Comparison of hemodynamic effects with i-gel and endotracheal tube for elective pediatric anesthesia- a prospective study

Abstract

Background and Aim: Supraglottic airway devices are now widely used for surgery requiring general anesthesia. They provide a perilaryngeal seal with a cuff and an alternative to tracheal intubation. The I-gel is a novel and innovative supraglottic airway management device. Present study was performed to compare hemodynamic effects of I-gel insertion and tracheal intubation in elective pediatric surgical patients.
Methodology: A prospective randomized, comparative study was performed in 120 pediatric patients who were divided equally in to two groups (60 each). Group-1 used endotracheal tube and Group-2 used I-gel for airway maintenance. The two devices were compared with regard to the insertion characteristics, hemodynamics and postoperative airway complications.
Results: There was a significant increase in the mean arterial blood pressure after the insertion of the endotracheal tube compared with the insertion of the I-gel. In our study, both the devices were inserted in first attempt in all pediatric patients. So, first time insertion success rate was
100% for both, ETT and I-gel.
Conclusion: The hemodynamic stress response in terms of heart rate, mean blood pressure were significantly higher after insertion as well as after removal of endotracheal tube than after insertion and removal of I-gel in pediatric patients. Thus, I-gel provides a good alternative for airway maintenance in general anesthesia for pediatric patients in whom pressure response to tracheal intubation is detrimental and must be avoided.
Citation: Patel I, Mavani M, Patel S. Comparison of hemodynamic effects with i-gel and endotracheal tube for elective pediatric anesthesia- a prospective study. Anaesth Pain & Intensive Care 2018;22(4):483-487
Received – 4 Oct 2018; Reviewed – 5 Jan 2019; Accepted – 5 Jan 2019