Ease of insertion of laryngeal mask airway Proseal and I-gel with Dexmedetomidine

Abstract

Background: Respiratory morbidities are the most common anaesthesia related complications, following dental damage during endotracheal intubation. Difficult tracheal intubation accounts for 17% of the respiratory related injuries and results in significant morbidity and mortality. There are numerous literature on comparison between these two supraglottic airway devices with contradictory results. Objective: To compare LMA Proseal and I-gel for ease of insertion based on Modified Scheme of Lund and Stovener, jaw relaxation based on Young’ criteria, number of attempts for insertion in adult patients undergoing elective surgeries. Methodology: It is a RCT involving Sixty patients, scheduled for various elective surgical procedures undergoing general anaesthesia belonging to ASA class I and II were included in the study. The patients were divided in two groups Group P-proseal, Group I-I gel 30 each. Results: The mean age in group LMA-P and group I-gel was 30.9 and 31.23 years respectively. Majority of cases were from Grade I in both P (66.7%) and I (83.3%) groups. The attempt of insertion was statistically significant between the two groups (p<0.05). Time required in Group I is less compared to group P in our study. Conclusion: I-gel is a cheap and effective SGD alternative to Proseal LMA.