Abstract

Background: This study aims to compare insertion parameters, ventilatory parameters, hemodynamic parameters and post-removal complications that occur during LMA insertion and I-gel insertion in pediatric patients for surgical procedures under sevoflurane anesthesia. Supraglottic airway devices are increasingly being used in children as they are less invasive than endotracheal intubation and cause less discomfort in the post-operative period.
Materials and Methods: In our study, 60 children ASA grade I & II aged between 1-5years, scheduled for elective short surgical procedures were allotted to two groups LMA and I-gel of 30 patients each randomly. The efficacy of I-gel in children during intubation, its hemodynamic changes and post-operative complications were compared to LMA under sevoflurane anaesthesia.
Results: I-gel insertion was done easily in 93.3% patients while LMA insertion was done easily in 86.67% patients. The changes in hemodynamic parameters i.e., heart rate, systolic blood pressure, diastolic blood pressure and mean arterial pressure were not statistically significant between both the groups (p>0.05). Saturation of haemoglobin is maintained above 97% with both devices which shown no statistical significance. Incidence of postoperative complications like cough, laryngospasm, lip/dental injury were comparable between both the groups with p>0.05. However, there was a substantial difference in the incidence of postoperative sore throat between both the groups, with the LMA group having a greater frequency.
Conclusion: In conclusion, neither LMA nor I-gel induces any substantial changes in the patients' hemodynamic condition, nor does SPO2. The postoperative complications in LMA and I-gel patients are not considerably different. I-gel insertion is substantially easier and faster than LMA insertion.