I-GEL AS AN AIRWAY DEVICE- A PROSPECTIVE STUDY IN 30 PLASTIC SURGICAL PATIENTS
Journal Title: Journal of Evolution of Medical and Dental Sciences - Year 2017, Vol 6, Issue 66
Abstract
BACKGROUND Supraglottic airway devices have become invaluable for both routine and difficult airway management. After the introduction of the laryngeal mask airway LMA-Classic in the 1980s, there has been a steady increase in the applications for use of supraglottic airways as well as incidence of use. I-gel is an innovative supraglottic airway device. Made from a medical grade thermoplastic elastomer, Igel has been designed to create a non-inflatable, anatomical seal of the pharyngeal, laryngeal and perilaryngeal structures whilst avoiding compression trauma. The aim of this study is to determine the ease of insertion, adequacy of ventilation upon insertion, the haemodynamic stability during and after insertion and postoperative complications occurring due to I-gel insertion. MATERIALS AND METHODS We conducted a prospective randomised study on I-gel TM (Intersurgical Ltd, Wokingham, UK) on 30 plastic surgical patients of ASA physical status I-II. After premedication with midazolam and fentanyl, induction was done with Propofol and I-gel was inserted according to manufacturer’s instruction. 1 An effective airway was confirmed by bilateral chest movement, square wave on capnograph and SpO2>95%. RESULTS The study shows that I-gel has many advantages, including ease of insertion, higher success rate on first attempt of insertion, effective airway maintenance, ease of gastric tube insertion, less number of failures and lesser complications intraoperatively as well as postoperatively. CONCLUSION I-gel is a simple, excellent and easy-to-use supraglottic airway device, easy to insert without the need of many manipulations with maintenance of airway.
Authors and Affiliations
Aniruddha Nirkhi, Ketaki Patwardhan, Vijay Patil
Keywords
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- EP ID EP231911
- DOI 10.14260/Jemds/2017/1035
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