Author :
Neeraj Kumar Tiwari, Milind Y Dharmamer, Sanil Mohan, Ajai Chandra, Rahul Yadav*, Pravin Mohan Rao
Volume :
8
Issue :
3
Abstract :
Background: I-Gel has found increasing favour amongst anaesthesiologists for securing and maintaining a patent airway during routine as well as emergency surgeries in the paediatric population. The present prospective randomized study was conducted to compare the two techniques (standard and rotational methods) for I-Gel insertion in children; by assessing the first attempt success rate, insertion time and ease of insertion.
Materialsa and Methods: ASA I and II paediatric patients (1-6 years old) scheduled for brief elective surgical procedures lasting less than one hour were randomly allocated into two groups viz. Group A (n= 30) employing the standard technique, and Group B (n= 30) utilizing the rotational technique for I-Gel placement.
Result: Group B subjects depicted a significantly higher first-attempt success rate vis a vis Group A subjects (P=0.040). The mean insertion time during the first attempt was longer in Group A (standard technique) as compared to Group B (rotational technique), but the difference was not statistically significant.
Conclusion: This study lends credence to the fact that the placement of I-Gel by employing the rotational method culminates in an increase in the first attempt success rate, suggestive of its potential superiority to the standard method
Keyword :
I-Gel, Rotational insertion technique, Standard insertion technique.