I-Gel versus proseal laryngeal mask airway: A comparison between two supraglottic airway devices in elective laparoscopic cholecystectomy patients

Introduction: Although tracheal intubation is considered ideal for airway management in laparoscopic surgeries, as it provides adequate ventilation and protects against pulmonary aspiration even in the presence of raised airway pressure due to carboperitoneum, supraglottic airway devices are beginning to be used more commonly in the same scenario in the right subset of patients. Materials and Methods: Eighty American Society of Anesthesiologists I and II patients coming for laparoscopic cholecystectomy surgeries were divided into two groups of I-gel and proseal laryngeal mask airway (PLMA) each. Ease of device insertion, time of device insertion, number of insertion attempts, airway leak pressure, and ease of insertion of gastric tube was observed. Patient was inspected for any “injury” of the lips, teeth or tongue, and the device for blood stain. 18–24 h after surgery, patients were interviewed for any “postoperative complications” such as sore throat, dysphagia, and hoarseness. Results: Both I-gel and PLMA can be used safely for laparoscopic cholecystectomy; ProSeal provides better sealing pressure while I-gel is easier to use practically and has less hemodynamic variations.