Comparison of standard weight-based and thenar eminence dimension-based selection of I-gel in pediatric patients – A randomized controlled study
Background and Aim: Supraglottic airway devices are increasingly being used for airway management. I-gel is being widely used even for pediatric patients. Although the weight-based selection of the size of the device seems to be the standard technique, this method may not be possible in all patients...
| Main Authors: | , , , |
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| Format: | Article |
| Language: | English |
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Wolters Kluwer Medknow Publications
2023-01-01
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| Series: | Journal of Anaesthesiology Clinical Pharmacology |
| Subjects: | |
| Online Access: | http://www.joacp.org/article.asp?issn=0970-9185;year=2023;volume=39;issue=4;spage=642;epage=647;aulast=Sachidananda |
| _version_ | 1797245248850624512 |
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| author | Roopa Sachidananda Latha V Petkar Milon V Mitragotri Alisha Malipatil |
| author_facet | Roopa Sachidananda Latha V Petkar Milon V Mitragotri Alisha Malipatil |
| author_sort | Roopa Sachidananda |
| collection | DOAJ |
| description | Background and Aim: Supraglottic airway devices are increasingly being used for airway management. I-gel is being widely used even for pediatric patients. Although the weight-based selection of the size of the device seems to be the standard technique, this method may not be possible in all patients. The aim of the study was to compare the standard weight-based method with the thenar eminence dimension-based method for I-gel selection.
Material and Methods: A prospective randomized study was conducted on 74 pediatric patients of either sex, aged between 6 months and 15 years, belonging to American Society of Anesthesiologists (ASA) physical status I, II, and III and who were posted for various surgical procedures under general anesthesia. The study population was divided into two groups of 37 patients each. I-gel was inserted based on weight in group A patients and based on thenar eminence size in group B patients. Parameters like first attempt success rate, ease of insertion, and complications were compared between the two groups using Student's t-test and Chi-square test.
Results: The demographic values between the groups were comparable. The first attempt success rate was 97.4% in group A and 91.7% in group B (P = 0.358). Insertion of I-gel was unsuccessful in two patients in group B. Two patients of group B had blood staining of the device. None of the patients had complications related to insertion.
Conclusion: The thenar eminence dimension can be used instead of weight while choosing the size of I-gel in pediatric patients. None of the patients had complications related to device insertion. |
| first_indexed | 2024-04-24T19:23:54Z |
| format | Article |
| id | doaj.art-23589ed00f8a484fb005f47dbc735fab |
| institution | Directory Open Access Journal |
| issn | 0970-9185 |
| language | English |
| last_indexed | 2024-04-24T19:23:54Z |
| publishDate | 2023-01-01 |
| publisher | Wolters Kluwer Medknow Publications |
| record_format | Article |
| series | Journal of Anaesthesiology Clinical Pharmacology |
| spelling | doaj.art-23589ed00f8a484fb005f47dbc735fab2024-03-25T15:51:53ZengWolters Kluwer Medknow PublicationsJournal of Anaesthesiology Clinical Pharmacology0970-91852023-01-0139464264710.4103/joacp.joacp_215_22Comparison of standard weight-based and thenar eminence dimension-based selection of I-gel in pediatric patients – A randomized controlled studyRoopa SachidanandaLatha V PetkarMilon V MitragotriAlisha MalipatilBackground and Aim: Supraglottic airway devices are increasingly being used for airway management. I-gel is being widely used even for pediatric patients. Although the weight-based selection of the size of the device seems to be the standard technique, this method may not be possible in all patients. The aim of the study was to compare the standard weight-based method with the thenar eminence dimension-based method for I-gel selection. Material and Methods: A prospective randomized study was conducted on 74 pediatric patients of either sex, aged between 6 months and 15 years, belonging to American Society of Anesthesiologists (ASA) physical status I, II, and III and who were posted for various surgical procedures under general anesthesia. The study population was divided into two groups of 37 patients each. I-gel was inserted based on weight in group A patients and based on thenar eminence size in group B patients. Parameters like first attempt success rate, ease of insertion, and complications were compared between the two groups using Student's t-test and Chi-square test. Results: The demographic values between the groups were comparable. The first attempt success rate was 97.4% in group A and 91.7% in group B (P = 0.358). Insertion of I-gel was unsuccessful in two patients in group B. Two patients of group B had blood staining of the device. None of the patients had complications related to insertion. Conclusion: The thenar eminence dimension can be used instead of weight while choosing the size of I-gel in pediatric patients. None of the patients had complications related to device insertion.http://www.joacp.org/article.asp?issn=0970-9185;year=2023;volume=39;issue=4;spage=642;epage=647;aulast=Sachidanandaairwaygeneral anesthesiaintubationlaryngeal maskpediatric anesthesiasupraglottic airway device |
| spellingShingle | Roopa Sachidananda Latha V Petkar Milon V Mitragotri Alisha Malipatil Comparison of standard weight-based and thenar eminence dimension-based selection of I-gel in pediatric patients – A randomized controlled study Journal of Anaesthesiology Clinical Pharmacology airway general anesthesia intubation laryngeal mask pediatric anesthesia supraglottic airway device |
| title | Comparison of standard weight-based and thenar eminence dimension-based selection of I-gel in pediatric patients – A randomized controlled study |
| title_full | Comparison of standard weight-based and thenar eminence dimension-based selection of I-gel in pediatric patients – A randomized controlled study |
| title_fullStr | Comparison of standard weight-based and thenar eminence dimension-based selection of I-gel in pediatric patients – A randomized controlled study |
| title_full_unstemmed | Comparison of standard weight-based and thenar eminence dimension-based selection of I-gel in pediatric patients – A randomized controlled study |
| title_short | Comparison of standard weight-based and thenar eminence dimension-based selection of I-gel in pediatric patients – A randomized controlled study |
| title_sort | comparison of standard weight based and thenar eminence dimension based selection of i gel in pediatric patients a randomized controlled study |
| topic | airway general anesthesia intubation laryngeal mask pediatric anesthesia supraglottic airway device |
| url | http://www.joacp.org/article.asp?issn=0970-9185;year=2023;volume=39;issue=4;spage=642;epage=647;aulast=Sachidananda |
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