LMA-S vs. i-Gel in Elderly

In paralyzed elderly patients both the LMA-S and i-gel were used successfully and safely. However, the i-gel demonstrated better airway sealing than the LMA-S at insertion and during maintenance of anaesthesia. Less manipulation at insertion and superior fiberoptic laryngoscopy grades were observed in the i-Gel group, and inspiratory pressures lower with higher leak pressures. The I-Gel’s simplicity without the need for cuff inflation make it an attractive option in ER settings also for the ‘occasional anesthesiologist’!

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