title: Comparison of the proseal, supreme, and i-gel SAD in gynecological laparoscopic surgeries.
abstract: 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.
authors: Department of Anesthesiology and Reanimation, Inonu University School of Medicine, Malatya, Turkey.
authors: Sanli
authors: S
authors: Mukadder
authors: Department of Anesthesiology and Reanimation, Inonu University School of Medicine, Malatya, Turkey.
authors: Begec
authors: B
authors: Zekine
authors: Department of Anesthesiology and Reanimation, Inonu University School of Medicine, Malatya, Turkey.
authors: Kayhan Gulay
authors: KG
authors: Erdogan
authors: Department of Anesthesiology and Reanimation, Inonu University School of Medicine, Malatya, Turkey.
authors: Ozgul
authors: O
authors: Ulku
authors: Department of Anesthesiology and Reanimation, Inonu University School of Medicine, Malatya, Turkey.
authors: Ucar
authors: U
authors: Muharrem
authors: Department of Biostatistics, Inonu University School of Medicine, Malatya, Turkey.
authors: Yologlu
authors: Y
authors: Saim
authors: Department of Anesthesiology and Reanimation, Inonu University School of Medicine, Malatya, Turkey.
authors: Durmus
authors: D
authors: Mahmut
mesh_terms: D000293:Adolescent; D000328:Adult; D000768:Anesthesia, General / Q000295:instrumentation; D004867:Equipment Design; D005260:Female; D013509:Gynecologic Surgical Procedures / Q000295:instrumentation*; D006801:Humans; D010535:Laparoscopy / Q000295:instrumentation; D017214:Laryngeal Masks / Q000009:adverse effects; D008875:Middle Aged; D009960:Oropharynx; D011312:Pressure; D055815:Young Adult