Comparison of the Proseal, Supreme, and I-Gel SAD in Gynecological Laparoscopic Surgeries
We compared proseal, supreme, and i-gel supraglottic airway devices in terms of oropharyngeal leak pressures and airway morbidities in gynecological laparoscopic surgeries. One hundred and five patients undergoing elective surgery were subjected to general anesthesia after which they were randomly d...
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| Format: | Article |
| Language: | English |
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Wiley
2015-01-01
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| Series: | The Scientific World Journal |
| Online Access: | http://dx.doi.org/10.1155/2015/634320 |
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| author | Sanli Mukadder Begec Zekine Kayhan Gulay Erdogan Ozgul Ulku Ucar Muharrem Yologlu Saim Durmus Mahmut |
| author_facet | Sanli Mukadder Begec Zekine Kayhan Gulay Erdogan Ozgul Ulku Ucar Muharrem Yologlu Saim Durmus Mahmut |
| author_sort | Sanli Mukadder |
| collection | DOAJ |
| description | We compared proseal, supreme, and i-gel supraglottic airway devices in terms of oropharyngeal leak pressures and airway morbidities in gynecological laparoscopic surgeries. One hundred and five patients undergoing elective surgery were subjected to general anesthesia after which they were randomly distributed into three groups. Although the oropharyngeal leak pressure was lower in the i-gel group initially (mean ± standard deviation; 23.9 ± 2.4, 24.9 ± 2.9, and 20.9 ± 3.5, resp.), it was higher than the proseal group and supreme group at 30 min of surgery after the trendelenburg position (25.0 ± 2.3, 25.0 ± 1.9, and 28.3 ± 2.3, resp.) and at the 60 min of surgery (24.2 ± 2.1, 24.8 ± 2.2, and 29.5 ± 1.1, resp.). The time to apply the supraglottic airway devices was shorter in the i-gel group (12.2 (1.2), 12.9 (1.0), and 6.7 (1.2), resp., P=0.001). There was no difference between the groups in terms of their fiber optic imaging levels. pH was measured at the anterior and posterior surfaces of the pharyngeal region after the supraglottic airway devices were removed; the lowest pH values were 5 in all groups. We concluded that initial oropharyngeal leak pressures obtained by i-gel were lower than proseal and supreme, but increased oropharyngeal leak pressures over time, ease of placement, and lower airway morbidity are favorable for i-gel. |
| format | Article |
| id | doaj-art-285477a85b3d41bca2acffe1a7b4aef5 |
| institution | Kabale University |
| issn | 2356-6140 1537-744X |
| language | English |
| publishDate | 2015-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | The Scientific World Journal |
| spelling | doaj-art-285477a85b3d41bca2acffe1a7b4aef52025-08-20T03:54:38ZengWileyThe Scientific World Journal2356-61401537-744X2015-01-01201510.1155/2015/634320634320Comparison of the Proseal, Supreme, and I-Gel SAD in Gynecological Laparoscopic SurgeriesSanli Mukadder0Begec Zekine1Kayhan Gulay Erdogan2Ozgul Ulku3Ucar Muharrem4Yologlu Saim5Durmus Mahmut6Department of Anesthesiology and Reanimation, Inonu University School of Medicine, Malatya, TurkeyDepartment of Anesthesiology and Reanimation, Inonu University School of Medicine, Malatya, TurkeyDepartment of Anesthesiology and Reanimation, Inonu University School of Medicine, Malatya, TurkeyDepartment of Anesthesiology and Reanimation, Inonu University School of Medicine, Malatya, TurkeyDepartment of Anesthesiology and Reanimation, Inonu University School of Medicine, Malatya, TurkeyDepartment of Biostatistics, Inonu University School of Medicine, Malatya, TurkeyDepartment of Anesthesiology and Reanimation, Inonu University School of Medicine, Malatya, TurkeyWe compared proseal, supreme, and i-gel supraglottic airway devices in terms of oropharyngeal leak pressures and airway morbidities in gynecological laparoscopic surgeries. One hundred and five patients undergoing elective surgery were subjected to general anesthesia after which they were randomly distributed into three groups. Although the oropharyngeal leak pressure was lower in the i-gel group initially (mean ± standard deviation; 23.9 ± 2.4, 24.9 ± 2.9, and 20.9 ± 3.5, resp.), it was higher than the proseal group and supreme group at 30 min of surgery after the trendelenburg position (25.0 ± 2.3, 25.0 ± 1.9, and 28.3 ± 2.3, resp.) and at the 60 min of surgery (24.2 ± 2.1, 24.8 ± 2.2, and 29.5 ± 1.1, resp.). The time to apply the supraglottic airway devices was shorter in the i-gel group (12.2 (1.2), 12.9 (1.0), and 6.7 (1.2), resp., P=0.001). There was no difference between the groups in terms of their fiber optic imaging levels. pH was measured at the anterior and posterior surfaces of the pharyngeal region after the supraglottic airway devices were removed; the lowest pH values were 5 in all groups. We concluded that initial oropharyngeal leak pressures obtained by i-gel were lower than proseal and supreme, but increased oropharyngeal leak pressures over time, ease of placement, and lower airway morbidity are favorable for i-gel.http://dx.doi.org/10.1155/2015/634320 |
| spellingShingle | Sanli Mukadder Begec Zekine Kayhan Gulay Erdogan Ozgul Ulku Ucar Muharrem Yologlu Saim Durmus Mahmut Comparison of the Proseal, Supreme, and I-Gel SAD in Gynecological Laparoscopic Surgeries The Scientific World Journal |
| title | Comparison of the Proseal, Supreme, and I-Gel SAD in Gynecological Laparoscopic Surgeries |
| title_full | Comparison of the Proseal, Supreme, and I-Gel SAD in Gynecological Laparoscopic Surgeries |
| title_fullStr | Comparison of the Proseal, Supreme, and I-Gel SAD in Gynecological Laparoscopic Surgeries |
| title_full_unstemmed | Comparison of the Proseal, Supreme, and I-Gel SAD in Gynecological Laparoscopic Surgeries |
| title_short | Comparison of the Proseal, Supreme, and I-Gel SAD in Gynecological Laparoscopic Surgeries |
| title_sort | comparison of the proseal supreme and i gel sad in gynecological laparoscopic surgeries |
| url | http://dx.doi.org/10.1155/2015/634320 |
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