Year: 2024 | Month: June | Volume: 14 | Issue: 6 | Pages: 242-250
DOI: https://doi.org/10.52403/ijhsr.20240636
A Study on the Comparative Effects of the Efficacy of I-Gel and Laryngeal Mask Airway Classic (C-LMA) and the Safety Profile of the Patients undergoing General Anesthesia for Elective Lower Abdominal and Lower Limb Surgeries
Suhail Anjum Rather1, Dr. Syed Faisal Andrabi2, Dr. Abhishek Gupta3, Dr. Shyamal Koley4, Dr. Pankaj Koul5
1Anesthesia Technologist, Aamina Hospital and Nursing Home, Nowgam, Srinagar, India, and Post-Graduate Student, Department of Operation Theatre and Anesthesia Technology, University School of Allied Health Sciences, Rayat Bahra University, Mohali, Punjab, India.
2Lecturer, Department of Anaesthesiology and Critical Care, Government Medical College, Srinagar, Jammu and Kashmir, India.
3Assistant Professor, Department of Operation Theatre and Anaesthesia Technology, University School of Allied Health Sciences, Rayat Bahra University, Mohali, Punjab, India.
4Professo and Head, Department of Physiotherapy and Associate Dean, University School of Physiotherapy and Radiology, Rayat Bahra University, Mohali, Punjab, India.
5Dean, University School of Allied Health Sciences, Rayat Bahra University, Mohali, Punjab, India.
Corresponding Author: Suhail Anjum Rather
ABSTRACT
Objectives: This study aimed to compare the efficacy and safety profile of two supraglottic airway devices, the I-Gel and the Laryngeal Mask Airway Classic (C-LMA) in the patients undergoing general anesthesia for elective lower abdominal and lower limb surgeries.
Methods: A total of 60 surgical patients aged 50-70 years, with ASA grade I and II, were enrolled and divided into two groups: the I-Gel group (n=30) and the C-LMA group (n=30). Demographic characteristics, insertion characteristics, hemodynamic stability, airway sealing pressure, and complications were compared between the two groups.
Results: Demographic characteristics, including age, weight, gender distribution, ASA grade, and type of surgery, was comparable between the I-Gel and C-LMA groups.
In a comparative study between I-Gel and C-LMA groups, the I-Gel demonstrated a significantly faster mean insertion time of 10.0± 3.4 seconds as compared to 18.8± 3.2 seconds for the C-LMA group (t=3.58, p=0.032). Ease of insertion was higher in the I-Gel group with 96.6% reporting easy insertion versus 66.66% in the C-LMA group. Additionally, the I-Gel achieved better airway sealing pressure (24.4 cmH2O vs. 19.2 cmH2O, p=0.023) and had significantly fewer complications like sore throat and hoarseness.
Conclusion: The study suggests that the I-Gel device outperforms the C-LMA in various aspects of airway management, including shorter insertion times, better hemodynamic stability, superior airway sealing pressure, and fewer postoperative complications.
Key words: Supraglottic airway devices, I-Gel, Laryngeal Mask Airway Classic (C-LMA), airway sealing pressures.