{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,17]],"date-time":"2026-09-17T23:57:41Z","timestamp":1789689461677,"version":"4.0.1"},"reference-count":20,"publisher":"Wiley","issue":"7","license":[{"start":{"date-parts":[[2022,4,5]],"date-time":"2022-04-05T00:00:00Z","timestamp":1649116800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Pediatric Anesthesia"],"published-print":{"date-parts":[[2022,7]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>Previous studies have shown Proseal LMA and I gel similar to endotracheal intubation in ventilatory ability in pediatric laparoscopic surgeries.<\/jats:p><\/jats:sec><jats:sec><jats:title>Aims<\/jats:title><jats:p>The primary aim of this study was to assess whether there is a significant difference in the oropharyngeal leak pressure between Ambu Auragrain, I\u2010gel, and Proseal LMA during pediatric laparoscopic surgery.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>In this randomized controlled trial, 90 male patients of American Society of Anesthesiologists physical status I aged between 6\u2009months and 10\u2009years who were scheduled for laparoscopic single\u2010sided inguinal hernia repair were recruited and randomly allocated to three groups in which airway was secured with Ambu Auragain, I gel, or Proseal LMA. The primary outcome was oropharyngeal leak pressure. The secondary outcomes were peak pressures before and after pneumoperitoneum, fiberoptic view, insertion attempts, insertion time, manipulations, perioperative and postoperative anesthesia\u2010related problems. Continuous variables were compared using the one\u2010way analysis of variance or the Kruskal\u2013Wallis test with post hoc Turkey analysis. Categorical and ordinal data were compared using the chi\u2010square test or Fisher's exact test.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Oropharyngeal leak pressure before pneumoperitoneum was higher with I gel as compared to Ambu Auragain (27.36\u2009\u00b1\u20095.72\u2009cm of H<jats:sub>2<\/jats:sub>O vs 23.56\u2009\u00b1\u20095.72\u2009cm of H<jats:sub>2<\/jats:sub>O) (<jats:italic>p<\/jats:italic> = .021) and PLMA (27.36\u2009\u00b1\u20095.72\u2009cm of H<jats:sub>2<\/jats:sub>O vs 23.24\u2009\u00b1\u20094.35\u2009cm of H<jats:sub>2<\/jats:sub>O) (<jats:italic>p<\/jats:italic> = .011). Oropharyngeal leak pressure after pneumoperitoneum was also higher with I gel as compared to Ambu Auragain (31.58\u2009\u00b1\u20094.35\u2009cm of H<jats:sub>2<\/jats:sub>O vs 26.83\u2009\u00b1\u20095.00\u2009cm of H<jats:sub>2<\/jats:sub>O) (<jats:italic>p<\/jats:italic> = .001) and Proseal LMA (31.58\u2009\u00b1\u20094.35\u2009cm of H<jats:sub>2<\/jats:sub>O vs 27.03\u2009\u00b1\u20093.80\u2009cm of H<jats:sub>2<\/jats:sub>O) (<jats:italic>p<\/jats:italic> = .002). Oropharyngeal leak pressures of Ambu Auragain and Proseal LMA were comparable. Postoperative complications were similar in all the supraglottic airway devices. No regurgitation or aspiration\u2010related problem was observed in our study.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>I gel had a higher oropharyngeal leak pressure than the other two supraglottic airway devices and therefore may represent a better choice in situations where higher ventilatory pressures may be necessary, for example, in extremes of weight trendelenburg position, etc.<\/jats:p><\/jats:sec><jats:sec><jats:title>Clinical Trial Identifier<\/jats:title><jats:p>Clinical trial registry of India (CTRI\/2018\/11\/016445).<\/jats:p><\/jats:sec>","DOI":"10.1111\/pan.14447","type":"journal-article","created":{"date-parts":[[2022,3,26]],"date-time":"2022-03-26T13:28:38Z","timestamp":1648301318000},"page":"843-850","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":10,"title":["Comparison of the oropharyngeal leak pressure between three second generation supraglottic airway devices during laparoscopic surgery in pediatric patients"],"prefix":"10.1111","volume":"32","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-9247-6713","authenticated-orcid":false,"given":"Abhyuday","family":"Kumar","sequence":"first","affiliation":[{"name":"Department of Anesthesiology AIIMS  Patna India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4107-2671","authenticated-orcid":false,"given":"Chandni","family":"Sinha","sequence":"additional","affiliation":[{"name":"Department of Anesthesiology AIIMS  Patna India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9161-7000","authenticated-orcid":false,"given":"Neeraj","family":"Kumar","sequence":"additional","affiliation":[{"name":"Department of Trauma &amp; Emergency AIIMS  Patna India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ajeet","family":"Kumar","sequence":"additional","affiliation":[{"name":"Department of Anesthesiology AIIMS  Patna India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Bindey","family":"Kumar","sequence":"additional","affiliation":[{"name":"Department of Pediatric Surgery AIIMS  Patna India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4272-5750","authenticated-orcid":false,"given":"Amarjeet","family":"Kumar","sequence":"additional","affiliation":[{"name":"Department of Trauma &amp; Emergency AIIMS  Patna India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rajnish","family":"Kumar","sequence":"additional","affiliation":[{"name":"Department of Anesthesiology AIIMS  Patna India"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2022,4,5]]},"reference":[{"key":"e_1_2_10_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.bjan.2012.12.008"},{"key":"e_1_2_10_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0889-8537(05)70212-1"},{"key":"e_1_2_10_4_1","doi-asserted-by":"publisher","DOI":"10.1111\/pan.12495"},{"issue":"8","key":"e_1_2_10_5_1","first-page":"592","article-title":"Comparison of the effect of LMA and ETT on ventilation and intragastric pressure in pediatric laparoscopic procedures","volume":"76","author":"Ozdamar D","year":"2010","journal-title":"Minerva 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P","year":"2017","journal-title":"J Clin Diagn Res"},{"key":"e_1_2_10_15_1","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1155\/2014\/709801","article-title":"Postoperative pharyngolaryngeal adverse events with laryngeal mask airway (LMA Supreme) in laparoscopic surgical procedures with cuff pressure limiting 25\u2009cm H\u2082O: prospective, blind, and randomised study","volume":"2014","author":"Kang JE","year":"2014","journal-title":"Scientific World 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