Comparison of intubating LMA and I-gel for ease of insertion and as a conduit for endotracheal intubation

Abstract

Background: Tracheal intubation provides the most effective means of direct airway Ventilation and protection against aspiration, but it is not free from complexities and complications.Objectives: to compare ease of insertion and Number of attempts for successful device placement and time taken for insertion. Study design: Randomised controlled prospective study. Participants: 80. Sampling: Systematic Random Sampling. Study period: from October 2016 to October 2018. Results: When insertion attempts were compared between two groups, I-gel was inserted in first attempt in 95% patients and I-lma was inserted first attempt in 90% patients. Data was comparable between the two groups (p>0.05). ET tube Insertion was successful on first attempt in 65% of patients in group G and 75% of patients in group I-LMA. The data was comparable between the two groups (p>0.05). The mean time taken for placement of I-GEL was 20.98± 2.36 seconds and for I-lma it was 17.85 ± 2.07 seconds. The difference between two groups was extremely significant (p<0.01). When mean time for insertion of ET tube through SAD was compared ET tube was inserted with mean time of 23.98 ± 1.42 seconds in Group G and in Group L it was 20.85 ± 1.70 seconds. The difference between two groups did not reveal any significance (p<0.01). Conclusion: we came to conclusion that Time taken to insert ET tube via I-LMA is significantly less than that of. I-gel. I-gel can be used as a conduit for endotracheal intubation.