Airway device; comparison of l-GEL supraglottic with laryngeal mask airway

ABSTRACT

Intersurgical-gel [I-gel] is a new supraglottic airway device that is widely being used to secure airway during general anaesthesia. The objective of the study is to compare the ease of insertion of Intersurgical-gel and Laryngeal mask airway [LMA]. This study was conducted in Department of anaesthesia Hameed Latif Hospital, Lahore. 100 American Society of Anesthesiologists [ASA] I-II, patients were enrolled in this study for elective surgery divided in 2 groups of 50 each. LMA and l-gel were used in groups A and B respectively for intra operative maintenance of airway. Randomization through random number table in Statistical Package for Social Sciences [SPSS] version 17 was used. There were 50 patients in both groups. There were no statistical significant difference between the patients age of two groups. There was absolutely no difference between 2 groups regarding ease of insertion because both groups had 84% easy and 16% satisfactory insertions. Insertion time of LMA and l-gel in first and second attempt were also comparable and statistically nonsignificant. Airway manipulations was required in both groups for insertion of device, in LMAgroup 30% required and 70% did not require and in i-gel group 48% required and 52% did not require. There is no statistical significant difference between both groups. Bleeding was noticed on 2% of i-gel and with LMA no bleeding occurred and 2% laryngospasm incidence noticed in both groups. we found that regarding ease of insertion there is statistically no significant difference between l-gel and LMA