A Randomised comparison and evaluation of I-gel, Supreme laryngeal mask airway and Ambu Auragain in Laparoscopic surgeries under general anaesthesia with controlled ventilation
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 w...
| Main Authors: | , , , , , |
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| Format: | Article |
| Language: | English |
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Manipal College of Medical Sciences, Pokhara
2021-04-01
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| Series: | Asian Journal of Medical Sciences |
| Subjects: | |
| Online Access: | https://www.nepjol.info/index.php/AJMS/article/view/32931 |
| _version_ | 1819275098564067328 |
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| author | Meenakshi Sumadevi Pradeep Niteen Khanderao Nandanwankar Priya Vishwanath Lahane Nazima Yusuf Memon Shridhar Devidas Yennawar Ramesh Govindrao Pathak |
| author_facet | Meenakshi Sumadevi Pradeep Niteen Khanderao Nandanwankar Priya Vishwanath Lahane Nazima Yusuf Memon Shridhar Devidas Yennawar Ramesh Govindrao Pathak |
| author_sort | Meenakshi Sumadevi Pradeep |
| collection | DOAJ |
| description | 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. |
| first_indexed | 2024-12-23T23:18:55Z |
| format | Article |
| id | doaj.art-34397b7d211849e28225613713175972 |
| institution | Directory Open Access Journal |
| issn | 2467-9100 2091-0576 |
| language | English |
| last_indexed | 2024-12-23T23:18:55Z |
| publishDate | 2021-04-01 |
| publisher | Manipal College of Medical Sciences, Pokhara |
| record_format | Article |
| series | Asian Journal of Medical Sciences |
| spelling | doaj.art-34397b7d211849e282256137131759722022-12-21T17:26:24ZengManipal College of Medical Sciences, PokharaAsian Journal of Medical Sciences2467-91002091-05762021-04-011246875https://doi.org/10.3126/ajms.v12i4.32931A Randomised comparison and evaluation of I-gel, Supreme laryngeal mask airway and Ambu Auragain in Laparoscopic surgeries under general anaesthesia with controlled ventilationMeenakshi Sumadevi Pradeep 0https://orcid.org/0000-0002-9040-6412Niteen Khanderao Nandanwankar1https://orcid.org/0000-0001-6081-3677Priya Vishwanath Lahane 2https://orcid.org/0000-0001-5213-2548Nazima Yusuf Memon 3https://orcid.org/0000-0002-5584-6746Shridhar Devidas Yennawar4Ramesh Govindrao Pathak 5Senior Resident, Department of Anaesthesiology and Critical care, JIPMER, Puducherry Professor and Head, Department of Anaesthesiology, Dr Shankar Rao Chavan Government Medical College, Nanded Fellow in Regional Anesthesia, Ganga Hospital, Coimbatore Assistant Professor, Department of Anaesthesiology, Dr Shankar Rao Chavan Government Medical College, Nanded Former Professor and Head, Department of Anaesthesiology, Dr Shankar Rao Chavan Government Medical College, NandedFormer Professor and Head, Department of Anaesthesiology, Dr Shankar Rao Chavan Government Medical College, NandedBackground: 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.https://www.nepjol.info/index.php/AJMS/article/view/32931supraglottic airway deviceslaparoscopic surgeriesairway leak pressureease of insertion |
| spellingShingle | Meenakshi Sumadevi Pradeep Niteen Khanderao Nandanwankar Priya Vishwanath Lahane Nazima Yusuf Memon Shridhar Devidas Yennawar Ramesh Govindrao Pathak A Randomised comparison and evaluation of I-gel, Supreme laryngeal mask airway and Ambu Auragain in Laparoscopic surgeries under general anaesthesia with controlled ventilation Asian Journal of Medical Sciences supraglottic airway devices laparoscopic surgeries airway leak pressure ease of insertion |
| title | A Randomised comparison and evaluation of I-gel, Supreme laryngeal mask airway and Ambu Auragain in Laparoscopic surgeries under general anaesthesia with controlled ventilation |
| title_full | A Randomised comparison and evaluation of I-gel, Supreme laryngeal mask airway and Ambu Auragain in Laparoscopic surgeries under general anaesthesia with controlled ventilation |
| title_fullStr | A Randomised comparison and evaluation of I-gel, Supreme laryngeal mask airway and Ambu Auragain in Laparoscopic surgeries under general anaesthesia with controlled ventilation |
| title_full_unstemmed | A Randomised comparison and evaluation of I-gel, Supreme laryngeal mask airway and Ambu Auragain in Laparoscopic surgeries under general anaesthesia with controlled ventilation |
| title_short | A Randomised comparison and evaluation of I-gel, Supreme laryngeal mask airway and Ambu Auragain in Laparoscopic surgeries under general anaesthesia with controlled ventilation |
| title_sort | randomised comparison and evaluation of i gel supreme laryngeal mask airway and ambu auragain in laparoscopic surgeries under general anaesthesia with controlled ventilation |
| topic | supraglottic airway devices laparoscopic surgeries airway leak pressure ease of insertion |
| url | https://www.nepjol.info/index.php/AJMS/article/view/32931 |
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