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Erschienen in: Journal of Anesthesia 1/2013

01.02.2013 | Original Article

A randomized comparison of the i-gel and the ProSeal laryngeal mask airway in pediatric patients: performance and fiberoptic findings

verfasst von: Aya Fukuhara, Ryu Okutani, Yutaka Oda

Erschienen in: Journal of Anesthesia | Ausgabe 1/2013

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Abstract

Purpose

We compared the insertion performance of the pediatric size 1.5–3 i-gel airway device with that of the ProSeal laryngeal mask airway (PLMA) in anesthetized children in a prospective, randomized, controlled manner.

Methods

We included 134 children, aged 3 months to 15 years, scheduled for elective surgery under general anesthesia. They were randomly divided into the i-gel and the PLMA groups according to the airway device used. The primary outcome variable was oropharyngeal leak pressure. Other outcome variables were ease of insertion, required time for insertion, fiberoptic view, and first-attempt and overall success rates.

Results

There were no differences in the ease of insertion, insertion time, or leak pressure between the devices. Fiberoptic view was significantly better with the i-gel than with the PLMA (P = 0.002). The view was significantly better with the sizes 2, 2.5, and 3 i-gel than with the size 1.5 i-gel (P = 0.02, 0.004 and 0.002, respectively), and the view was significantly better with the sizes 2.5 and 3 PLMA than with the size 1.5 PLMA (P = 0.02 and 0.005, respectively). The first-attempt success rates were 94 and 97 % in the i-gel and the PLMA groups, respectively; the success rates including the second attempt were 100 % in both groups. No children developed side effects requiring treatment with either device.

