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Comparing I-Gel to Proseal Laryngeal Mask Airways in Infants: A Prospective Randomised Clinical Study

OBJECTIVE: Laryngeal mask airways and the I-gel have become increasingly popular for children undergoing minor surgery. The goal of our study is to compare I-gel and ProSeal laryngeal mask airways (LMA) in infants by analysing different parameters, such as insertion success, ventilation, haemodynami...

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Autores principales: Oba, Sibel, Türk, Hacer Şebnem, Kılınç, Leyla, Ekşioğlu Karacı, Birsen, İslamoğlu, Serkan
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Turkish Anaesthesiology and Intensive Care Society 2020
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7434344/
https://www.ncbi.nlm.nih.gov/pubmed/32864646
http://dx.doi.org/10.5152/TJAR.2019.47936
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author Oba, Sibel
Türk, Hacer Şebnem
Kılınç, Leyla
Ekşioğlu Karacı, Birsen
İslamoğlu, Serkan
author_facet Oba, Sibel
Türk, Hacer Şebnem
Kılınç, Leyla
Ekşioğlu Karacı, Birsen
İslamoğlu, Serkan
author_sort Oba, Sibel
collection PubMed
description OBJECTIVE: Laryngeal mask airways and the I-gel have become increasingly popular for children undergoing minor surgery. The goal of our study is to compare I-gel and ProSeal laryngeal mask airways (LMA) in infants by analysing different parameters, such as insertion success, ventilation, haemodynamic changes and postoperative complications. METHODS: For this prospective, randomised study, we selected 123 infants with an American Society of Anaesthesiologists (ASA) status I, who were undergoing minor elective lower abdominal surgery. After obtaining verbal and written informed consent from the parents, the infants were divided into two groups: the I-gel group (n=60) and the ProSeal LMA group (n=63). The times and ease of insertion, percentages of tidal volume leakage, and means and leakage pressures of these two supraglottic airways were noted. The complications and side-effects of each method were also recorded. RESULTS: The insertion time of the ProSeal group was statistically shorter than that of the I-gel group. The peak and mean pressures and the leakage percentage of the ProSeal group were statistically lower than those of the I-gel group. The leakage pressure of the ProSeal group was statistically higher than the I-gel group. CONCLUSION: In comparison with I-gel, the use of ProSeal LMA in infants’ anaesthesia presents many advantages, such as the ease of its insertion, better oropharyngeal leakage pressure and less mucosal hyperaemia.
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spelling pubmed-74343442020-08-28 Comparing I-Gel to Proseal Laryngeal Mask Airways in Infants: A Prospective Randomised Clinical Study Oba, Sibel Türk, Hacer Şebnem Kılınç, Leyla Ekşioğlu Karacı, Birsen İslamoğlu, Serkan Turk J Anaesthesiol Reanim Original Article OBJECTIVE: Laryngeal mask airways and the I-gel have become increasingly popular for children undergoing minor surgery. The goal of our study is to compare I-gel and ProSeal laryngeal mask airways (LMA) in infants by analysing different parameters, such as insertion success, ventilation, haemodynamic changes and postoperative complications. METHODS: For this prospective, randomised study, we selected 123 infants with an American Society of Anaesthesiologists (ASA) status I, who were undergoing minor elective lower abdominal surgery. After obtaining verbal and written informed consent from the parents, the infants were divided into two groups: the I-gel group (n=60) and the ProSeal LMA group (n=63). The times and ease of insertion, percentages of tidal volume leakage, and means and leakage pressures of these two supraglottic airways were noted. The complications and side-effects of each method were also recorded. RESULTS: The insertion time of the ProSeal group was statistically shorter than that of the I-gel group. The peak and mean pressures and the leakage percentage of the ProSeal group were statistically lower than those of the I-gel group. The leakage pressure of the ProSeal group was statistically higher than the I-gel group. CONCLUSION: In comparison with I-gel, the use of ProSeal LMA in infants’ anaesthesia presents many advantages, such as the ease of its insertion, better oropharyngeal leakage pressure and less mucosal hyperaemia. Turkish Anaesthesiology and Intensive Care Society 2020-08 2019-11-25 /pmc/articles/PMC7434344/ /pubmed/32864646 http://dx.doi.org/10.5152/TJAR.2019.47936 Text en © Copyright 2020 by Turkish Anaesthesiology and Intensive Care Society This work is licensed under Creative Common Attribution-NonCommercial-NoDerivatives 4.0 International (CC BY-NC-ND 4.0 (https://creativecommons.org/licenses/by-nc-nd/4.0/) )
spellingShingle Original Article
Oba, Sibel
Türk, Hacer Şebnem
Kılınç, Leyla
Ekşioğlu Karacı, Birsen
İslamoğlu, Serkan
Comparing I-Gel to Proseal Laryngeal Mask Airways in Infants: A Prospective Randomised Clinical Study
title Comparing I-Gel to Proseal Laryngeal Mask Airways in Infants: A Prospective Randomised Clinical Study
title_full Comparing I-Gel to Proseal Laryngeal Mask Airways in Infants: A Prospective Randomised Clinical Study
title_fullStr Comparing I-Gel to Proseal Laryngeal Mask Airways in Infants: A Prospective Randomised Clinical Study
title_full_unstemmed Comparing I-Gel to Proseal Laryngeal Mask Airways in Infants: A Prospective Randomised Clinical Study
title_short Comparing I-Gel to Proseal Laryngeal Mask Airways in Infants: A Prospective Randomised Clinical Study
title_sort comparing i-gel to proseal laryngeal mask airways in infants: a prospective randomised clinical study
topic Original Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7434344/
https://www.ncbi.nlm.nih.gov/pubmed/32864646
http://dx.doi.org/10.5152/TJAR.2019.47936
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