Performance of Size 1 I-Gel Compared with Size 1 ProSeal Laryngeal Mask in Anesthetized Infants and Neonates

Purpose. The size 1 I-gel, recommended for small infants and neonates weighing 2–5 kg, has recently been released. There are no prospective studies available that assess the insertion conditions, sealing pressures, or ventilation quality of it. This study was designed to compare the performance of r...

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Main Authors: Gulay Erdogan Kayhan, Zekine Begec, Mukadder Sanli, Ender Gedik, Mahmut Durmus
Format: Article
Language:English
Published: Wiley 2015-01-01
Series:The Scientific World Journal
Online Access:http://dx.doi.org/10.1155/2015/426186
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author Gulay Erdogan Kayhan
Zekine Begec
Mukadder Sanli
Ender Gedik
Mahmut Durmus
author_facet Gulay Erdogan Kayhan
Zekine Begec
Mukadder Sanli
Ender Gedik
Mahmut Durmus
author_sort Gulay Erdogan Kayhan
collection DOAJ
description Purpose. The size 1 I-gel, recommended for small infants and neonates weighing 2–5 kg, has recently been released. There are no prospective studies available that assess the insertion conditions, sealing pressures, or ventilation quality of it. This study was designed to compare the performance of recently released size 1 I-gel with size 1 ProSeal LMA. Methods. Fifty infants and neonates, ASA I-II were included in this prospective, randomized, and controlled study. Patients were divided into two groups for placing I-gel or ProSeal LMA. The primary outcome was airway leak pressure, and secondary outcomes included insertion time, insertion success and conditions, initial airway quality, fiberoptic view of the larynx, and complications. Results. There were no significant differences in terms of airway leak pressure between the I-gel (27.44±5.67) and ProSeal LMA (23.52±8.15) (P=0.054). The insertion time for the I-gel was shorter (12.6±2.19 s) than for the ProSeal LMA (24.2±6.059 s) (P=0.0001). Insertion success and conditions were similar in groups. We encountered few complications. Conclusion. Our study demonstrates that the size 1 I-gel provided an effective and satisfactory airway as the size 1 ProSeal LMA. It may be a good alternative supraglottic airway device for use in small infants and neonates. This trial is registered with: ClinicalTrials.gov NCT01704118.
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spelling doaj-art-28aa3d7d31c54b579b78c82ac72c94e02025-02-03T06:04:47ZengWileyThe Scientific World Journal2356-61401537-744X2015-01-01201510.1155/2015/426186426186Performance of Size 1 I-Gel Compared with Size 1 ProSeal Laryngeal Mask in Anesthetized Infants and NeonatesGulay Erdogan Kayhan0Zekine Begec1Mukadder Sanli2Ender Gedik3Mahmut Durmus4Department of Anesthesiology and Reanimation, Inonu University Medical Faculty, B Blok Daire 11, Malatya, TurkeyDepartment of Anesthesiology and Reanimation, Inonu University Medical Faculty, B Blok Daire 11, Malatya, TurkeyDepartment of Anesthesiology and Reanimation, Inonu University Medical Faculty, B Blok Daire 11, Malatya, TurkeyDepartment of Anesthesiology and Reanimation, Inonu University Medical Faculty, B Blok Daire 11, Malatya, TurkeyDepartment of Anesthesiology and Reanimation, Inonu University Medical Faculty, B Blok Daire 11, Malatya, TurkeyPurpose. The size 1 I-gel, recommended for small infants and neonates weighing 2–5 kg, has recently been released. There are no prospective studies available that assess the insertion conditions, sealing pressures, or ventilation quality of it. This study was designed to compare the performance of recently released size 1 I-gel with size 1 ProSeal LMA. Methods. Fifty infants and neonates, ASA I-II were included in this prospective, randomized, and controlled study. Patients were divided into two groups for placing I-gel or ProSeal LMA. The primary outcome was airway leak pressure, and secondary outcomes included insertion time, insertion success and conditions, initial airway quality, fiberoptic view of the larynx, and complications. Results. There were no significant differences in terms of airway leak pressure between the I-gel (27.44±5.67) and ProSeal LMA (23.52±8.15) (P=0.054). The insertion time for the I-gel was shorter (12.6±2.19 s) than for the ProSeal LMA (24.2±6.059 s) (P=0.0001). Insertion success and conditions were similar in groups. We encountered few complications. Conclusion. Our study demonstrates that the size 1 I-gel provided an effective and satisfactory airway as the size 1 ProSeal LMA. It may be a good alternative supraglottic airway device for use in small infants and neonates. This trial is registered with: ClinicalTrials.gov NCT01704118.http://dx.doi.org/10.1155/2015/426186
spellingShingle Gulay Erdogan Kayhan
Zekine Begec
Mukadder Sanli
Ender Gedik
Mahmut Durmus
Performance of Size 1 I-Gel Compared with Size 1 ProSeal Laryngeal Mask in Anesthetized Infants and Neonates
The Scientific World Journal
title Performance of Size 1 I-Gel Compared with Size 1 ProSeal Laryngeal Mask in Anesthetized Infants and Neonates
title_full Performance of Size 1 I-Gel Compared with Size 1 ProSeal Laryngeal Mask in Anesthetized Infants and Neonates
title_fullStr Performance of Size 1 I-Gel Compared with Size 1 ProSeal Laryngeal Mask in Anesthetized Infants and Neonates
title_full_unstemmed Performance of Size 1 I-Gel Compared with Size 1 ProSeal Laryngeal Mask in Anesthetized Infants and Neonates
title_short Performance of Size 1 I-Gel Compared with Size 1 ProSeal Laryngeal Mask in Anesthetized Infants and Neonates
title_sort performance of size 1 i gel compared with size 1 proseal laryngeal mask in anesthetized infants and neonates
url http://dx.doi.org/10.1155/2015/426186
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