{"title":"Ambu AuraGain和i-gel在腹腔镜腹股沟疝修补术患者口咽漏压和插入特性的比较:一项随机对照试验。","authors":"Anupma, Swati Chhabra, Sadik Mohammed, Manoj Kamal, Rakesh Kumar, Pradeep Bhatia","doi":"10.4103/joacp.joacp_439_24","DOIUrl":null,"url":null,"abstract":"<p><strong>Background and aims: </strong>Airway protection and adequate ventilation are the main aim for the patients undergoing laparoscopic surgeries under general anesthesia. The study intended to compare the oropharyngeal leak pressure (OLP) and insertion parameters and postoperative complications between Ambu AuraGain and i-gel in laparoscopic hernia repair surgeries. The primary objective was to compare the OLP at insertion and after pneumoperitoneum and positioning. The secondary objectives were to compare the time required for insertion, number of attempts, ease of insertion, and ability to insert gastric tube, grade of fiber-optic glottic view and postoperative complications.</p><p><strong>Material and methods: </strong>A randomized controlled trial of 50 patients belonging to American Society of Anesthesiologists (ASA) physical status grade I and II, aged between 18-60 years, was randomly divided into group AAG and Group IG.</p><p><strong>Results: </strong>No significant difference was found between the two groups in terms of OLP at insertion and 5 min after pneumoperitoneum. However, OLP at 30 min of pneumoperitoneum was statistically higher with Ambu AuraGain than i-gel (27.72 ± 2.67 cm H<sub>2</sub>O versus 25.50 ± 2.38 cm H<sub>2</sub>O; <i>P</i> value = 0.002). The fiber-optic glottic view was better with Ambu AuraGain than i-gel at 5 min and 30 min after pneumoperitoneum (<i>P</i> value = 0.038 and 0.043, respectively). Ambu AuraGain took longer insertion time compared to i-gel which was statistically significant.</p><p><strong>Conclusions: </strong>The OLP and fiber-optic glottic view of Ambu AuraGain are better than i-gel with longer insertion time, and the rest of the variables were comparable. We conclude that Ambu AuraGain is superior to i-gel in adult patients undergoing laparoscopic inguinal hernia repair under general anesthesia.</p>","PeriodicalId":14946,"journal":{"name":"Journal of Anaesthesiology, Clinical Pharmacology","volume":"41 3","pages":"516-522"},"PeriodicalIF":1.1000,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12237162/pdf/","citationCount":"0","resultStr":"{\"title\":\"Comparison of oropharyngeal leak pressure and insertion characteristics of Ambu AuraGain and i-gel in patients undergoing laparoscopic inguinal hernia repair: A randomized control trial.\",\"authors\":\"Anupma, Swati Chhabra, Sadik Mohammed, Manoj Kamal, Rakesh Kumar, Pradeep Bhatia\",\"doi\":\"10.4103/joacp.joacp_439_24\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Background and aims: </strong>Airway protection and adequate ventilation are the main aim for the patients undergoing laparoscopic surgeries under general anesthesia. The study intended to compare the oropharyngeal leak pressure (OLP) and insertion parameters and postoperative complications between Ambu AuraGain and i-gel in laparoscopic hernia repair surgeries. The primary objective was to compare the OLP at insertion and after pneumoperitoneum and positioning. The secondary objectives were to compare the time required for insertion, number of attempts, ease of insertion, and ability to insert gastric tube, grade of fiber-optic glottic view and postoperative complications.</p><p><strong>Material and methods: </strong>A randomized controlled trial of 50 patients belonging to American Society of Anesthesiologists (ASA) physical status grade I and II, aged between 18-60 years, was randomly divided into group AAG and Group IG.</p><p><strong>Results: </strong>No significant difference was found between the two groups in terms of OLP at insertion and 5 min after pneumoperitoneum. However, OLP at 30 min of pneumoperitoneum was statistically higher with Ambu AuraGain than i-gel (27.72 ± 2.67 cm H<sub>2</sub>O versus 25.50 ± 2.38 cm H<sub>2</sub>O; <i>P</i> value = 0.002). The fiber-optic glottic view was better with Ambu AuraGain than i-gel at 5 min and 30 min after pneumoperitoneum (<i>P</i> value = 0.038 and 0.043, respectively). Ambu AuraGain took longer insertion time compared to i-gel which was statistically significant.