Key result
LMA supreme was superior to i-gel for airway management during elective surgeries, demonstrating easier insertion (93% vs 57%, p=0.002), shorter insertion time (p=0.0001), and fewer attempts.
Why the study?
Does i-gel compared to LMA supreme improve insertion characteristics and airway seal in patients undergoing elective surgeries under general anaesthesia?
RCT (n=60)
Single-blind
Randomized
Does i-gel compared to LMA supreme improve insertion characteristics and airway seal in patients undergoing elective surgeries under general anaesthesia?
Absolute Event Rate: 93% vs 57%
p-value: p=0.002
LMA supreme has a slight advantage over i-gel in terms of shorter insertion time and fewer attempts during elective general anesthesia, though both provide secure airways.
Favors LMA supreme over i-gel for easier insertion in elective surgery; confirms RCT evidence guiding supraglottic airway selection.
BACKGROUND -gel and LMA supreme are single use second generation supraglottic airway devices. The objectives of this study are to compare number of attempts of insertion, ease and time taken for insertion, airway leak pressure and complications during usage of devices. AND METHODS single-blinded prospective study was conducted with sixty patients of ASA physical status I and II assigned into groups undergoing elective procedures under general anaesthesia. The device was chosen according to weight of patient. assessed the mean time of insertion in seconds, ease of insertion, number of attempts of insertion, oropharyngeal seal , ease of insertion of gastric tube, complications postoperatively. was no difference between the demographic data in our study. Mean time for placement of i-gel was greater than LMA (p=0.0001). LMA supreme was easily inserted in 93% compared to 57% in i-gel group (p=0.002. LMA supreme is to i-gel in comparison of number of attempts for supraglottic device placement (p=0.026). There was no statistically difference between two groups in oropharyngeal seal pressure (p=0.398). There was no incidence of desaturation, trauma or laryngospasm in both the groups. Blood staining of i-gel was noted in 3 cases and 2 cases of LMA supreme complaints of postoperative sore throat. i-gel and LMA supreme provided a satisfactory and secure airway during elective procedures under general anaesthesia. supreme has a slight edge over i-gel in being superior to i-gel in terms of shorter time taken for insertion, number of for insertion during anaesthesia. Both devices are similar in other aspects.
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Katika et al. (2017) conducted an RCT in Elective surgeries under general anaesthesia (n=60). LMA supreme vs. i-gel was evaluated on Ease of insertion (p=0.002). LMA supreme was superior to i-gel for airway management during elective surgeries, demonstrating easier insertion (93% vs 57%, p=0.002), shorter insertion time (p=0.0001), and fewer attempts.
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