Original Articles
Comparison of I-Gel versus Blockbuster Laryngel Mask Airway in Patients undergoing Day Care Surgery | |
Dr. Rohan Dsouza, Dr. Anumeha Jain, Dr. Sampat G Rathod, Dr. Ajay Vikram Singh | |
Background - Day care surgery allows for quick patient turnover and reduced healthcare costs and patients experience faster recovery times and a lower risk of hospital-acquired infections, alongside the convenience of returning home on the same day as their surgery . Advanced supraglottic airway devices (SADs), like the i-gel and intubating laryngeal mask airway (ILMA), offer advantages such as hands-free airway maintenance, predictable ventilation, and simplified placement, making them valuable tools in airway management . This study compares the efficacy and postoperative outcomes of two supraglottic airway devices, the I-gel and Blockbuster laryngeal mask airway (LMA), in patients undergoing day care surgery. Methodology - In this randomized controlled trial, 168 patients scheduled for day care surgeries were divided into two groups: Group A received the I-gel device, while Group B received the Blockbuster Laryngeal Mask Airway device. The primary objectives to be noted between the two devices were the ease of device placement, number of insertion attempts, and any complications such as sore throat, blood staining, vomiting, or airway issues . Fiberoptic bronchoscopy was used to assess glottic visualization without intubation . Results - Both devices showed similar success in first-attempt insertions. However, the Blockbuster LMA demonstrated faster insertion times and superior glottic visualization. The I-gel group reported a higher incidence of postoperative sore throat and hoarseness, with no significant difference in blood-tinged secretions on removal. Conclusion - The Blockbuster LMA's quicker insertion and better glottic visualization indicate its potential for efficiency in day care surgeries. However, the I-gel's association with higher postoperative discomfort necessitates consideration of patient-specific factors in device selection. Decisions on airway device selection should be patient-centered, weighing clinical benefits against potential complications. |
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