Ye Q, Wu D, Fang W, Wong GTC, Lu Y. BMC Anesthesiol. 2020;20(1):136. Published 2020 Jun 3.
This randomised observational study set out to evaluate and compare the antral cross-sectional area (CSA) in patients undergoing laparoscopic gynaecological surgery when managed with different supraglottic airway devices (SAD). One hundred ASA I and II female patients were assessed for the study enrolment and subsequently randomly allocated into three groups of different ventilation devices, which included LMA-Supreme (Group S), I-gel (Group I) or tracheal tube (Group T). Several parameters were measured including antral cross-sectional area (primary outcome), haemodynamic parameters and postoperative morbidity such as sore throat, hoarseness, dry throat, nausea and vomiting (secondary outcomes). Findings have demonstrated that the antral CSA was not significantly different among three groups before induction after induction and at the end of surgery. On the other hand, the haemodynamic variables were significantly higher in the tracheal tube group than in the LMA-Supreme and I-gel groups after insertion and after removal. Interestingly, sore throat was detected in none in the I-gel group compare to two patients in the LMA-Supreme group and fifteen patients in the tracheal tube group. Moreover, hoarseness was detected in one in the I-gel group, whereas two patients in the LMA-Supreme group and eleven patients in the tracheal tube group suffered from this postoperative adverse event.
Conclusions: The SADs do not cause obvious gastric insufflation. Thus, LMA-Supreme and I-gel can be widely used as alternative to endotracheal intubation for the short laparoscopic gynaecological surgery.
Link to abstract
Tags :
2020,
Ye Q,
BMC Anesthesiol,
randomized observational study,
Laparoscopic,
Gynaecologic surgery,
ultrasound,
RCT,
Tracheal intubation,
LMA Supreme,
tracheal tube
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Lai CJ, Liu CM, Wu CY, Tsai FF, Tseng PH, Fan SZ. BMC Anesthesiol. 2017 Jan 6;17(1):3
Randomised controlled trial of 40 patients divided equally between i-gel and ETT groups. Leak fraction was the primary outcome, defined as leak volume divided by inspired tidal volume. In the LPT position, no difference was recorded in the leak fraction. In the i-gel group there was 'notably less' leakage in LPT position than in supine - this difference was not observed in the ETT group. Incidence of postoperative sore throat was significantly lower in the i-gel group.
Link to abstract.
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Choi JJ, Kim JY, Lee D, Chang YJ, Cho NR, Kwak HJ. BMC Anesthesiol. 2016 Mar 22;16:20
40 patients were split into equal gender groups prior to insertion. The EC50 of propofol in men was approximately 40% higher than in women. Gender should be considered when determining optimal dose of propofol, according to the authors.
Link to abstract
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Russo SG, Cremer S, Galli T, Eich C, Bräuer A, Crozier TA, Bauer M, Strack M. BMC Anesthesiol 2012; 12: 18
Three groups of 40 elective patients each were assigned to i-gel®, LMA Supreme® and Laryngeal Tube Suction-D for a prospective, randomised and comparative study of position (fibre optic) and clinical performance data during surgery. Speed of insertion and success rates, leak pressure, dynamic airway compliance, and signs of postoperative airway morbidity were recorded, with i-gel® registering a 95% insertion success rate and the highest airway compliance. In conclusion, all devices were considered suitable for ventilation in elective surgery.
Abstract text
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