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A randomised trial comparing the i-gel (TM) with the LMA Classic (TM) in children

Authors
 J.-R. Lee  ;  M.-S. Kim  ;  J.-T. Kim  ;  H.-J. Byon  ;  Y.-H. Park  ;  H.-S. Kim  ;  C.-S. Kim 
Citation
 ANAESTHESIA, Vol.67(6) : 606-611, 2012 
Journal Title
ANAESTHESIA
ISSN
 0003-2409 
Issue Date
2012
MeSH
Air Pressure ; Airway Management/adverse effects ; Airway Management/instrumentation* ; Anesthesia, General/methods* ; Anesthetics, Inhalation ; Child ; Child, Preschool ; Disposable Equipment ; Female ; Fiber Optic Technology ; Glottis/anatomy & histology ; Humans ; Infant ; Intermittent Positive-Pressure Breathing ; Intubation, Intratracheal/instrumentation ; Laryngeal Masks*/adverse effects ; Laryngoscopy ; Male ; Methyl Ethers ; Monitoring, Intraoperative ; Prospective Studies ; Treatment Outcome
Keywords
Air Pressure ; Airway Management/adverse effects ; Airway Management/instrumentation* ; Anesthesia, General/methods* ; Anesthetics, Inhalation ; Child ; Child, Preschool ; Disposable Equipment ; Female ; Fiber Optic Technology ; Glottis/anatomy & histology ; Humans ; Infant ; Intermittent Positive-Pressure Breathing ; Intubation, Intratracheal/instrumentation ; Laryngeal Masks*/adverse effects ; Laryngoscopy ; Male ; Methyl Ethers ; Monitoring, Intraoperative ; Prospective Studies ; Treatment Outcome
Abstract
We performed a prospective, randomised trial comparing the i-gel(TM) with the LMA Classic(TM) in children undergoing general anaesthesia. Ninety-nine healthy patients were randomly assigned to either the i-gel or the LMA Classic. The outcomes measured were airway leak pressure, ease of insertion, time taken for insertion, fibreoptic examination and complications. Median (IQR [range]) time to successful device placement was shorter with the i-gel (17.0 (13.8-20.0 [10.0-20.0]) s) compared with the LMA Classic (21.0 (17.5-25.0 [15.0-70.0]) s, p = 0.002). There was no significant difference in oropharyngeal leak pressure between the two devices. A good fibreoptic view of the glottis was obtained in 74% of the i-gel group and in 43% of the LMA Classic group (p < 0.001). There were no significant complications. In conclusion, the i-gel provided a similar leak pressure, but a shorter insertion time and improved glottic view compared with the LMA Classic in children.
Full Text
http://onlinelibrary.wiley.com/doi/10.1111/j.1365-2044.2012.07072.x/abstract
DOI
22352745
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Anesthesiology and Pain Medicine (마취통증의학교실) > 1. Journal Papers
Yonsei Authors
Kim, Min Soo(김민수) ORCID logo https://orcid.org/0000-0001-8760-4568
Lee, Jeong Rim(이정림) ORCID logo https://orcid.org/0000-0002-7425-0462
URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/89464
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