elective surgery. Methods. This is an observational descriptive study, was conducted in December 2019 until June 2020 at Surgical Installation RSUP dr. M. Djamil Padang and Andalas University Hospital. Forty-two subjects were recruited to this study taken by using consecutive sampling technique. Results. Patients evaluated about sore throat at immediately, 2 hours, and 24 hours post-operative period. POST was observed in 47,6% of the patients in immediate post-operative period. After 2 hours 23,8% patients had sore-throat, and after 24 hours 9,5% patients had sore-throat. Among patients had sore throat after 24 hours, the intensity was mild. Conclusion. We conclude that lubricating cuff of LMA with VCO can reduce the prevalence of POST. Keyword: Laryngeal Mask Airway, sore throat, Virgin Coconut Oil

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