A comparison of i-gelTM and Laryngeal Mask Airway SupremeTM during general anesthesia in infants

이윤찬; 윤경섭; 박상융; 최소론; 정찬종

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자료유형: 학술저널

저자정보: 이윤찬 (동아대학교) 윤경섭 (동아대학교) 박상융 (동아대학교) 최소론 (동아대학교) 정찬종 (동아대학교)

저널정보: 대한마취통증의학회(구 대한마취과학회) Korean Journal of Anesthesiology Korean Journal of Anesthesiology Vol.71 No.1

발행연도: 2018.1

수록면: 37 - 42 (6page)

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연구주제

📖

연구배경

🔬

연구방법

🏆

연구결과

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Background: The i-gelTM (i-gel) and Laryngeal Mask Airway SupremeTM (LMA Supreme) have been safely used in children. We compared the airway performance of the i-gel and LMA Supreme in infants undergoing general anesthesia. Methods: Sixty infants with American Society of Anesthesiologists physical status I or II were randomly assigned to place either the i-gel or the LMA Supreme. The size 1 or 1.5 of each airway was selected by the weight of infants. The primary outcome variable was oropharyngeal leak pressure (OLP). We also assessed insertion success rate, insertion time, fiberoptic view of the larynx, airway quality, airway manipulations, and perioperative complications. Results: Demographic data did not differ between the two groups. Insertion success rate was similar in both groups. OLP for the i-gel (26.0 ± 3.8 cmH2O) was higher than for the LMA Supreme (23.7 ± 3.2 cmH2O) (P = 0.016). Insertion time for the i-gel (16.4 ± 2.8 s) was shorter than for the LMA Supreme (18.5 ± 2.7 s) (P = 0.002). There were no differences in fiberoptic view of the larynx, airway quality, airway manipulations, and complications between the two groups. Conclusions: This study demonstrated that the i-gel and LMA Supreme provided a similar performance of airway in infants. Compared with the LMA Supreme, the i-gel provided shorter insertion time and higher OLP in infants.

참고문헌 (26)

참고문헌 신청

Intersurgical / 2017 / i-gel user guide [Internet]

0000 / LMA Supreme airway, airway management [Internet]

박상융 / 2015 / Comparison of i-gelⓇ and LMA SupremeⓇ during laparoscopic cholecystectomy / Korean Journal of Anesthesiology 68(5):455~461

Joly N / 2014 / Randomized prospective trial comparing two supraglottic airway devices: $Si-gel^{TM}$ and LMA-$Supreme^{TM}$ in paralyzed patients / Can J Anaesth 61:794~800

Teoh WH / 2010 / Comparison of the LMA Supreme vs the i-gel in paralysed patients undergoing gynaecological laparoscopic surgery with controlled ventilation / Anaesthesia 65:1173~1179

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