Conclusion

Both the pediatric i-gel and the PLMA were successfully inserted in children. The fiberoptic view was better with the i-gel than with the PLMA.
Literatur
1.
Zurück zum Zitat Beylacq L, Bordes M, Semjen F, Cros AM. The I-gel, a single-use supraglottic airway device with a non-inflatable cuff and an esophageal vent: an observational study in children. Acta Anaesthesiol Scand. 2009;53:376–9.PubMedCrossRef Beylacq L, Bordes M, Semjen F, Cros AM. The I-gel, a single-use supraglottic airway device with a non-inflatable cuff and an esophageal vent: an observational study in children. Acta Anaesthesiol Scand. 2009;53:376–9.PubMedCrossRef
2.
Zurück zum Zitat Lee JR, Kim MS, Kim JT, Byon HJ, Park YH, Kim HS, Kim CS. A randomised trial comparing the i-gel(TM) with the LMA Classic(TM) in children. Anaesthesia. 2012;67:606–11.PubMedCrossRef Lee JR, Kim MS, Kim JT, Byon HJ, Park YH, Kim HS, Kim CS. A randomised trial comparing the i-gel(TM) with the LMA Classic(TM) in children. Anaesthesia. 2012;67:606–11.PubMedCrossRef
3.
Zurück zum Zitat Theiler LG, Kleine-Brueggeney M, Luepold B, Stucki F, Seiler S, Urwyler N, Greif R. Performance of the pediatric-sized i-gel compared with the Ambu AuraOnce laryngeal mask in anesthetized and ventilated children. Anesthesiology. 2011;115:102–10.PubMedCrossRef Theiler LG, Kleine-Brueggeney M, Luepold B, Stucki F, Seiler S, Urwyler N, Greif R. Performance of the pediatric-sized i-gel compared with the Ambu AuraOnce laryngeal mask in anesthetized and ventilated children. Anesthesiology. 2011;115:102–10.PubMedCrossRef
4.
Zurück zum Zitat Beringer RM, Kelly F, Cook TM, Nolan J, Hardy R, Simpson T, White MC. A cohort evaluation of the paediatric i-gel™ airway during anaesthesia in 120 children. Anaesthesia. 2011;66:1121–6.PubMedCrossRef Beringer RM, Kelly F, Cook TM, Nolan J, Hardy R, Simpson T, White MC. A cohort evaluation of the paediatric i-gel™ airway during anaesthesia in 120 children. Anaesthesia. 2011;66:1121–6.PubMedCrossRef
5.
Zurück zum Zitat Goyal R, Shukla RN, Kumar G. Comparison of size 2 i-gel supraglottic airway with LMA-ProSeal and LMA-Classic in spontaneously breathing children undergoing elective surgery. Paediatr Anaesth. 2012;22:355–9.PubMedCrossRef Goyal R, Shukla RN, Kumar G. Comparison of size 2 i-gel supraglottic airway with LMA-ProSeal and LMA-Classic in spontaneously breathing children undergoing elective surgery. Paediatr Anaesth. 2012;22:355–9.PubMedCrossRef
6.
Zurück zum Zitat Lopez-Gil M, Brimacombe J. The ProSeal laryngeal mask airway in children. Paediatr Anaesth. 2005;15:229–34.PubMedCrossRef Lopez-Gil M, Brimacombe J. The ProSeal laryngeal mask airway in children. Paediatr Anaesth. 2005;15:229–34.PubMedCrossRef
7.
Zurück zum Zitat Brimacombe J, Berry A. A proposed fiber-optic scoring system to standardize the assessment of laryngeal mask airway position. Anesth Analg. 1993;76:457.PubMed Brimacombe J, Berry A. A proposed fiber-optic scoring system to standardize the assessment of laryngeal mask airway position. Anesth Analg. 1993;76:457.PubMed
8.
Zurück zum Zitat Francksen H, Renner J, Hanss R, Scholz J, Doerges V, Bein B. A comparison of the i-gel with the LMA-Unique in non-paralysed anaesthetised adult patients. Anaesthesia. 2009;64:1118–24.PubMedCrossRef Francksen H, Renner J, Hanss R, Scholz J, Doerges V, Bein B. A comparison of the i-gel with the LMA-Unique in non-paralysed anaesthetised adult patients. Anaesthesia. 2009;64:1118–24.PubMedCrossRef
9.
Zurück zum Zitat Goldmann K, Jakob C. Size 2 ProSeal laryngeal mask airway: a randomized, crossover investigation with the standard laryngeal mask airway in paediatric patients. Br J Anaesth. 2005;94:385–9.PubMedCrossRef Goldmann K, Jakob C. Size 2 ProSeal laryngeal mask airway: a randomized, crossover investigation with the standard laryngeal mask airway in paediatric patients. Br J Anaesth. 2005;94:385–9.PubMedCrossRef
10.
Zurück zum Zitat Uppal V, Fletcher G, Kinsella J. Comparison of the i-gel with the cuffed tracheal tube during pressure-controlled ventilation. Br J Anaesth. 2009;102:264–8.PubMedCrossRef Uppal V, Fletcher G, Kinsella J. Comparison of the i-gel with the cuffed tracheal tube during pressure-controlled ventilation. Br J Anaesth. 2009;102:264–8.PubMedCrossRef
11.
Zurück zum Zitat Sudhir G, Redfern D, Hall JE, Wilkes AR, Cann C. A comparison of the disposable Ambu AuraOnce Laryngeal Mask with the reusable LMA Classic laryngeal mask airway. Anaesthesia. 2007;62:719–22.PubMedCrossRef Sudhir G, Redfern D, Hall JE, Wilkes AR, Cann C. A comparison of the disposable Ambu AuraOnce Laryngeal Mask with the reusable LMA Classic laryngeal mask airway. Anaesthesia. 2007;62:719–22.PubMedCrossRef
12.
Zurück zum Zitat Kelly F, Sale S, Bayley G, Cook T, Stoddart P, White M. A cohort evaluation of the pediatric ProSeal laryngeal mask airway in 100 children. Paediatr Anaesth. 2008;18:947–51.PubMedCrossRef Kelly F, Sale S, Bayley G, Cook T, Stoddart P, White M. A cohort evaluation of the pediatric ProSeal laryngeal mask airway in 100 children. Paediatr Anaesth. 2008;18:947–51.PubMedCrossRef
13.
Zurück zum Zitat Theiler LG, Kleine-Brueggeney M, Kaiser D, Urwyler N, Luyet C, Vogt A, Greif R, Unibe MM. Crossover comparison of the laryngeal mask supreme™ and the i-gel™ in simulated difficult airway scenario in anesthetized patients. Anesthesiology. 2009;111:55–62.PubMedCrossRef Theiler LG, Kleine-Brueggeney M, Kaiser D, Urwyler N, Luyet C, Vogt A, Greif R, Unibe MM. Crossover comparison of the laryngeal mask supreme™ and the i-gel™ in simulated difficult airway scenario in anesthetized patients. Anesthesiology. 2009;111:55–62.PubMedCrossRef
14.
Zurück zum Zitat Holm-Knudsen RJ, Rasmussen LS. Paediatric airway management: basic aspects. Acta Anaesthesiol Scand. 2009;53:1–9.PubMedCrossRef Holm-Knudsen RJ, Rasmussen LS. Paediatric airway management: basic aspects. Acta Anaesthesiol Scand. 2009;53:1–9.PubMedCrossRef
Metadaten
Titel
A randomized comparison of the i-gel and the ProSeal laryngeal mask airway in pediatric patients: performance and fiberoptic findings
verfasst von
Aya Fukuhara
Ryu Okutani
Yutaka Oda
Publikationsdatum
01.02.2013
Verlag
Springer Japan
Erschienen in
Journal of Anesthesia / Ausgabe 1/2013
Print ISSN: 0913-8668
Elektronische ISSN: 1438-8359
DOI
https://doi.org/10.1007/s00540-012-1477-4

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