Refine your search
Collections
Co-Authors
Journals
Year
A B C D E F G H I J K L M N O P Q R S T U V W X Y Z All
Dhawan, Sushant
- Comparative Study of I-GEL and Endotracheal Tube in Elective Laparoscopic Gynecological Surgeries under General Anesthesia
Abstract Views :283 |
PDF Views:112
Authors
Affiliations
1 P.G. Resident, Department of Anaesthesia, Dr. Vasantrao Pawar Medical College, Hospital & Research Centre, Nashik – 422003, Maharashtra, IN
2 Professor, Department of Anaesthesia, Dr. Vasantrao Pawar Medical College, Hospital & Research Centre, Nashik – 422003, Maharashtra, IN
1 P.G. Resident, Department of Anaesthesia, Dr. Vasantrao Pawar Medical College, Hospital & Research Centre, Nashik – 422003, Maharashtra, IN
2 Professor, Department of Anaesthesia, Dr. Vasantrao Pawar Medical College, Hospital & Research Centre, Nashik – 422003, Maharashtra, IN
Source
MVP Journal of Medical Sciences, Vol 6, No 2 (2019), Pagination: 139-144Abstract
Introduction: Laparoscopic procedures have become the need of the hour. Pneumoperitoneum and positional variations in laparoscopy causes alterations in hemodynamic and ventilatory parameters, which results in making the task of anesthesiologist more challenging. Endotracheal tube (ETT) has been the gold standard for induction of general anesthesia but the newer supraglottic airway devices (SADs) (LMA, I-Gel) has increased the armamentarium of anesthesiologists. Our main aim was to compare I-Gel and endotracheal Tube and to consider I-Gel as safe and effective alternative to endotracheal tube for general anesthesia in elective laparoscopic surgeries. Materials and Methods: It was a comparative prospective randomized study conducted on 128 patients (ASA I/II) after consent from institutional ethical committee. Patients were divided in two groups 64 each. Group A induced with I-Gel without muscle relaxant and Group B with endotracheal tube after laryngoscopy and muscle relaxant. Alterations in pulse rate, blood pressure were noted down and ease and time of insertion were compared. Results: The ease of insertion and the attempts of insertion were comparable but the time of insertion was less with I-Gel with results being statistically significant. The rise in hemodynamic parameters from baseline was more in endotracheal tube intubated patients and so was the incidence of postoperative complications. Conclusion: We concluded that I-Gel requires less time for insertion with minimal hemodynamic changes in comparison to endotracheal tube. I-Gel also provided adequate positive-pressure ventilation, comparable with endotracheal tube. Thus I-Gel can be considered safe and suitable alternative to endotracheal tube for laparoscopic surgeries.Keywords
Endotracheal Tube, General Anesthesia, Hemodynamic Parameters, I-Gel, Laparoscopy,Full Text
References
- Vecchio R, MacFayden BV, Palazzo F. History of laparoscopic surgery. Panminerva Med. Mar 2000; 42(1):87–90.
- Semm K. Atlas of gynecologic laparoscopy and hysteroscopy. Philadelphia (PA): WB Saunders; 1977. p. 7–l4.
- Orndoff BH. The peritoneoscope in diagnosis of diseases of the abdomen. J. Radiol.1920; 1:307–325.
- Marlow J. History of laparoscopy, optics, fiber optics, and instrumentation. Clin Obstet Gynecol. Jun 1976; 19(2):261– 275. https://doi.org/10.1097/00003081-197606000-00003.
- Paul Hayden, Sarah Cowman. Anaesthesia for laparoscopic surgery. 1st Oct 2011; 11(5):177–180. https://doi.org/10.1093/bjaceaccp/mkr027.
- Wittgen CM, Andrus CH, Fitzgerald SD, Baudendistel U., Dahms TE, Kaminsk DL. Analysis of the hemodynamic and ventilatory effects of laparoscopic cholecystectomy. Arch. Surg. 1991; 126:997–1001. https://doi.org/10.1001/archsurg.1991.01410320083011.
- Whalen FX, et al. Best Pract Res Clin Anaesthesiol. Sep. 2005; 19(3):323–30. https://doi.org/10.1016/j.bpa.2005.02.001.
- Brandt L. The history of endotracheal anesthesia, with special regard to the development of the endotracheal tube. Anaesthesist. Sept 1986; 35(9):523–30.
