RT Journal Article
SR Electronic
T1 AuraGain<sup>™</sup> and i-Gel<sup>®</sup> laryngeal masks in general anesthesia for laparoscopic cholecystectomy
JF Saudi Medical Journal
JO Saudi Med J
FD Prince Sultan Military Medical City
SP 1082
OP 1089
DO 10.15537/smj.2018.11.22346
VO 39
IS 11
A1 Sabuncu, Ulku
A1 Kusderci, Hatice S.
A1 Oterkus, Mesut
A1 Abdullayev, Ruslan
A1 Demir, Asli
A1 Uludag, Oznur
A1 Ozdas, Sabri
A1 Goksu, Mustafa
YR 2018
UL http://smj.org.sa/content/39/11/1082.abstract
AB Objectives: To evaluate and compare the performances of new types of supraglottic airway devices (SADs) with endotracheal intubation regarding their ease of insertions, perioperative complications, and effects on hemodynamic parameters and peak airway pressures in laparascopic cholecystectomy (LC).Methods: One hundred and fourteen patients with ASA 1-2 physical status scheduled for elective LC were recruited for this prospective randomized controlled trial. The study was completed between January 2016 and January 2017 in Adiyaman University Research and Educational Hospital, Adiyaman, Turkey. The patients were divided into AuraGain™ (Ambu, Ballerup, Denmark) (n=38), i-Gel® (Intersurgical Ltd, UK) (n=35), and endotracheal tube (ETT) (n=32) groups. Ease of insertion, airway pressures, complications, and hemodynamic variables were compared.Results: The trial was completed with 105 patients. Ease of insertion for SADs which was evaluated with insertion procedure duration, attempts, first insertion success rates, and oropharyngeal leak pressures were similar between the groups. Heart rate, systolic and diastolic arterial pressures, and peak airway pressures were significantly lower in the AuraGain and i-Gel® groups, compared with the ETT, p&lt;0.017.Conclusion: Both AuraGain and i-Gel® SADs are comparable with ETT used for airway control in general anesthesia for LC, regarding application ease and perioperative complications. Favorable hemodynamic responses to AuraGain and i-Gel® SADs may put them in a better place than ETT.