A COMPARATIVE EVALUATION OF LARYNGEAL MASK AIRWAY AND I-GEL DURING GENERAL ANAESTHESIA WITH CONTROLLED VENTILATION IN PAEDIATRIC PATIENTS

Dr. P.S.Arunalatha; Dr. B. Jayalakshmi

Volume : VI, Issue : XII, December - 2017

A COMPARATIVE EVALUATION OF LARYNGEAL MASK AIRWAY AND I-GEL DURING GENERAL ANAESTHESIA WITH CONTROLLED VENTILATION IN PAEDIATRIC PATIENTS

Dr. P. S. Arunalatha, Dr. B. Jayalakshmi

Abstract :

AIMS AND OBJECTIVES : The aim of this study is to compare insertion parameters ,ventilatory parameters, hemodynamic parameters and post-removal complications that occur during laryngeal mask airway insertion and I-gel insertion in paediatric patients for surgical procedures under general anesthesia with controlled ventilation.

METHODOLOGY: The present clinical study was undertaken to compare various parameters with laryngeal mask airway and I-gel in pediatric patients.The study was conducted in 60 pediatric patients aged between 2-10 years undergoing elective surgeries under general anaesthesia .After institutional ethical committee approval and with informed parental consent, 60 ASA I & II patients of either sex between 2-10years of age, undergoing various elective short surgeries (duration less than 60mins) under general anesthesia were selected. The study population was randomly divided into two groups with 30 patients each.

OBSERVATIONS AND RESULTS: Our results suggested that the insertion parameters, ease of insertion and number of attempts are statistically insignificant. The hemodynamic response comparable in both the groups. Post removal complications like cough, laryngospasm and lip /dental inury is also stastically not significant in both the groups. Post operative sore throat was the only parameter that was significantly higher in the LMA group.

Conclusion: In conclusion, we can say that routine use of I-gel in pediatric patients is comparable to c-LMA in terms of ease of insertion ,hemodynamic response and post removal complications. I-gel is equally safe and efficient compared with LMA.