- Michálek P, Miller DM. Airway management evolution - in a search for an ideal extra glottic airway device. Prague Med Rep. 2014; 115:87–103. https://doi.org/10.14712/23362936.2014.40.
- Liu S-Y, Bongard FS. In: White RA, Klein SR, eds. Cardiopulmonary pathophysiology of laparoscopy and pneumoperitoneum, Endoscopic Surgery. St Louis: Mosby Year- Book Medical Publishers, 1991; p. 159–69.
- Brain AJ. The development of the Laryngeal Mask--a brief history of the invention, early clinical studies and experimental work from which the Laryngeal Mask evolved. Eur J Anesthesiol 1991; 4:5–17.
- Shiraishi Zapata CJ. I-Gel airway for advanced uses: a case of successful utilization of this second generation supraglottic airway device for controlled ventilation during general anesthesia in lateral decubitus position. Minerva Anestesiol. Feb 2017; 83(2):219-220.
- Lai CJ, Liu CM, Wu CY, Tsai FF, Tseng PH, Fan SZ. I-Gel is a suitable alternative to endotracheal tubes in the laparoscopic pneumoperitoneum and trendelen sburg position. BMC Anesthesiol. 6 Jan 2017; 17(1):3. https://doi.org/10.1186/ s12871-016-0291-1.
- Cook TM, Howes. B. Supraglottic airway devices: recent advances. 1st Apr 2011; 11(2):6–61. https://doi.org/10.1093/ bjaceaccp/mkq058.
- Gatward JJ, Cook TM, Seller C, Handel Jet al. Anaesthesia. Oct 2008; 63(10): 1124-30. Evaluation of the size 4 I-Gel® airway in one hundred non-paralysed patients. https://doi.org/10.1111/j.1365-2044.2008.05561.x.
- Teoh WH1, Lee KM, Suhitharan T, Yahaya Z. Comparison of the LMA Supreme vs the I-Gel in paralysed patients undergoing gynaecological laparoscopic surgery with controlled ventilation. Anaesthesia. Dec 2010; 65(12):1173-9. https://doi.org/10.1111/j.1365-2044.2010.06534.x.
- Ishwar Singh, Monika Gupta, and Mansi Tandon. Comparison of Clinical Performance of I-Gel™ with LMA–Proseal™ in Elective Surgeries. Indian J Anaesth. Jun 2009; 53(3): 302–305.PMCID: PMC2900120, PMID: 20640137.
- Sharma B, Sehgal R, Sahai C, Sood J. PLMA vs. I-Gel: A comparative evaluation of respiratory mechanics in laparoscopic cholecystectomy. J Anaesthesiol Clin Pharmacol. 2010; 26: 451–7.
- Uppal V, Fletcher G, Kinsella J. Comparison of the I-Gel® with the cuffed tracheal tube during pressure controlled ventilation. Br. J Anaesth. Feb 2009; 102(2):264. https://doi.org/10.1093/bja/aen366.
- Bishop MJ, Bedford RF, Kil HK. Physiologic and pathophysiologic responses to intubation. In: Benumof JJ, editor. Airway Management and Principles and Practice.1st ed. Philadelphia: Mosby, Saunders; 1996.
- p. 102–17.
- Brimacombe JR, Watanabe S, Kihara S. et al. Tracheal intubation through Macintosh laryngoscope versus intubating laryngeal mask airways in normal patients. Anaesthesia and Intensive care 2000; 28(3):281. https://doi.org/10.1177/0310057X0002800305.
- Badheka JP, Jadliwala RM, Chhaya VA, et al. I-Gel as an alternative to endotracheal tube in adult laparoscopic surgeries: A comparative study. J Minim Access Surg. Oct-Dec 2015; 11(4):251–6. https://doi.org/10.4103/0972-9941.140210.
- Maltby JR, Beriault MT, Watson NC, Liepert D, Fick GH. The LMA-ProSeal is an effective alternative to tracheal intubation for laparoscopic cholecystectomy. J Anaesth. Oct 2002; 49(8):857–62. https://doi.org/10.1007/BF03017420.
- Halevy A, Kais H, Efrati Y, Weinberg M, Negri M, Behar M, et al. Continuous esophageal pH monitoring during laparoscopic cholecystectomy. Surg Endosc. 1994; 8:1294–6. https://doi.org/10.1007/BF00188285.