الفهرس 
INTRODUCTIONOnly 14 pages are availabe for public view
 |  | from | 134 |  |  |
| | | from | 134 | | |
Abstract
Modern anaesthesia practice in children was made possible by the invention of the endotracheal tube (ETT), which made lengthy and complex surgical procedures feasible without the disastrous complications of airway obstruction, aspiration of gastric contents or asphyxia. For decades, endotracheal intubation was the mainstay of airway management. In 1983, this changed with the invention of the laryngeal mask airway (LMA), the first supraglottic airway device.
Various types of supraglottic devices have been successfully used for securing and maintaining a patent airway in routine and emergency surgeries in children. LMA with inflatable cuff has been the most common device used in the last decade.
Different modifications on LMA like Proseal, Unique, Supreme, and iLMA have been used in clinical practice. The i-gel is relatively new and unique supraglottic airway with noninflatable cuff made of soft gel-like medical matrial.Pediatric i-gel now available in four different sizes 1, 1.5, 2, 2.5 on basis of body weight.
The aim of the study was to compare classic LMA and i-gel as regards insertion success, quality of airway achieved and complication of their use for short elective surgical procedures in pediatrics under general controlled ventilation.
The present study was carried out in Alexandria main university hospital on seventy children; their ages ranged from 3 to 6 years; scheduled for short elective surgeries under general anaethesia with controlled ventilation. They were randomly divided into two equal groups; thirty five each. Classic LMA was used for group I and i-gel was used for group II to maintain a patent airway during anaesthesia.
All children were assessed pre-operatively by detailed history taking from their parents, complete clinical examination, airway assessment, and routine laboratory investigations. Written informed consent was taken from the parents prior intervention. All children fasted 2h for clear fluid and water, 6h for solids.