Comparison Between I-Gel And Endotracheal Tube For Peak Airway Pressure During General Anesthesia In Pediatric Inguinal Hernia Surgeries

Muhammad Ahmed Raza; Bilal Yasin; Humayun Munir Tarar; Mansoor Hussain; Muhammad Muzzamal Saleem; Abdullah Sher kakar

doi:10.51253/pafmj.v74iSUPPL-2.8579

Authors

Muhammad Ahmed Raza Department of Anesthesia, Combined Military Hospital Rawalpindi/National University of Medical Sciences (NUMS) Pakistan
Bilal Yasin Department of Anesthesia, Combined Military Hospital Rawalpindi/National University of Medical Sciences (NUMS) Pakistan
Humayun Munir Tarar Department of Anesthesia, Combined Military Hospital Rawalpindi/National University of Medical Sciences (NUMS) Pakistan
Mansoor Hussain Department of Anesthesia, Combined Military Hospital Rawalpindi/National University of Medical Sciences (NUMS) Pakistan
Muhammad Muzzamal Saleem Department of Anesthesia, Pak Emirates Military Hospital Rawalpindi/National University of Medical Sciences (NUMS) Pakistan
Abdullah Sher kakar Department of Anesthesia, Pak Emirates Military Hospital Rawalpindi/National University of Medical Sciences (NUMS) Pakistan

DOI:

https://doi.org/10.51253/pafmj.v74iSUPPL-2.8579

Keywords:

Endotracheal tube; I-gel; inguinal hernia; Peak airway pressure

Abstract

Objective: To compare I-gel and Endotracheal tube for peak airway pressure during general anesthesia in pediatric inguinal hernia surgeries

Study Design: Quasi experimental study.

Place and Duration of Study: Anesthesia/surgical department, Pak Emirates Military Hospital Rawalpindi, Pakistan Jun to Nov 2021.

Methodology: A Quasi experimental study was conducted on 250 children. Patients were randomly assigned into two groups. Group-A received the I-gel after induction with sedative agents while Group-B received the Endotracheal tube with routine induction and muscle paralysis. Peak airway pressure was monitored by the consultant anesthetist on anesthesia workstation throughout the surgery.

Results: Out of 250 pediatric patients undergoing hernia repair randomized into two groups, 136(54.4%) were categorized into Group-A and 114(45.6%) were categorized into Group-B. Mean age of patients in our study was 3.35±2.454 years. 159(63.6%) children included in the study were male while 91(36.4%) were female. Out of 250, 202(80.8%) patients had normal peak airway pressure during the surgery while 48(19.2%) had raised pressure during the surgery. Use of Endotracheal tube was found statistically significantly associated with raised peak airway pressure during the surgery (p-value<0.05).

Conclusion: Use of I-gel was found better in relation to maintenance of peak airways pressure as compared to Endotracheal tube in pediatric patients undergoing hernia repair under general anesthesia.

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