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Int J Crit Illn Inj Sci. 2014 Oct-Dec;4(4):288-92. doi: 10.4103/2229-5151.147520.

Comparison of i-gel™ and laryngeal mask airway in anesthetized paralyzed patients.

Reza Hashemian SM1, Nouraei N2, Razavi SS2, Zaker E2, Jafari A2, Eftekhari P3, Radmand G3, Mohajerani SA3, Radpay B2.
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BACKGROUND: The i-gel™ is a new device introduced recently. It differs from other supraglottic airway devices. It has a non-inflatable, gel-made cuff. Previously used devices, have some disadvantages which are claimed to be absent in i-gel™. In this study we aimed to compare the performance of the laryngeal mask airway (LMA)-Classic™ and i-gel™ during anesthesia in paralyzed patients.

MATERIALS AND METHODS: A total of 64 anaesthetized patients with paralysis were enrolled in a single-blind, randomized control trial to be intubated with one of the devices. We compared the device insertion parameters, some ventilatory parameters, and adverse effects after device insertion.

RESULTS: Vital signs were not significantly different between groups. Regarding duration of insertion attempts, the difference between groups was significant (P < 0.05); while the number of insertion attempts was insignificant (P = 0.265). There was no significant difference between both groups regarding postoperative complications (cough, sore throat, and blood on the cuff) (P > 0.05). Airway leak was assessed in both groups and data showed no significant difference (P = 0.662). Additionally, end-tidal CO2 change regarding the baseline value was significantly different after 10 and 15 min of anesthesia (P < 0.05).

CONCLUSIONS: Successful insertion time was shorter significantly for i-gel™. As i-gel™ has easy application, it is advantageous to be used during cardiopulmonary resuscitation by non-anesthetists in which time is very important. We concluded that i-gel™ can be an alternative to LMA-Classic™ for controlled ventilation during anesthesia as it is easier to be placed.

KEYWORDS: Airway management; LMA-Classic™; i-gel™

10:27 - 2015/11/14    /    number : 25517    /    Show Count : 493

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