Heena Saini1, Rajesh Angral2, Neelam Gupta3
BACKGROUND
Present study was undertaken to assess the feasibility of laryngeal mask airway
(LMA) supreme and I gel, the second generation supraglottic airway devices in
laparoscopic surgeries.
METHODS
120 patients with American Society of Anaesthesiologists (ASA) I and II (20 - 50
years) of either sex who underwent laparoscopic surgery under general
anaesthesia were randomly divided into three groups. Airway was secured with
endotracheal tube (ETT) in group E (N = 40), with LMA supreme in Group S (N =
40) and with I-gel in group I (N = 40). Insertion characteristics of airway device,
ease of gastric tube insertion, haemodynamic response and perioperative
laryngopharyngeal morbidities were assessed.
RESULTS
I-gel was easier to insert with higher first attempt success rate (95 %) than LMA
Supreme (85 %) and ETT (90 %) but it was statistically insignificant. Heart rate
(HR) and mean arterial pressure (MAP) was significantly higher in ETT group at
the time of intubation, continued till 5 minutes and also at the time of extubation
but statistically significant increase in HR and MAP were noted in group S and I
only at the time of device insertion. Gastric tube was easier to insert in group S
with shortest insertion time which was statistically significant. Incidence of
coughing, dysphonia, dysphagia and sore throat was significantly more in
group E.
CONCLUSIONS
I-gel and LMA Supreme can be used as an alternative to ETT for airway
management in adult patients undergoing elective laparoscopic surgeries.