</p><p><strong>Conclusions: </strong>The OLP and fiber-optic glottic view of Ambu AuraGain are better than i-gel with longer insertion time, and the rest of the variables were comparable. We conclude that Ambu AuraGain is superior to i-gel in adult patients undergoing laparoscopic inguinal hernia repair under general anesthesia.</p>\",\"PeriodicalId\":14946,\"journal\":{\"name\":\"Journal of Anaesthesiology, Clinical Pharmacology\",\"volume\":\"41 3\",\"pages\":\"516-522\"},\"PeriodicalIF\":1.1000,\"publicationDate\":\"2025-07-01\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12237162/pdf/\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Journal of Anaesthesiology, Clinical Pharmacology\",\"FirstCategoryId\":\"1085\",\"ListUrlMain\":\"https://doi.org/10.4103/joacp.joacp_439_24\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"2025/6/19 0:00:00\",\"PubModel\":\"Epub\",\"JCR\":\"Q3\",\"JCRName\":\"PHARMACOLOGY & PHARMACY\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Journal of Anaesthesiology, Clinical Pharmacology","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.4103/joacp.joacp_439_24","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2025/6/19 0:00:00","PubModel":"Epub","JCR":"Q3","JCRName":"PHARMACOLOGY & PHARMACY","Score":null,"Total":0}
引用次数: 0
摘要
背景与目的:全麻下腹腔镜手术患者气道保护和充分通气是手术的主要目的。本研究旨在比较Ambu AuraGain和i-gel在腹腔镜疝修补手术中的口咽漏压(OLP)、插入参数和术后并发症。主要目的是比较插入气腹和定位后的OLP。次要目的是比较插入所需时间、尝试次数、插入难易程度、胃管插入能力、光纤声门观察等级和术后并发症。材料与方法:随机对照试验50例患者,年龄18 ~ 60岁,隶属于美国麻醉学会(ASA)身体状态等级I级和II级,随机分为AAG组和IG组。结果:两组在插入时和气腹后5min的OLP无显著差异。然而,气腹30分钟时,Ambu AuraGain的OLP高于i-gel(27.72±2.67 cm H2O vs 25.50±2.38 cm H2O;P值= 0.002)。在气腹后5 min和30 min, Ambu AuraGain的声门图像优于i-gel (P值分别为0.038和0.043)。与i-gel相比,Ambu AuraGain的插入时间更长,这具有统计学意义。结论:Ambu AuraGain的OLP和光纤声门视图优于i-gel,且插入时间更长,其余变量具有可比性。我们认为Ambu AuraGain在全麻下行腹腔镜腹股沟疝修补术的成人患者中优于i-gel。
Comparison of oropharyngeal leak pressure and insertion characteristics of Ambu AuraGain and i-gel in patients undergoing laparoscopic inguinal hernia repair: A randomized control trial.
Background and aims: Airway protection and adequate ventilation are the main aim for the patients undergoing laparoscopic surgeries under general anesthesia. The study intended to compare the oropharyngeal leak pressure (OLP) and insertion parameters and postoperative complications between Ambu AuraGain and i-gel in laparoscopic hernia repair surgeries. The primary objective was to compare the OLP at insertion and after pneumoperitoneum and positioning. The secondary objectives were to compare the time required for insertion, number of attempts, ease of insertion, and ability to insert gastric tube, grade of fiber-optic glottic view and postoperative complications.
Material and methods: A randomized controlled trial of 50 patients belonging to American Society of Anesthesiologists (ASA) physical status grade I and II, aged between 18-60 years, was randomly divided into group AAG and Group IG.
Results: No significant difference was found between the two groups in terms of OLP at insertion and 5 min after pneumoperitoneum. However, OLP at 30 min of pneumoperitoneum was statistically higher with Ambu AuraGain than i-gel (27.72 ± 2.67 cm H2O versus 25.50 ± 2.38 cm H2O; P value = 0.002). The fiber-optic glottic view was better with Ambu AuraGain than i-gel at 5 min and 30 min after pneumoperitoneum (P value = 0.038 and 0.043, respectively). Ambu AuraGain took longer insertion time compared to i-gel which was statistically significant.
Conclusions: The OLP and fiber-optic glottic view of Ambu AuraGain are better than i-gel with longer insertion time, and the rest of the variables were comparable. We conclude that Ambu AuraGain is superior to i-gel in adult patients undergoing laparoscopic inguinal hernia repair under general anesthesia.
期刊介绍:
The JOACP publishes original peer-reviewed research and clinical work in all branches of anaesthesiology, pain, critical care and perioperative medicine including the application to basic sciences. In addition, the journal publishes review articles, special articles, brief communications/reports, case reports, and reports of new equipment, letters to editor, book reviews and obituaries. It is international in scope and comprehensive in coverage.