Comparison of Supraglottic Airway Devices I-Gel and LMA ProSeal for Pediatric Patients

Year 2022, Volume: 8 Issue: 2, 125 - 134, 05.06.2022

Döndü Genç Moralar , Khin Li , Gülsüm Oya Hergünsel

Abstract

Objective:
In our study, we aimed to compare the use of the supraglottic airway devices LMA ProSeal and I-gel for pediatric patients in terms of insertion process, efficacy, hemodynamia and complications.
Methods:
Our study was completed with 40 children undergoing elective lower abdominal surgery aged from 1-9 years, with body weight 5-20 kg. I-gel (Grup I, n=20) or LMA ProSeal (Grup L, n=20) were inserted appropriate for weight.
The insertion attemps, the insertion duration, ease of insertion and complications were assessed. Presence of blood on the device after removal was monitored.
Arterial blood pressure, heart rate, oxygen saturation, airway pressure and tidal volume were recorded.
Results
When the insertion attempts are assessed, there was no significant difference between the groups. Presense of blood on the device was significantly high in Group L (25%) compared to Group I (0%) (p=0.02).
The sistolic blood pressure and heart rate were found significantly high in Group L,1 min after device insertion .
Conclusion: The attempt numbers and insertion durations were similar in both groups. Morbidity of the airway was observed on LMA ProSeal in 25% of cases in Group L. And hemodynamic response, 1 min after device insertion was significant high in GrupL.

Keywords

: I-gel, Pro-Seal LMA, Supraglottic airway devices, Airway, Pediatric airway

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