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