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ORIGINAL ARTICLE
Year : 2019  |  Volume : 2  |  Issue : 2  |  Page : 81-88

Comparative performance of I-gel and laryngeal mask airway supreme: A randomised, controlled study


1 Department of Cardiac Anaesthesia, Max Smart Superspeciality Hospital, Delhi, India
2 Department of Anaesthesia and Critical Care, Maulana Azad Medical College, Delhi, India
3 Department of Anaesthesia and Critical Care, University College of Medical Sciences, Delhi, India
4 Department of Anaesthesia and Critical Care, VMMC and Safdarjung Hospital, Delhi, India

Correspondence Address:
Dr. B Uma
Max Smart Superspeciality Hospital, Press Enclave, Mandir Marg, Saket, Delhi - 110 017
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/ARWY.ARWY_16_19

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Patients and Methods: In a randomised, controlled study, we compared the performance of i-gel against the laryngeal mask airway (LMA) Supreme in 60 anaesthetised and paralysed patients for non-laparoscopic surgical procedures. Results: The primary outcome measure, the oropharyngeal leak pressure (OLP), was significantly higher for i-gel as compared to LMA Supreme (mean [standard deviation] 26.23 [4.09] vs 21.73 [3.19] cm H2O, respectively; P < 0.0001). Twenty-four (80%) of LMA Supreme and 22 (73.3%) of i-gels were successfully placed with similar ease on the first attempt to achieve an effective airway. The time taken for inserting the LMA Supreme was significantly less than that required for i-gel (mean [SD] 7.89 [1.6] s vs 11.48 [4.86] s, respectively; P < 0.0001). Gastric tube insertion was easier in the LMA Supreme as compared to i-gel (96.7% vs 63.3% respectively; P < 0.0001). There were no differences in the positioning of the supraglottic airway devices as evaluated fibreoptically. Postoperative sore throat was comparable with both devices. Conclusion: We conclude that while both these devices are suitable for routine use during maintenance of anaesthesia, a significantly higher OLP might provide the i-gel an advantage in this respect.


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