Abstract
Objective:
In our study, we aimed to compare the use of the supraglottic airway devices LMA ProSeal and I-gel for pediatric patients in terms of insertion process, efficacy, hemodynamia and complications.
Methods:
Our study was completed with 40 children undergoing elective lower abdominal surgery aged from 1-9 years, with body weight 5-20 kg. I-gel (Grup I, n=20) or LMA ProSeal (Grup L, n=20) were inserted appropriate for weight.
The insertion attemps, the insertion duration, ease of insertion and complications were assessed. Presence of blood on the device after removal was monitored.
Arterial blood pressure, heart rate, oxygen saturation, airway pressure and tidal volume were recorded.
Results
When the insertion attempts are assessed, there was no significant difference between the groups. Presense of blood on the device was significantly high in Group L (25%) compared to Group I (0%) (p=0.02).
The sistolic blood pressure and heart rate were found significantly high in Group L,1 min after device insertion .
Conclusion: The attempt numbers and insertion durations were similar in both groups. Morbidity of the airway was observed on LMA ProSeal in 25% of cases in Group L. And hemodynamic response, 1 min after device insertion was significant high in GrupL.
References
- An J, Nam SB, Lee JS, Lee J, Yoo H, Lee HM, Kim MS. Comparison of the I-gel and other supraglottic airways in adult studies: Systematic review and meta-analysis. Medicine (Baltimore) 2017; 96: 5801
- Ekinci O, Abitagaoglu S, Turan G. The comparison of ProSeal and I-gel laryngeal mask airways in anesthetized adult patients under controlled ventilation. Saudi Med J 2014;35:432-6
- Helin T, Sotak M, Kovaricek P, Tyll T, Balcarek L, Michalek P. Comparison of five 2nd-Generation Supraglottic Airway Devices for Airway Management Performed by Novice Military Operators. BioMed Research International 2015; 2015; 2015: 201898
- Jadhav PA, Dalvi NP, Tendolkar BA. I-gel versus laryngeal mask airway-Proseal: Comparison of two supraglottic airway devices in short surgical procedures. J Anaesthesiol Clin Pharmacol 2015; 31:221-225
- Liew GH, Yu ED, Shah SS, Kothandan H. Comparison Of Clinical Performance Of I-Gel , LMA Supreme And LMA Proseal In Elective Surgery. Singapore Med J 2016; 57: 432-437
- Maitra S, Baidya DK, Arora MK, Bhattacharjee S, Khanna P. Laryngeal mask airway ProSeal provides higher oropharyngeal leak pressure than I-gel in adult patients under general anesthesia: a meta-analysis. J Clin Anesth 2016; 33:298-305
- Mihara T, Asakura A, Owada G, Yokoi A, Goto T. A network meta-analysis of the clinical properties of various types of supraglottic airway device in children. Anaesthesia 2017; 72:1251-64
Abstract
References
- An J, Nam SB, Lee JS, Lee J, Yoo H, Lee HM, Kim MS. Comparison of the I-gel and other supraglottic airways in adult studies: Systematic review and meta-analysis. Medicine (Baltimore) 2017; 96: 5801
- Ekinci O, Abitagaoglu S, Turan G. The comparison of ProSeal and I-gel laryngeal mask airways in anesthetized adult patients under controlled ventilation. Saudi Med J 2014;35:432-6
- Helin T, Sotak M, Kovaricek P, Tyll T, Balcarek L, Michalek P. Comparison of five 2nd-Generation Supraglottic Airway Devices for Airway Management Performed by Novice Military Operators. BioMed Research International 2015; 2015; 2015: 201898
- Jadhav PA, Dalvi NP, Tendolkar BA. I-gel versus laryngeal mask airway-Proseal: Comparison of two supraglottic airway devices in short surgical procedures. J Anaesthesiol Clin Pharmacol 2015; 31:221-225
- Liew GH, Yu ED, Shah SS, Kothandan H. Comparison Of Clinical Performance Of I-Gel , LMA Supreme And LMA Proseal In Elective Surgery. Singapore Med J 2016; 57: 432-437
- Maitra S, Baidya DK, Arora MK, Bhattacharjee S, Khanna P. Laryngeal mask airway ProSeal provides higher oropharyngeal leak pressure than I-gel in adult patients under general anesthesia: a meta-analysis. J Clin Anesth 2016; 33:298-305
- Mihara T, Asakura A, Owada G, Yokoi A, Goto T. A network meta-analysis of the clinical properties of various types of supraglottic airway device in children. Anaesthesia 2017; 72:1251-64
Details
| Primary Language | English |
|---|---|
| Subjects | Clinical Sciences |
| Journal Section | Articles |
| Authors | |
| Publication Date | June 5, 2022 |
| Submission Date | April 28, 2022 |
| Acceptance Date | May 19, 2022 |
| Published in Issue | Year 2022 Volume: 8 Issue: 2 |
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