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. 2015 Oct-Dec;11(4):251-6.
doi: 10.4103/0972-9941.140210.

I-gel as an alternative to endotracheal tube in adult laparoscopic surgeries: A comparative study

Jigisha Prahladrai Badheka  1 , Rashida Mohammedi Jadliwala  1 , Vrajeshchandra Amrishbhi Chhaya  1 , Vandana Surendrabhai Parmar  1 , Amit Vasani  1 , Ajay Maganlal Rajyaguru  2
Affiliations

I-gel as an alternative to endotracheal tube in adult laparoscopic surgeries: A comparative study

Jigisha Prahladrai Badheka et al. J Minim Access Surg. 2015 Oct-Dec.

Abstract

Background: The tracheal tube is always considered to be the gold standard for laparoscopic surgeries. As conventional laryngoscopy guided endotracheal intubation evokes significant hypertension and tachycardia, we have used I-gel, second generation extraglottic airway device, in an attempt to overcome these drawbacks. We conducted this study to compare haemodynamic changes during insertion, efficacy of ventilation, and complications with the use of I-gel when compared with endotracheal tube (ETT) in laparoscopic surgeries.

Materials and methods: A total of 60 American Society of Anaesthesiologists physical status I and II adult patients undergoing elective laparoscopic surgeries were randomly allocated to one of the two groups of 30 patients each: Group-A (I-gel) in which patients airway was secured with appropriate sized I-gel, and Group-B (ETT) in which patients airway was secured with laryngoscopy - guided endotracheal intubation. Ease, attempts and time for insertion of airway device, haemodynamic and ventilatory parameters at different time intervals, and attempts for gastric tube insertion, and perioperative complications were recorded.

Results: There was significant rise in pulse rate and mean blood pressure during insertion with use of ETT when compared to I-gel. Furthermore, time required for I-gel insertion was significantly less when compared with ETT. However ease and attempts for airway device insertion, attempts for gastric tube insertion and efficacy of ventilation were comparable between two groups.

Conclusion: We concluded that I-gel requires less time for insertion with minimal haemodynamic changes when compared to ETT. I-gel also provides adequate positive-pressure ventilation, comparable with ETT. Hence I-gel can be a safe and suitable alternative to ETT for laparoscopic surgeries.

Keywords: Endotracheal intubation; I-gel; hemodynamic parameters; laparoscopic surgery; positive-pressure ventilation.

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Conflict of interest statement

Conflict of Interest: None declared.

Figures

Figure 1
Figure 1
I-gel
Figure 2
Figure 2
Time of insertion
Figure 3
Figure 3
Mean pulse rate and mean blood pressure changes
Figure 4
Figure 4
EtCO2 Changes
See this image and copyright information in PMC

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