scholarly journals A comparison of two supraglottic airway devices in general anaesthesia: baska mask® vs. I-gel®

2019 ◽  
Vol 6 (12) ◽  
pp. 333-339
Author(s):  
Özlem Sezen
Keyword(s):  
General Anaesthesia ◽  
Sore Throat ◽  
Clinical Performance ◽  
Insertion Time ◽  
Supraglottic Airway ◽  
Peripheral Oxygen Saturation ◽  
Supraglottic Airway Devices ◽  
Gastric Regurgitation ◽  
Significant Difference ◽  
Airway Devices

Objective: The aim of this was to compare the Baska® mask and the I-gel® airway in paralyzed patients during general anaesthesia in terms of clinical performance, the risk of aspiration, and intraoperative and postoperative characteristics. Material and Methods: The two devices were compared in 100 paralyzed anesthetized adult patients. Primary outcomes of the study were to evaluate the characteristics of the airway devices within respect to the success of first insertion attempt, the insertion time, the ease of insertion, leak volume, and peak airway pressure. The blood staining on the mask, and the presence of gastric reflux or sore throat two hours postoperatively were evaluated. Hemodynamics, end-tidal CO2 and the peripheral oxygen saturation measurements were secondary outcomes. Results: No statistically significant difference was observed between the groups in the criteria of first attempt success rate, ease of insertion, blood staining upon removal of the masks, gastric regurgitation, or sore throat two hours after the procedure. The insertion time was significantly longer for the Baska® mask compared with the I-gel® airway. The leak volume was significantly higher in the Baska® mask patients throughout the surgical procedure. The heart rate and mean arterial pressure measurements were significantly higher in the Baska® mask patients. Conclusions: Both the Baska® mask and the I-gel ® device can be used effectively for selected paralyzed patients under general anaesthesia. The insertion time was significantly longer for the Baska® mask compared with the I-gel® device.

scholarly journals Comparison of Clinical Performance of Supraglottic Airway Devices in Elderly Patients: A Prospective Randomized Trial

2021 ◽  
Author(s):  
Reyhan Polat ◽  
Sibel Çatalca ◽  
Julide Ergil ◽  
İlkay Baran ◽  
Aylin Tamam ◽  
...  
Keyword(s):  
Elderly Patients ◽  
Clinical Performance ◽  
The Elderly ◽  
Supraglottic Airway ◽  
Positive Pressure ◽  
Success Rates ◽  
Group I ◽  
Supraglottic Airway Devices ◽  
Significant Difference ◽  
Airway Devices

INTRODUCTION: Airway management in the elderly may be challenging. Supraglottic airway devices (SADs) may be used to provide airway security. The aim of study was to compare the efficacy and safety of different SADs, LMA classic (c-LMA), proseal LMA (p-LMA) and i-gel in anaesthetised and non-paralysed elderly patients. METHODS: The study was approved by a local ethics committee. Eighty patients, aged older than 65 years, who were scheduled to undergo elective urological or orthopaedic surgery participated in the study. Each patient was randomly allocated into 1 of 3 groups: Group C: c-LMA (n = 26), Group P: p-LMA (n = 27) or Group I: i-gel (n = 27). The primary outcome was oropharyngeal sealing pressure (OSP). Secondary outcomes included the adequacy of positive pressure ventilation, ease of insertion, success rates, time to insertion, haemodynamic response and complications such as sore throat and dysphagia. RESULTS: There were no significant differences among the groups with respect to OSP (p=0.852), whereas there was a statistically significant difference between Group I and Group C in terms of leak volume and leak fraction ( p= 0.042 and p = 0.020, respectively ). Adverse events were similar among the groups (p > 0.05). DISCUSSION AND CONCLUSION: In this study, although the leak volume and leak fraction were lower in i-gel inserted patients, it was shown that i-gel, c-LMA and p-LMA provided adequate airway in elderly patients who were not applied muscle relaxants and will be operated under general anesthesia.

A Randomised comparison and evaluation of I-gel, Supreme laryngeal mask airway and Ambu Auragain in Laparoscopic surgeries under general anaesthesia with controlled ventilation

2021 ◽  
Vol 12 (4) ◽  
pp. 68-75
Author(s):  
Meenakshi Sumadevi Pradeep ◽  
Niteen Khanderao Nandanwankar ◽  
Priya Vishwanath Lahane ◽  
Nazima Yusuf Memon ◽  
Shridhar Devidas Yennawar ◽  
...  
Keyword(s):  
General Anaesthesia ◽  
Primary Outcome ◽  
Supraglottic Airway ◽  
Randomised Study ◽  
Controlled Ventilation ◽  
Group I ◽  
Supraglottic Airway Devices ◽  
Significant Difference ◽  
Group A ◽  
Airway Devices

