Application of the LMA-Supreme (TM) and i-gel (TM) laryngeal masks during pelvic operations in adults

作者：Wang, Fei; Zhang, Rui^*

来源：Asian Journal of Surgery, 2016, 39(1): 1-5.

DOI：10.1016/j.asjsur.2015.01.011

• airway management
• laryngeal mask
• pelvic operation

Objective: The aim of this study was to evaluate the practical application and safety of the i-gel and LMA-Supreme laryngeal masks for airway management during pelvic operations in adults.
Methods: Ninety patients undergoing general anesthesia for elective pelvic operations (ASA Grades I-II) were randomly divided into two groups, the i-gel group and the Supreme group. The laryngeal mask was inserted after induction, and the relevant examination grading indexes were recorded.
Results: The Supreme group required less time for laryngeal mask insertion and gastric tube indwelling time. Gastric tube indwelling was easier, compared with those in the i-gel group (p = 0.03), but the i-gel group had fewer complications (p = 0.03). There were no significant differences in the degree of difficulty in insertion, airway sealing pressure, PETCO2, Ppeak, and laryngeal mask alignment accuracy between the two groups (p > 0.05). There was no statistically significant difference in fibrobronchoscopy grading between the two groups (p > 0.05).
Conclusion: The i-gel and LMA-Supreme laryngeal masks are safe and effective for airway management in patients during pelvic operations.

• 出版日期2016-1
• 单位辽宁省肿瘤医院