+ Site Statistics
+ Search Articles
+ PDF Full Text Service
How our service works
Request PDF Full Text
+ Follow Us
Follow on Facebook
Follow on Twitter
Follow on LinkedIn
+ Subscribe to Site Feeds
Most Shared
PDF Full Text
+ Translate
+ Recently Requested

Randomized crossover comparison of the laryngeal mask airway classic with i-gel laryngeal mask airway in the management of difficult airway in post burn neck contracture patients



Randomized crossover comparison of the laryngeal mask airway classic with i-gel laryngeal mask airway in the management of difficult airway in post burn neck contracture patients



Indian Journal of Anaesthesia 56(4): 348-352



The objective of the study was to compare the performance of i-gel supraglottic airway with cLMA in difficult airway management in post burn neck contracture patients and assess the feasibility of i-gel use for emergency airway management in difficult airway situation with reduced neck movement and limited mouth opening. Prospective, crossover, randomized controlled trial was performed amongst forty eight post burn neck contracture patients with limited mouth opening and neck movement. i-gel and cLMA were placed in random order in each patient. Primary outcome was overall success rate. Other measurements were time to successful ventilation, airway leak pressure, fiberoptic glottic view, visualization of square wave pattern. Success rate for the i-gel was 91.7% versus 79.2% for the cLMA. i-gel required shorter insertion time (19.3 seconds vs. 23.5 seconds, P=0.000). Airway leak pressure difference was statistically significant (i-gel 21.2 cm H20; cLMA 16.9 cm H(2)0; P=0.00). Fiberoptic view through the i-gel showed there were less epiglottic downfolding and better fiberoptic view of the glottis than cLMA. Overall agreement in insertion outcome for i-gel was 22/24 (91.7%) successes and 2/24(8.3%) failure and for cLMA, 19/24 (79.16%) successes and 5/24 (16.7%) failure in the first attempt. The i-gel is cheap, effective airway device which is easier to insert and has better clinical performance in the difficult airway management of the airway in the post burn contracture of the neck. Our study shows that i-gel is feasible for emergency airway management in difficult airway situation with reduced neck movement and limited mouth opening in post burn neck.

Please choose payment method:






(PDF emailed within 0-6 h: $19.90)

Accession: 055358247

Download citation: RISBibTeXText

PMID: 23087456

DOI: 10.4103/0019-5049.100815


Related references

A Randomized Crossover Comparison of the Size 2?? Laryngeal Mask Airway ProSeal Versus Laryngeal Mask Airway Classic in Pediatric Patients. Survey of Anesthesiology 50(2): 85-86, 2006

A randomized crossover comparison of the size 2 1/2 laryngeal mask airway ProSeal versus laryngeal mask airway-Classic in pediatric patients. Anesthesia and Analgesia 100(6): 1605-1610, 2005

Use of the size 3 ProSeal laryngeal mask airway in children. Results of a randomized crossover investigation with the Classic laryngeal mask airway. Der Anaesthesist 55(2): 148-153, 2006

A comparison of the Supreme laryngeal mask airway with the Proseal laryngeal mask airway in anesthetized paralyzed adult patients: a randomized crossover study. Canadian Journal of Anaesthesia 57(7): 672-678, 2010

The size 1(1/2) ProSeal laryngeal mask airway in infants: a randomized, crossover investigation with the Classic laryngeal mask airway. Anesthesia and Analgesia 102(2): 405-410, 2006

The i-gel Supraglottic Airway as a Conduit for Fibreoptic Tracheal Intubation - A Randomized Comparison with the Single-use Intubating Laryngeal Mask Airway and CTrach Laryngeal Mask in Patients with Predicted Difficult Laryngoscopy. Prague Medical Report 117(4): 164-175, 2017

A response to 'Airway rescue in acute upper airway obstruction using a ProSeal Laryngeal mask airway and an Aintree Catheter: a review of the ProSeal Laryngeal mask airway in the management of the difficult airway'. Anaesthesia 61(6): 618-619, 2006

Airway rescue in acute upper airway obstruction using a ProSeal Laryngeal mask airway and an Aintree catheter: a review of the ProSeal Laryngeal mask airway in the management of the difficult airway. Anaesthesia 60(11): 1129-1136, 2005

The supraglottic airway I-gel in comparison with ProSeal laryngeal mask airway and classic laryngeal mask airway in anaesthetized patients. European Journal of Anaesthesiology 27(7): 598-601, 2010

A prospective, randomized, Single-blinded, comparative study of Classic Laryngeal Mask Airway and ProSeal Laryngeal Mask Airway in pediatric patients. Journal of Anaesthesiology Clinical Pharmacology 28(3): 318-321, 2012

Airway equipment and its maintenance for a non difficult adult airway management (endotracheal intubation and its alternative: face mask, laryngeal mask airway, laryngeal tube). Annales Francaises d'Anesthesie et de Reanimation 22(Suppl. 1): 28s-40s, 2003

Manikin study of fibreoptic-guided intubation through the classic laryngeal mask airway with the Aintree intubating catheter vs the intubating laryngeal mask airway in the simulated difficult airway. Anaesthesia 65(8): 841-847, 2010

The ProSeal laryngeal mask airway: A randomized, crossover study with the standard laryngeal mask airway in paralyzed, anesthetized patients. Anesthesiology 93(1): 104-109, 2000

Size 2 ProSeal laryngeal mask airway: a randomized, crossover investigation with the standard laryngeal mask airway in paediatric patients. British Journal of Anaesthesia 94(3): 385-389, 2005

A randomized study to compare ProSeal laryngeal mask airway with classic laryngeal mask airway in anesthetized patients. Egyptian Journal of Anaesthesia 29(4): 285-290, 2013