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Go Back       Himalayan Journal of Community Medicine and Public Health | Volume:3 Issue:5 | Sept. 10, 2022
32 Downloads85 Views

DOI : 10.47310/Hjcmph.2022.v03i05.004       Download PDF       HTML       XML

Fibreoptic Assessment of Three Different Techniques of I-Gel Insertion I.E. Standard, Rotational, Triple Airway Maneuver in Anaesthetised Paralysed Adults


Dr. Neetiksha1, Dr. Isha Khan2 and Dr. Urvashi Nautiyal*3

1Dr. Neetiksha, Medical Officer Specialist, Pt. JLNGMC, Chamba, Himachal Pradesh, India

2Dr. Isha Khan, Medical Officer Specialist, ESI, Parwanoo, Himachal Pradesh, India

*3Dr. Urvashi Nautiyal, Medical Officer Specialist, SLBSGMC, Ner Chowk, Mandi, Himachal Pradesh, India


*Corresponding Author

Dr. Urvashi Nautiyal

Article History: | Received: 20.08.2022 | Accepted: 30.08.2022 | Published: 10.09.2022|

Abstract: Background: The present study was aimed to compare the Fibreoptic assessment of three different techniques of i-gel insertion i.e. standard, rotational, triple airway maneuver in anaesthetised paralysed adults. Material & Methods: A total of 150 patients were included in this Prospective Randomised Trial at Department of Anaesthesia, Dr. R.P.G.M.C. Kangra at Tanda during the study period. The patients were divided into 3 groups with 50 patients each. The patients in group A included standard technique, group B with rotational technique, and group C included triple airway maneuver. The three groups were graded after Fibreoptic assessment using the Brimacombe scale, which consists of a four-point scoring system. Results: In our study, in standard group fibreoptic assessment was grade 4 in 82% of the patients, grade 3 in 12% and grade 2 in 6%.In rotational group, fibreoptic assessment was grade 4 in 86% of the patients, grade 3 in 12% and grade 2 in 2%. In triple airway maneuver group fibreoptic assessment was grade 4 in 94% of the patients, grade 3 in 4% and grade 2 in 2%. There was no significant difference in fibreoptic assessment between three groups (P = 0.365). Conclusion: Present study concluded that all the three groups were comparable according to grading after Fibreoptic assessment using the Brimacombe scale.


Keywords: Comparison, Fibreoptic assessment, Techniques of I-Gel Insertion, I.E. Standard, Rotational, Triple Airway Maneuver, Anaesthetised Paralysed Adults.



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