Comparison of i-gel airway vs slipa 2g Airway in paediatric patients undergoing General anaesthesia with caudal Epidural anaesthesia- one year Randomised clinical trial.

Abstract

BACKGROUND AND AIMS: Supraglottic airway devices (SGAs) are often utilized as a less invasive alternative in general anaesthesia. The use of Supraglottic airways has many advantages over endotracheal intubation like more haemodynamic stability, less incidence of increase in intracranial, and intraocular pressures and lesser incidence of postoperative hoarseness of voice, cough and sore throat. Comparing the I-GEL and SLIPA-2G supraglottic airway devices in pediatric patients regarding ease of insertion, oropharyngeal seal pressure, and post-operative pharyngolaryngeal morbidity is a relevant pursuit, considering their advantages over traditional intubation methods. The ease of insertion is critical in paediatrics due to anatomical variability. The I-GEL features a design that conforms anatomically, potentially facilitating smoother insertion. Similarly, while specific pediatric data is limited, the SLIPA-2G incorporates advancements aimed at improving insertion ease. Oropharyngeal seal pressure is crucial for effective ventilation; the I-GEL's gel-like cuff aims for a superior seal, and the SLIPA-2G integrates design enhancements for optimal seal pressure. vii

Both devices aim to reduce post-operative complications such as sore throat and hoarseness, with existing literature indicating potential advantages for the I-GEL due to its design features. However, comparative studies directly comparing these devices in pediatric populations are lacking, underscoring the need for further research in this area.