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KMID : 1155520160110030299
Anesthesia and Pain Medicine
2016 Volume.11 No. 3 p.299 ~ p.306
Comparison of the streamlined liner of the pharynx airway (SLIPA¢â) with the I-gel¢â in paralyzed, anesthetized patients
Yoon Il-Jae

Kang Hyun
Choi Geun-Joo
Park Yong-Hee
Oh Jong-In
Baek Chong-Wha
Jung Yong-Hun
Woo Young-Cheol
Kim Jin-Yun
Abstract
Background: I-gel¢â and Streamlined Liner of the Pharynx Airway (SLIPA¢â) are the second generation supraglottic airway devices characterized by disposability and non-inflatable cuff that provide adequate sealing pressure and easy use. This study was designed to compare oro-pharyngeal leakage pressure of the I-gel¢â with the SLIPA¢â.

Methods: Seventy-eight adult patients were randomly assigned to undergo general anesthesia with either I-gel¢â or SLIPA¢â. Hemodynamic changes and Oro-pharyngeal leakage pressure were assessed at one minute after the insertion. The total insertion time, number of attempts, ease of insertion, and presence of blood staining and regurgitation were recorded. After surgery, post- operative sore throat and other complications (dysphonia, dysphagia or paresthesia of tongue) were evaluated.

Results: Oro-pharyngeal leakage pressure after device insertion was higher in the SLIPA¢â group than the I-gel¢â group. Insertion time was significantly shorter in the I-gel¢â group than the SLIPA¢â group. Blood staining was presented in 21.1% of the SLIPA¢â group vs. 2.6% of the I-gel¢â group. In the recovery room, postoperative sore throat measured in visual rating scale (VAS) was significantly higher in the SLIPA¢â group than in the I-gel¢â group. Ease of insertion, regurgitation, respiratory index and hemodynamic change after insertion showed no significant differences.

Conclusions: In this study, the SLIPA¢â devices provided higher oro-pharyngeal leakage pressure than I-gel¢â. However, the results verified ease of insertion, and safety of ventilation and hemodynamic changes, without any severe complications in both I-gel¢â and SLIPA¢â.
KEYWORD
General anesthesia, I-gel¢â, Laryngeal mask airway, SLIPA¢â
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