Background: Supraglottic airway devices (SAD) are becoming increasingly popular for use in patients undergoing laparoscopic surgeries. In this prospective randomised study, we compared three supraglottic airway devices namely, I-gel, Supreme LMA and Ambu Auragain. Aims and Objectives: The study was undertaken to compare three supraglottic airway devices I-gel, Supreme LMA and Ambu Auragain in laparoscopic surgeries under general anaesthesia with controlled ventilation. Materials and Methods: This was a randomized comparative study in which 90 patients undergoing laparoscopic surgeries under general anesthesia were included. In group A Ambu AuraGain was used whereas in group I and Group S I-gel and Supreme LMA was used respectively. Primary outcome measures which were compared amongst the studied groups included time taken for insertion, ease of insertion, attempts required for insertion, ease of insertion of Ryles tube, fiberoptic bronchoscopic grading and Oropharyngeal leak pressure. Results: There was highly significant difference in the time taken for insertion of SAD in Group-A when compared to Group- I (p<0.0001) and Group-S (p<0.0001). Group-A had significantly increased grades of ease of insertion of SAD when compared to Group-I (p=0.04) and Group-S (p=0.004). 16.66% of patients in Group-A required 3 attempts for successful insertion of the SAD, while no patients in Group- I or Group A required more than two attempts for insertion(p<0.05). Conclusion: Ambu AuraGain provides better oropharyngeal seal and has higher leak pressures as compared to I-gel and Supreme LMA with similar hemodynamic stability and post-operative outcome makingit a preferable SAD over I-gel and Supreme LMA.

Sore throat following three adult supraglottic airway devices

2017 ◽  
Vol 34 (7) ◽  
pp. 417-424 ◽  
Author(s):  
Joël L’Hermite ◽  
Elisabeth Dubout ◽  
Sophie Bouvet ◽  
Laure-Hélène Bracoud ◽  
Philippe Cuvillon ◽  
...  
Keyword(s):  
Sore Throat ◽  
Supraglottic Airway ◽  
Supraglottic Airway Devices ◽  
Airway Devices

scholarly journals Comparative study between LMA supreme with I-gel in anaesthetised adult patient on effectiveness and safety

2017 ◽  
Vol 5 (12) ◽  
pp. 5263 ◽  
Author(s):  
Sarika A. Samel ◽  
Shrikant S. Morale
Keyword(s):  
Sore Throat ◽  
Dental Trauma ◽  
Supraglottic Airway ◽  
Medical College ◽  
National Medical ◽  
Respiratory Parameters ◽  
Supraglottic Airway Devices ◽  
Class 1 ◽  
The Difference ◽  
Airway Devices

Background: Supreme laryngeal mask airway (SLMA) and I-gel airway devices are second generation supraglottic airway devices (SAD) and are good alternatives to intubation during surgeries. The study was conducted with the objective to compare two supraglottic airway devices for ease of insertion, number of attempts of insertion, hemodynamic changes, incidence of adverse effects like regurgitation, lip and dental trauma and post-operative sore throat, dysphagia or hoarseness.Methods: This study was conducted at Topiwala National Medical College and BYL Nair hospital, Mumbai. 80 patients of ASA class 1 and 2 with Mallampati grading 1 and 2, between age group of 18-60 years and with BMI <28kg/m2 were selected for the study. After induction of anesthesia for all the patients, one of SAD (SLMA or I-gel) was inserted randomly and accordingly they are divided into two groups consisting of 40 in each. Insertion parameters, hemodynamic and respiratory parameters were noted. Patients were also observed for any complications for 1 hour and 24 hours postoperatively.Results: Both groups were compared in terms of demographic characteristics, insertion parameters, hemodynamic and respiratory parameters and found no statistically significant differences between them (p>0.05). Postoperatively no significant complications were observed in terms of dental injury, laryngospasm. Complication like sore throat after 1 hour and after 24 hours was comparatively more in I-gel group but difference was not significant at 1 hr (p>0.05). Dysphagia was reported more in SLMA group (8 cases) than I-gel group (1 case) at one hour and the difference was statistically significant (p=0.013).Conclusions: SLMA and I-GEL are better airway management option for patients undergoing short surgical procedures under general anaesthesia.

scholarly journals Impact of a semi-structured briefing on the management of adverse events in anesthesiology: A randomized pilot study.

2019 ◽  
Author(s):  
Christopher Neuhaus ◽  
Johannes Schäfer ◽  
Markus A. Weigand ◽  
Christoph Lichtenstern
Keyword(s):  
Rapid Sequence Induction ◽  
Airway Device ◽  
Supraglottic Airway ◽  
Anesthesia Induction ◽  
Team Members ◽  
Rapid Sequence ◽  
Supraglottic Airway Devices ◽  
Significant Difference ◽  
Alternative Means ◽  
Airway Devices

Abstract Background : Human factors research has identified mental models as a key component for the effective sharing and organization of knowledge. The challenge lies in the development and application of tools that help team members to arrive at a shared understanding of a situation. The aim of this study was to assess the influence of a semi-structured briefing on the management of a simulated airway emergency. Methods : 37 interprofessional teams were asked to perform a simulated rapid-sequence induction in the simulator. Teams were presented with a “cannot ventilate, cannot oxygenate” scenario that ultimately required a cricothyroidotomy. Study group (SG) teams were asked to perform a briefing prior to induction, while controls (CG) were asked to perform their usual routine. Results : We observed no difference in the mean time until cricothyroidotomy (SG 8:31 CG 8:16, p=0.36). There was a significant difference in groups’ choice of alternative means of oxygenation: While SG teams primarily chose supraglottic airway devices, controls initially reverted to mask ventilation (p=0.005). SG teams spent significantly less time with this alternative airway device and were quicker to advance in the airway algorithm. Conclusions : Our study addresses effects on team coordination through a shared mental model as effected by a briefing prior to anesthesia induction. We found measurable improvements in airway management during those stages of the difficult airway algorithm explicitly discussed in the briefing. For those, time spent was shorter and participants were quicker to advance in the airway algorithm.

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