Comparison of Supraglottic Devices I-gel and LMA FastrachR as Conduit for Endotracheal Intubation
Journal Title: International Journal of Medical Research Professionals - Year 2018, Vol 4, Issue 3
Abstract
Aim and Objectives: Comparative evaluation of clinical performance of I-GEL with LMA fastrach in elective surgeries. Materials and Methods: The present study was conducted in the Department of Anesthesiology, Teerthanker Mahaveer Medical College & Research Centre, Moradabad during the period 2015-2017, on 80 patients undergoing elective surgery under general anesthesia. The parameters recorded were Time taken for successful placement, Time taken for insertion of Endo-tracheal Tube, Number of insertion attempts, Quality of ventilation during anesthesia, Haemodynamic parameters such as pulse rate, systolic and diastolic blood pressure and SpO2, Airway trauma and Gastric distension. Results: There was no significant difference in mean Heart Rate, Systolic and Diastolic blood pressure and mean Arterial pressure at Baseline, 1 minute, 3 minutes and 5 minutes between I-GEL and LMA FASTRACH groups. The mean Time taken for supra-glottic device was significantly more among LMA FASTRACH (31.57±3.08) in comparison to I-gel (15.07±1.65). The mean Time taken for Endo-tracheal tube was significantly more among I-gel (24.00±0.31) minutes in comparison to LMA FASTRACH (19.95±0.37). Conclusion: Both Fastrach LMA and I-gel are suitable devices to be used as conduit to endotracheal intubation particularly in susceptible patients where hemodynamic disturbances during intubation are not required. But I-gel proved to be better than Fastrach LMA in terms of benefits.
Authors and Affiliations
Himanshu Sagar, Gurdeep Singh Jheetay, Rohit Kumar Varshney
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