Comparison of Laryngeal Mask Airway Supreme, i-gelTM and Ambu Auragain in Children for Airway Management
Keywords:
Laryngeal mask airway, Supreme, Ambu auragain, i-gelTM, childrenAbstract
Background and Aims: This was a prospective, randomised study performed on 180 children of ASA I/II, aged 5-14 years, planned for elective surgery and requiring general Anaesthesia in the Department of Anaesthesiology, critical care, Pain and Palliative Medicine, Dr Sushila Tiwari Government Medical College, Haldwani. To compare the performance of three airway devices, the laryngeal mask airway supreme, i-gelTM and Ambu Auragain in children for airway management.
Methods: children were randomized into three groups (60 each): Group S (LMA Supreme), Group I (i-gel) and Group A (Ambu Auragain). The primary outcome was the insertion time. We also assessed the number of insertion attempts, ease of insertion, haemodynamic parameters and complications. Intergroup differences were compared using one-way analysis of variance (ANOVA) post - hoc correction for continuous data and Kruskall Wallis test for categorical variables.
Results: Demographic data did not differ between the three groups. Insertion time for i-gel (18.5 (18-20) sec) was shorter than for the LMA Supreme (22 (20-22) sec) and Ambu Auragain (20.5 (19-23) sec) (P = 0.02). There were no differences in the number of attempts, ease of insertion, haemodynamic parameters and complications between all three groups.
Conclusion: LMA Supreme, Ambu Auragain and i-gel provided a similar performance of airway management in children. The success rate of insertion and ease of intubation of LMA Supreme, Ambu Auragain and i-gel were comparable. i-gel has a lesser time of insertion than LMA Supreme and Ambu Auragain.
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