ENDOBRONCHIAL ULTRASOUND-GUIDED LUNG BIOPSIES UNDER PROCEDURAL SEDATION- I-GEL OR PLMA- A COMPARATIVE STUDY.

Corresponding Author:
Dr. K. Chandra Sekhar,
Associate Professor,
Department of Anaesthesiology,
Gitam Institute of Medical Sciences and Research,
Rishikonda, Visakhapatnam, A. P, India.
E-mail: doctorkota123@gmail.com

ABSTRACT

BACKGROUND

Endobronchial ultrasound-guided lung biopsies require immobile patient, non-collapsing airway, stable haemodynamics and good oxygenation, clear exposure of glottis for passage of bronchoscope and good bite block. In pursuit of ideal supraglottic device, we compared clinical performance of PLMA and I-gel in our study.

The aim of this study was to compare the performance of PLMA and i-gel for endobronchial ultrasound (EBUS) guided lung biopsies of patients.

MATERIALS AND METHODS

This is a quasi-experimental study of 40 patients. The sample size was taken for convenience. With twenty patients posted for convex probe, EBUS TBNA lung biopsies were done with i-gel (Group I) and another twenty posted for radial probe EBUS biopsies were done with PLMA (Group II).

RESULTS

I-gel was easier to insert, and insertion time was less than for PLMA and bronchoscopic view of vocal cords was clear and superior to PLMA. Sore throat, dysphagia, dysphonia and blood staining of device cuff were not seen with I-gel.

CONCLUSION

I-gel is a superior alternative to PLMA and endotracheal tube for EBUS-guided lung biopsies in uncooperative, anxious, obese patients because of ease and rapid insertion, stable bite block, ease of fixation, non-collapsing airway, non-inflatable cuff, stable haemodynamics, no tissue injury and less serious post-procedure complications.

KEY WORDS

EBUS, TBNA, I-GEL, PLMA.