Kayhan Gulay Erdogan, Begec Zekine, Sanli Mukadder, Gedik Ender, Durmus Mahmut
Department of Anesthesiology and Reanimation, Inonu University Medical Faculty, B Blok Daire 11, Malatya, Turkey.
ScientificWorldJournal. 2015;2015:426186. doi: 10.1155/2015/426186. Epub 2015 Feb 22.
The size 1 I-gel, recommended for small infants and neonates weighing 2-5 kg, has recently been released. There are no prospective studies available that assess the insertion conditions, sealing pressures, or ventilation quality of it. This study was designed to compare the performance of recently released size 1 I-gel with size 1 ProSeal LMA.
Fifty infants and neonates, ASA I-II were included in this prospective, randomized, and controlled study. Patients were divided into two groups for placing I-gel or ProSeal LMA. The primary outcome was airway leak pressure, and secondary outcomes included insertion time, insertion success and conditions, initial airway quality, fiberoptic view of the larynx, and complications.
There were no significant differences in terms of airway leak pressure between the I-gel (27.44 ± 5.67) and ProSeal LMA (23.52 ± 8.15) (P = 0.054). The insertion time for the I-gel was shorter (12.6 ± 2.19 s) than for the ProSeal LMA (24.2 ± 6.059 s) (P = 0.0001). Insertion success and conditions were similar in groups. We encountered few complications.
Our study demonstrates that the size 1 I-gel provided an effective and satisfactory airway as the size 1 ProSeal LMA. It may be a good alternative supraglottic airway device for use in small infants and neonates. This trial is registered with: ClinicalTrials.gov NCT01704118.
最近推出了推荐用于体重2 - 5千克的小婴儿和新生儿的1号I-gel喉罩。目前尚无前瞻性研究评估其插入条件、密封压力或通气质量。本研究旨在比较新推出的1号I-gel喉罩与1号ProSeal喉罩的性能。
本前瞻性、随机对照研究纳入了50例ASA I-II级的婴儿和新生儿。患者分为两组，分别置入I-gel喉罩或ProSeal喉罩。主要观察指标为气道漏气压力，次要观察指标包括插入时间、插入成功率及条件、初始气道质量、喉镜光纤视野和并发症。
I-gel喉罩组（27.44±5.67）与ProSeal喉罩组（23.52±8.15）的气道漏气压力无显著差异（P = 0.054）。I-gel喉罩的插入时间（12.6±2.19秒）短于ProSeal喉罩（24.2±6.059秒）（P = 0.0001）。两组的插入成功率及条件相似。我们遇到的并发症较少。
我们的研究表明，1号I-gel喉罩与1号ProSeal喉罩一样，能提供有效且令人满意的气道。它可能是用于小婴儿和新生儿的一种良好的声门上气道替代装置。本试验已在ClinicalTrials.gov注册，注册号为NCT01704118。
