title: A randomised trial comparing the i-gel (TM) with the LMA Classic (TM) in children.
abstract: We performed a prospective, randomised trial comparing the i-gel(TM) with the LMA Classic(TM) in children undergoing general anaesthesia. Ninety-nine healthy patients were randomly assigned to either the i-gel or the LMA Classic. The outcomes measured were airway leak pressure, ease of insertion, time taken for insertion, fibreoptic examination and complications. Median (IQR [range]) time to successful device placement was shorter with the i-gel (17.0 (13.8-20.0 [10.0-20.0]) s) compared with the LMA Classic (21.0 (17.5-25.0 [15.0-70.0]) s, p = 0.002). There was no significant difference in oropharyngeal leak pressure between the two devices. A good fibreoptic view of the glottis was obtained in 74% of the i-gel group and in 43% of the LMA Classic group (p < 0.001). There were no significant complications. In conclusion, the i-gel provided a similar leak pressure, but a shorter insertion time and improved glottic view compared with the LMA Classic in children.
authors.affiliation: Department of Anaesthesiology and Pain Medicine, Anaesthesia and Pain Research Institute, Yonsei University College of Medicine, Seoul, Korea.
authors.forename: J-R
authors.initials: JR
authors.lastname: Lee
authors.forename: M-S
authors.initials: MS
authors.lastname: Kim
authors.forename: J-T
authors.initials: JT
authors.lastname: Kim
authors.forename: H-J
authors.initials: HJ
authors.lastname: Byon
authors.forename: Y-H
authors.initials: YH
authors.lastname: Park
authors.forename: H-S
authors.initials: HS
authors.lastname: Kim
authors.forename: C-S
authors.initials: CS
authors.lastname: Kim
mesh_terms: D000399:Air Pressure; D058109:Airway Management / Q000009:adverse effects / Q000295:instrumentation*; D000768:Anesthesia, General / Q000379:methods*; D018685:Anesthetics, Inhalation; D002648:Child; D002675:Child, Preschool; D004209:Disposable Equipment; D005260:Female; D005336:Fiber Optic Technology; D005931:Glottis / Q000033:anatomy & histology; D006801:Humans; D007223:Infant; D007384:Intermittent Positive-Pressure Breathing; D007442:Intubation, Intratracheal / Q000295:instrumentation; D017214:Laryngeal Masks / Q000009:adverse effects; D007828:Laryngoscopy; D008297:Male; D008738:Methyl Ethers; D016343:Monitoring, Intraoperative; D011446:Prospective Studies; D000077149:Sevoflurane; D016896:Treatment Outcome
chemical_list: D018685:Anesthetics, Inhalation; D008738:Methyl Ethers; D000077149:Sevoflurane