Comparison of the Disposable Streamlined Liner of the Pharynx Airway and the Disposable I-gel in Anaesthetized, Paralyzed Adults: A Randomized Prospective Study
Joint Authors
EL-Radaideh, Khaled
Alhowary, Ala"a
Bani Hani, Diab
Source
Anesthesiology Research and Practice
Issue
Vol. 2015, Issue 2015 (31 Dec. 2015), pp.1-8, 8 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2015-12-01
Country of Publication
Egypt
No. of Pages
8
Main Subjects
Abstract EN
Introduction.
This study compared streamlined liner of the pharynx airway (SLIPA) and I-gel noninflatable, single-use, supraglottic airway device (SAD) performance in anesthetized, paralyzed adults.
Methods.
Eighty adults (ASA physical statuses I–III) who were undergoing elective procedures under general anesthesia with an SAD were enrolled in this prospective, randomized, single-blind study.
Subjects were randomly and evenly assigned to the SLIPA or I-gel group for intraoperative airway management.
Ease and number of insertions, insertion time, oropharyngeal sealing pressure, hemodynamic response, oxygen saturation (SpO2), end-tidal CO2 (EtCO2), and peri- and postoperative complications were examined.
Results.
The SLIPA and I-gel devices were successfully inserted in 100% and 95% of subjects, respectively.
In two I-gel subjects (5%), ventilation was not possible after two attempts, but a size 55 SLIPA was successfully inserted in both cases.
Forty-two and 38 patients were ultimately included in the SLIPA and I-gel groups, respectively.
Insertion time was significantly shorter with the SLIPA ( 11.19 ± 3.03 s) than with the I-gel ( 15.05 ± 6.37 s, P = 0.003 ).
Oropharyngeal sealing pressure was significantly higher in SLIPA ( 28.76 ± 3.11 cmH2O) than in I-gel ( 25.9 ± 3.65 cmH2O) subjects ( P = 0.001 ).
Blood staining occurred more frequently in SLIPA ( n = 8 , 19.0%) than in I-gel ( n = 5 , 13.2%) patients ( P < 0.01 ).
Heart rate, mean arterial blood pressure, SpO2, and EtCO2 were not significantly different between groups.
Conclusion.
Although blood staining incidence was higher, SLIPA insertion was easier and faster than I-gel insertion.
The SLIPA provided better airway sealing pressure.
Both devices had similar mechanical ventilation and oxygenation characteristics and comparable hemodynamic stability.
Both noninflatable SADs are useful, but SLIPA rapid insertion and good airway sealing make it an effective alternative to the I-gel.
American Psychological Association (APA)
EL-Radaideh, Khaled& Alhowary, Ala"a& Bani Hani, Diab. 2015. Comparison of the Disposable Streamlined Liner of the Pharynx Airway and the Disposable I-gel in Anaesthetized, Paralyzed Adults: A Randomized Prospective Study. Anesthesiology Research and Practice،Vol. 2015, no. 2015, pp.1-8.
https://search.emarefa.net/detail/BIM-1053955
Modern Language Association (MLA)
EL-Radaideh, Khaled…[et al.]. Comparison of the Disposable Streamlined Liner of the Pharynx Airway and the Disposable I-gel in Anaesthetized, Paralyzed Adults: A Randomized Prospective Study. Anesthesiology Research and Practice No. 2015 (2015), pp.1-8.
https://search.emarefa.net/detail/BIM-1053955
American Medical Association (AMA)
EL-Radaideh, Khaled& Alhowary, Ala"a& Bani Hani, Diab. Comparison of the Disposable Streamlined Liner of the Pharynx Airway and the Disposable I-gel in Anaesthetized, Paralyzed Adults: A Randomized Prospective Study. Anesthesiology Research and Practice. 2015. Vol. 2015, no. 2015, pp.1-8.
https://search.emarefa.net/detail/BIM-1053955
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1053955