A COMPARATIVE STUDY BETWEEN I-GEL AND ENDOTRACHEAL TUBE FOR VOLUME CONTROLLED VENTILATION IN PATIENTS UNDERGOING LAPAROSCOPIC CHOLECYSTECTOMY
Journal Title: GJRA-Global Journal For Research Analysis - Year 2019, Vol 8, Issue 6
Abstract
INTRODUCTION: The endotrachealtube is the gold standard for controlling the airway. Laparoscopic procedures mark the new era. However, with various advantages they have their complications. Endotracheal intubation evokes signicant hemodynamic changes. We have used I-gel, to nd a suitable alternative. The study was conducted to compare haemodynamic changes, efcacy of ventilation, and complications laparoscopic cholecystectomy. MATERIALS AND METHODS: After ethical approval the study was completed with 100 ASA PS I or II patients undergoing elective laparoscopic cholecystectomy. They were randomly allocated into either: Group-I (I-gel) or Group-E (ETT). Ease of insertion of device, haemodynamic and ventilatory parameters and perioperative complications were recorded. RESULTS: Ease of insertion was difcult in Group E compared to Group I. HR variation and MAP variation was highly signicant between the groups. Leak Pressures were high throughout in GroupE. Mean Peak Airway Pressure was though higher in I-gel but was less than leak pressure and was clinically acceptable. CONCLUSION: I-gel may be an alternative to endotracheal intubation for laparoscopic cholecystectomy under general anaesthesia for its design, less haemodynamic perturbations and similar efcacy in maintaining oxygenation and ventilation.
Authors and Affiliations
Krishnendu Ghosh, Koel Mitra
Keywords
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