IJFANS International Journal of Food and Nutritional Sciences

ISSN PRINT 2319 1775 Online 2320-7876

A Comparative Evaluation Of Hemodynamic And Side Effect Of Lma Supreme And I-Gel In Patients Undergoing Elective Surgery With Controlled Ventilation

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Dr Md Ali Rabbani, Dr Debapriya Sarkar, Dr Vidhi Chandra, Dr Abhishek Singh

Abstract

Background: Soft tissue trauma, tooth damage, esophageal intubation, hypoxia, and sore throat are all side effects of laryngoscopy and endotracheal intubation. It is challenging to learn this ability. Additionally, it causes reflex sympathetic stimulation, which is linked to increased blood pressure, myocardial ischemia, a decrease in myocardial contractility, ventricular arrhythmias, and intracranial hypertension. Aim and Objective: The study is aimed to evaluate hemodynamic changes and side effect of LMA supreme and I-gel in patients undergoing elective surgery with controlled ventilation. Methodology: This prospective randomized study with two groups of 25 patients each was carried out in the Department of Anaesthesiology at Santosh Medical College & Hospital, Ghaziabad, Uttar Pradesh. ASA grade I and II patients, aged 20yr to 60yr, undergoing elective surgical procedures were chosen for the study. Result: Study showed that out of 50 patients, 16 (32%) were male and 34 (68%) were female. Patients randomly divided into group L with mean age 35.84±9.60 years and weight 55.56 ± 7.84 kg and in group E with mean age 33.92±10.26 years and weight 50.32±7.95 kg. There was statistically significant rise in DBP and MAP in both the groups, the rise was almost similar which lasted for 1 min to 2 min in DBP and up till 1 min from BI values in MAP. (p<0.05) Conclusion: Therefore, the study concluded that both LMA-S and I-gel are easy to insert, maintain adequate ventilation, and are a better alternative to endotracheal intubation with few hemodynamic changes and few postoperative complications in elective surgeries.

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