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CLINICAL PERFORMANCE OF THE I_GEL VERSUS ENDOTRACHEAL TUBE IN PATIENTS UNDERGOING ABDOMINAL LAPAROSCOPIC SURGERY: A COMPARATIVE STUDY

  • Unique Paper ID: 167397
  • Volume: 11
  • Issue: 3
  • PageNo: 1187-1192
  • Abstract:
  • Background and Aims: For laparoscopic surgery, the cuffed endotracheal tube was considered as gold standard for providing a safe glottic seal under general anaesthesia. But, the most common complication is haemodynamic surge and another life-threatening complication of ‘Cannot Intubate, Cannot Ventilate’ can arise anytime. There are numerous devices which can be used in unanticipated difficult airway. Commonly, I-gel is being used in unanticipated difficult airway and can reduce haemodynamic surge also. But, there are very few studies on comparing I-gel with endotracheal tube in anaesthetized patients. So, the aim of this study was to compare the efficacy and complications of I-gel with standard endotracheal tube during general anaesthesia in elective laparoscopic abdominal surgery. METHODS: Total ninety six healthy adult patients were randomly allocated into two groups. Group E (endotracheal group, n=48) and group I (I-gel group, n=48), where the time securing the airway, number of attempts for successful device placement, cardiovascular changes, and complications if any were observed and compared between patients receiving the ET tube and I-gel taken up for laparoscopic abdominal surgery. Results: I-gel shows similar efficacy like endotracheal tube in maintaining ventilation during general anaesthesia and time taken to insert I-gel was significantly less than that of endotracheal tube. I-gel caused significantly less haemodyanamic change than endotracheal tube at various time intervals. Conclusion: We conclude that I-gel is an effective and safe alternative to endotracheal tube in elective abdominal laparoscopic surgery under general anaesthesia.
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Cite This Article

  • ISSN: 2349-6002
  • Volume: 11
  • Issue: 3
  • PageNo: 1187-1192

CLINICAL PERFORMANCE OF THE I_GEL VERSUS ENDOTRACHEAL TUBE IN PATIENTS UNDERGOING ABDOMINAL LAPAROSCOPIC SURGERY: A COMPARATIVE STUDY

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