Comparison of Clinical Performance and hemodynamic changes of I-Gel TM with LMA- Proseal TM in Elective Surgeries

In the present study we studied 60 patients of either sex belonging to age group 20-50 years of ASA Grade I & II with MP grade I & II for routine surgeries two under general anesthesia, divided equally into two groups group I (N=30) for I-Gel and group II (N=30) for LMA-Proseal. We assessed the ease of insertion, success rate of insertion, ease of gastric tube placement, airway trauma by post operative blood staining of the device, tongue and lip. Heart rate, systolic blood pressure, diastolic blood pressure, mean arterial pressure were recorded at base line induction, insertion and 1,3,5 min after the successful insertion and then at the time of removal and 1 min after removal. The ease of insertion was more with group I (29/50) than with group II (23/30) (p 0.05). Blood staining of device, tongue and lip was more with group II (p>0.05). Changes in mean pulse rate in both groups were comparable, statistically not significant. Changes in MAP was significant, higher in group II than Group I (p<0.05). It was concluded that I-Gel airway is better alternative, user friendly device than PLMA in patients with high risk and having predicting difficult airway because of ease of insertion and maintenance of hemodynamic stability.