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Comparison of two insertion techniques for I-Gel placement in paediatric patients: standard vs rotational methods

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Original Article

Author Details : Neeraj Kumar Tiwari, Milind Y Dharmamer, Sanil Mohan, Ajai Chandra, Rahul Yadav*, Pravin Mohan Rao

Volume : 8, Issue : 3, Year : 2021

Article Page : 373-376

https://doi.org/10.18231/j.ijca.2021.071

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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
 

Keywords: I-Gel, Rotational insertion technique, Standard insertion technique.

How to cite : Tiwari N K, Dharmamer M Y, Mohan S, Chandra A, Yadav R, Rao P M, Comparison of two insertion techniques for I-Gel placement in paediatric patients: standard vs rotational methods. Indian J Clin Anaesth 2021;8(3):373-376

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