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Go Back       Himalayan Journal of Applied Medical Sciences and Research | Volume:3 Issue:5 | Sept. 10, 2022
30 Downloads82 Views

DOI : 10.47310/Hjamsr.2022.v03i05.002       Download PDF       HTML       XML

A Prospective Randomised Trial to Compare the Oropharyngeal Leak Pressure among 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: 21.08.2022

Accepted: 02.09.2022

Published: 10.09.2022


Abstract: Background: The present study was aimed to compare the Oropharyngeal leak Pressure among three different techniques of i-gel insertion i.e. standard, rotational, triple airway maneuver in anaesthetised paralysed adults. Material & Methods: During the study period, 150 patients were enrolled in this prospective randomised trial at the anaesthesia department of Dr. R.P.G.M.C. Kangra in Tanda. Three groups of 50 patients each were formed from the patients. Patients in groups A and B received the usual procedure; those in groups C received the triple airway maneuver. Results: In our study, Oropharyngeal leak Pressure (OLP) was 23.54±1.47, 23.36±1.76, 24.86±1.73 in standard, rotational and triple airway maneuver group respectively. On comparison, OLP was significantly higher in triple airway maneuver group in comparison to standard (24.86±1.73 vs. 23.54±1.47; P<0.0001) and rotational group (24.86±1.73 vs. 23.36±1.76: P<0.0001). This might be due to wider pharyngeal space and decrease in the incidence of epiglottic downfolding in triple airway maneuver technique. Conclusion: Present study concluded that OLP was significantly higher in triple airway maneuver technique in comparison to standard and rotational techniques, thus providing better seal with respect to both techniques.


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


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