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标题：FIBEROPTIC CONFIRMATION OF PLACEMENT OF LMA PROSEAL & I-GEL IN ELECTIVE SURGERIES IN ADULTS
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作者：ANJALI MODAK ; AMREESH PAUL FRANCIS
期刊名称：International Journal of Early Childhood Special Education
电子版ISSN：1308-5581
出版年度：2022
卷号：14
期号：5
页码：3659-3670
DOI：10.9756/INTJECSE/V14I5.407
语种：English
出版社：International Journal of Early Childhood Special Education
摘要：INTRODUCTION is one of the main roles carried out by the anaesthetist. The gold standard of securing and maintaining of the airway throughout a surgery is endotracheal intubation. Sore throat and stress response are some of the side effects of endotracheal intubation. Supraglottic airway devices (SGA) are useful in securing the airway and also keep the patency of the airway intact. The insertion of such devices also helps us in avoiding the side effects associated with endotracheal intubation. It is critical to figure out the best way to insert these devices and to confirm the proper placement of these devices as a prolonged time of insertion and unsuccessful placement can be disastrous. Fiber-optic bronchoscopy maybe used to assess the insertion of these devices and thus decrease complications. AIM OF THE STUDY Comparing the position of Proseal LMA and I-Gel with relation to glottic inlet using a fiberoptic bronchoscope. PRIMARY OBJECTIVE Assessing the positionin relation to glottic inlet of Pro-SEAL LMA and I-GEL using a fiberoptic bronchoscope. SECONDARY OBJECTIVES  Duration of LMA insertion  Attempts taken for LMA insertion  Hemodynamic parameters  To assess adverse effects during LMA insertion, during the surgery and postoperativeperiod- o Cough o Laryngeal spasm o Blood stainin the LMA o Sore throat METHODS 50 Patients were grouped into two groups - Group-P & Group-I. Pre-anaesthetic check-up and a thorough general examination was conducted for all the patients participating in the study. Written and informed consent was taken. The patients were premedicated and induction was done with Inj. Propofol and Inj. Succinylcholine. After adequate relaxation of the jaw was achieved, LMA was inserted. Vitals were taken down post LMA insertion and Fiber-optic grading was done. Post-procedure, the LMA was removed and the following outcome measures were noted down - 1) Duration taken for insertion of LMA. 2) Attempts taken for LMA insertion 3) Hemodynamic profile 4) Anticipated adverse effects. CONCLUSION We would like to conclude that I-Gel is a safe and a much reliable substitute to endotracheal intubation and also to Proseal LMA for keeping the airway patent during daycare procedures. It has the advantages of a good placement with relation to the inlet of the glottis and also provides adequate ventilation, lesser number of complications and a good hemodynamic profile throughout the procedure.
关键词：LMA;SGA;Supra glottic airways device;Fiberoptic Bronchoscope;Glottic inlet;I-Gel;Proseal LMA