Comparison of I-gel Supraglottic Airway with ProSeal-Laryngeal Mask Airway in Anaesthetized paralyzed patients for Insertion Time and Ease of Insertion

Usman Ahmed; Amjad Ali; Saeed Bin Ayaz; Sajjad Qureshi; Hina Iftikhar; Habib Ur Rehman

doi:10.51253/pafmj.v73i4.8558

Authors

Usman Ahmed Department of Anesthesia, Combined Military Hospital, Khairan/National University of Medical Sciences (NUMS) Pakistan
Amjad Ali Department of Anesthesia, Combined Military Hospital, Quetta/National University of Medical Sciences (NUMS) Pakistan
Saeed Bin Ayaz Department of Anesthesia, Combined Military Hospital, Quetta/National University of Medical Sciences (NUMS) Pakistan
Sajjad Qureshi Department of Anesthesia, Combined Military Hospital, Quetta/National University of Medical Sciences (NUMS) Pakistan
Hina Iftikhar Department of Anesthesia, Combined Military Hospital, Multan/National University of Medical Sciences (NUMS) Pakistan
Habib Ur Rehman Department of Surgery, Combined Military Hospital, Multan/ National University of Medical Sciences (NUMS) Pakistan

DOI:

https://doi.org/10.51253/pafmj.v73i4.8558

Keywords:

Ease of insertion, General anaesthesia, I-gel Supraglottic airway, ProSeal-laryngeal mask airway

Abstract

Objective: To compare I-gel Supraglottic Airway with ProSeal-Laryngeal Mask Airway in anaesthetized paralyzed patients regarding mean insertion time and frequency of ease of insertion.

Study design: Quasi-experimental study.

Place and Duration of Study: Department of Anesthesiology, Combined Military Hospital, Multan Pakistan, from Jun to Dec 2018.

Methodology: Ninety-two patients aged 20-50 years, of either gender undergoing procedures in supine and lithotomy positions under general anaesthesia were included. In Group-A, ProSeal-Laryngeal Mask Airway was inserted, and in GroupB, the anaesthetists inserted I-gel Supraglottic Airway. Insertion time and ease of insertion in terms of successful insertion on the first attempt were noted.

Results: Out of these 92 patients, 54(58.7%) were male, and 38(41.3%) were female. The median insertion time was 22 seconds with an interquartile range (Q3-Q1) of 17.53 in Group-A patients and 14 seconds in Group-B patients with an interquartile range of 3(p<0.001). The first attempt for placement was successful in 35(76.1%) patients in Group-A and 43(93.5%) patients in Group-B (p=0.039).

Conclusion: I-gel Supraglottic Airway has a shorter insertion time and a higher frequency of ease of insertion as compared to the ProSeal-Laryngeal Mask Airway in patients undergoing surgery under general anaesthesia.