ABSTRACT
INTRODUCTION The endotrachealtube is the gold standard for controlling the airway. Laparoscopic procedures mark the new era. However, with various advantages they have their complications. Endotracheal intubation evokes significant hemodynamic changes. We have used I-gel, to find a suitable alternative. The study was conducted to compare haemodynamic changes, efficacy of ventilation, and complications laparoscopic cholecystectomy. MATERIALS AND METHODS: After ethical approval the study was completed with 100 ASA PS I or II patients undergoing elective laparoscopic cholecystectomy. They were randomly allocated into either: Group-I (I-gel) or Group-E (ETT). Ease of insertion of device, haemodynamic and ventilatory parameters and perioperative complications were recorded. RESULTS: Ease of insertion was difficult in Group E compared to Group I. HR variation and MAP variation was highly significant between the groups. Leak Pressures were high throughout in GroupE. Mean Peak Airway Pressure was though higher in I-gel but was less than leak pressure and was clinically acceptable. CONCLUSION: I-gel may be an alternative to endotracheal intubation for laparoscopic cholecystectomy under general anaesthesia for its design, less haemodynamic perturbations and similar efficacy in maintaining oxygenation and ventilation.