Department of Anesthesiology, School of Medical Sciences & Research, Sharda University, Greater Noida, India
*Corresponding author: Arati Srivastava, Professor & Head, Department of Anaesthesiology, School of Medical Sciences & Research, Sharda Hospital, Greater Noida, India, Mobile: +91 9811966766
Online published on 26 June, 2013.
The LMA Supreme (LMA) and the i-gel are two supra-glottic airway devices, which offer potential benefits in general anaesthesia.
The aim of this study was to observe benefits of LMA Supreme over i-gel for ventilation in patients undergoing laparoscopic surgery.
We performed a prospective randomized study on 100 consecutive patients undergoing laparoscopic surgery in our hospital.
Hundred selected patients, who underwent laparoscopic surgery, of age ranging from 20–55 years, were randomized into two equal groups. In the group I (n=50) LMA SUPREME (No.3 & 4) and group II (n=50) i-gel (No. 3 & 4) were introduced for ventilation during general anaesthesia. In this study, we compared the insertion success rate and ventilation profile between the LMA Supreme and the i-gel groups undergoing laparoscopic surgery. The first-time success rate, insertion time, ease of insertion of gastric tube and complications were analysed.
Unpaired ‘t’ test & ‘Z’ test were used for statistical analysis.
We found better first time success rate, and fewer failures with the LMA Supreme compared with the i-gel, indicating that the LMA Supreme may be preferable for mechanical ventilation in laparoscopic surgeries.
LMA Supreme has an edge over the i-gel with respect to ease of insertion of device and gastric tube with minimal complication in mechanical ventilation for routine laparoscopic surgery.
LMA Supreme, i-gel, Laparoscopic Surgery, Mechanical Ventilation
