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RSACP wishes to inform that it shall be discontinuing the dispatch of print copy of JOACP to it's Life members. The print copy of JOACP will be posted only to those life members who send us a written confirmation for continuation of print copy.
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Year : 2020  |  Volume : 36  |  Issue : 1  |  Page : 20-24

A prospective single-center observational study to assess the efficacy of the second-generation supraglottic airway device I-gel in laparoscopic surgeries in children

1 Department of Anesthesia and Critical Care, Army Hospital Research and Referral; Department of Anesthesia and Critical Care, Madhukar Rainbow Children's Hospital, New Delhi, India
2 Department of Anesthesia and Critical Care, Army Hospital Research and Referral, New Delhi, India

Correspondence Address:
Dr. Rakhee Goyal
Department of Anesthesia and Critical Care, Madhukar Rainbow Children's Hospital, New Delhi - 110 017
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/joacp.JOACP_295_19

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Background and Aims: Supraglottic airways used in pediatric surgeries are associated with a lesser number of postanesthesia respiratory complications. However, there is limited literature on the use of i-gel for pediatric laparoscopic surgery. The aim of this study is to assess the adequacy of ventilation of i-gel for pediatric laparoscopic surgery and note any associated adverse event. Material and Methods: This is a single-centered prospective observational study including 119 children, aged 6 months to 18 years, scheduled for laparoscopic surgery, during a 9-month period, in a tertiary care center. I-gel was used for positive pressure ventilation, and if the post-insertion oropharyngeal seal pressure was <25 cm H2O, it was replaced with a tracheal tube. Adequacy of ventilation and adverse events were noted. Results: Data from 102 cases were analyzed (17 cases excluded: tracheal intubation in 11; missing data in 6 cases). The mean oropharyngeal seal pressure was 34.2 ± 5.2 cm H2O and mean airway pressure was 16.1 ± 2.4 cm H2O. The adverse events included transient cough (10.7%), sore throat (4.9%), and desaturation (3.9%). There was no sign of respiratory distress during the recovery and no intervention was required in any child postoperatively. Conclusion: I-gel provided adequate ventilation of the lungs in children undergoing laparoscopic surgery with no major adverse event.

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