Comparison of the clinical performance of the i-gel, LMA Supreme, and Ambu AuraGain in adult patients during general anesthesia: a prospective and randomized study
Background Supraglottic airway devices (SADs) are routinely used for securing the airway. In this study, the clinical performance of three SADs in adult patients under general anesthesia was compared. Methods American Society of Anesthesiologists physical status I–III subjects were randomly assigned...
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| Format: | Article |
| Language: | English |
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Korean Society of Anesthesiologists
2022-08-01
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| Series: | Korean Journal of Anesthesiology |
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| Online Access: | http://ekja.org/upload/pdf/kja-21212.pdf |
| _version_ | 1811221983662178304 |
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| author | Tejashri Chinthavali Lakshmi Tanmay Tiwari Jyotsna Agrawal Rajni Kapoor Vikrannth Vasanthakumar |
| author_facet | Tejashri Chinthavali Lakshmi Tanmay Tiwari Jyotsna Agrawal Rajni Kapoor Vikrannth Vasanthakumar |
| author_sort | Tejashri Chinthavali Lakshmi |
| collection | DOAJ |
| description | Background Supraglottic airway devices (SADs) are routinely used for securing the airway. In this study, the clinical performance of three SADs in adult patients under general anesthesia was compared. Methods American Society of Anesthesiologists physical status I–III subjects were randomly assigned to the i-gelTM (I), LMA SupremeTM (L), or Ambu AuraGainTM (A) group (30 per group). The primary objective of this study was to compare insertion times. Additionally, the ease of insertion, number of attempts, oropharyngeal leak pressure (OLP), airway maneuver requirement, difficulty with gastric tube placement, and complications were assessed. Results Demographic data did not differ between the groups. Group I (16.9 ± 4.9 s) had a significantly shorter time of insertion than Group L (19.6 ± 5.2 s) and Group A (22.1 ± 5.7 s) (P = 0.001). The OLP for Group A (29.8 ± 3.0 cmH2O) was higher than those for Group L (24.1 ± 6.3 cmH2O) and Group I (9.4 ± 6.1 cmH2O) (P < 0.001). The number of insertion attempts (P = 0.232), ease of insertion (P = 0.630), airway maneuver requirement (P = 0.585), difficulty with gastric tube placement (P = 0.364), and complications (P = 0.873) were not significantly different between the groups. Conclusions All three devices are convenient and effective for airway management in adults under general anesthesia. However, the shorter insertion time required for the i-gel may make it more suitable for resuscitation and emergencies, while aspiration risk may be reduced with the Ambu AuraGain, given its high OLP. |
| first_indexed | 2024-04-12T08:08:14Z |
| format | Article |
| id | doaj.art-dd52e39658344326b41d8ebb8d79318b |
| institution | Directory Open Access Journal |
| issn | 2005-6419 2005-7563 |
| language | English |
| last_indexed | 2024-04-12T08:08:14Z |
| publishDate | 2022-08-01 |
| publisher | Korean Society of Anesthesiologists |
| record_format | Article |
| series | Korean Journal of Anesthesiology |
| spelling | doaj.art-dd52e39658344326b41d8ebb8d79318b2022-12-22T03:41:03ZengKorean Society of AnesthesiologistsKorean Journal of Anesthesiology2005-64192005-75632022-08-0175431632210.4097/kja.212128770Comparison of the clinical performance of the i-gel, LMA Supreme, and Ambu AuraGain in adult patients during general anesthesia: a prospective and randomized studyTejashri Chinthavali Lakshmi0Tanmay Tiwari1Jyotsna Agrawal2Rajni Kapoor3Vikrannth Vasanthakumar4 Department of Anesthesiology and Critical Care, King George’s Medical University, Lucknow, India Department of Anesthesiology and Critical Care, King George’s Medical University, Lucknow, India Department of Anesthesiology and Critical Care, King George’s Medical University, Lucknow, India Department of Anesthesiology and Critical Care, King George’s Medical University, Lucknow, India Department of General Medicine, Saveetha Medical College and Hospital, Chennai, IndiaBackground Supraglottic airway devices (SADs) are routinely used for securing the airway. In this study, the clinical performance of three SADs in adult patients under general anesthesia was compared. Methods American Society of Anesthesiologists physical status I–III subjects were randomly assigned to the i-gelTM (I), LMA SupremeTM (L), or Ambu AuraGainTM (A) group (30 per group). The primary objective of this study was to compare insertion times. Additionally, the ease of insertion, number of attempts, oropharyngeal leak pressure (OLP), airway maneuver requirement, difficulty with gastric tube placement, and complications were assessed. Results Demographic data did not differ between the groups. Group I (16.9 ± 4.9 s) had a significantly shorter time of insertion than Group L (19.6 ± 5.2 s) and Group A (22.1 ± 5.7 s) (P = 0.001). The OLP for Group A (29.8 ± 3.0 cmH2O) was higher than those for Group L (24.1 ± 6.3 cmH2O) and Group I (9.4 ± 6.1 cmH2O) (P < 0.001). The number of insertion attempts (P = 0.232), ease of insertion (P = 0.630), airway maneuver requirement (P = 0.585), difficulty with gastric tube placement (P = 0.364), and complications (P = 0.873) were not significantly different between the groups. Conclusions All three devices are convenient and effective for airway management in adults under general anesthesia. However, the shorter insertion time required for the i-gel may make it more suitable for resuscitation and emergencies, while aspiration risk may be reduced with the Ambu AuraGain, given its high OLP.http://ekja.org/upload/pdf/kja-21212.pdfairway managementgeneral anesthesiaelective surgical procedureslaryngeal maskspressureventilation |
| spellingShingle | Tejashri Chinthavali Lakshmi Tanmay Tiwari Jyotsna Agrawal Rajni Kapoor Vikrannth Vasanthakumar Comparison of the clinical performance of the i-gel, LMA Supreme, and Ambu AuraGain in adult patients during general anesthesia: a prospective and randomized study Korean Journal of Anesthesiology airway management general anesthesia elective surgical procedures laryngeal masks pressure ventilation |
| title | Comparison of the clinical performance of the i-gel, LMA Supreme, and Ambu AuraGain in adult patients during general anesthesia: a prospective and randomized study |
| title_full | Comparison of the clinical performance of the i-gel, LMA Supreme, and Ambu AuraGain in adult patients during general anesthesia: a prospective and randomized study |
| title_fullStr | Comparison of the clinical performance of the i-gel, LMA Supreme, and Ambu AuraGain in adult patients during general anesthesia: a prospective and randomized study |
| title_full_unstemmed | Comparison of the clinical performance of the i-gel, LMA Supreme, and Ambu AuraGain in adult patients during general anesthesia: a prospective and randomized study |
| title_short | Comparison of the clinical performance of the i-gel, LMA Supreme, and Ambu AuraGain in adult patients during general anesthesia: a prospective and randomized study |
| title_sort | comparison of the clinical performance of the i gel lma supreme and ambu auragain in adult patients during general anesthesia a prospective and randomized study |
| topic | airway management general anesthesia elective surgical procedures laryngeal masks pressure ventilation |
| url | http://ekja.org/upload/pdf/kja-21212.pdf |
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