{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,18]],"date-time":"2026-08-18T16:38:00Z","timestamp":1787071080820,"version":"build-2736575974"},"reference-count":17,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"1","license":[{"start":{"date-parts":[[2025,11,1]],"date-time":"2025-11-01T00:00:00Z","timestamp":1761955200000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0"}],"content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2026,1]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background and Aims:<\/jats:title>\n                    <jats:p>Second-generation supraglottic airway devices (SAD), such as i-gel and Ambu AuraGain, offer higher sealing pressures and facilitate intubation. Although literature exists on their ventilatory characteristics, limited data are available on their performance as intubation conduits in the adult Indian population. The purpose of this study was to shed light on the clinical performance and intubation characteristics of both devices.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Material and Methods:<\/jats:title>\n                    <jats:p>In this prospective, open-label study, 96 ASA I and II patients aged 18\u201360 years undergoing elective surgeries were equally randomized into Group A (Ambu AuraGain) and Group I (i-gel). All SADs were inserted under general anaesthesia using standard techniques. Outcomes included the Brimacombe score (primary), first-attempt success rate of SAD insertion, oropharyngeal leak pressure (OLP), ease of gastric tube insertion, success rate of intubation through SAD, intubation time, size of the endotracheal tube used, ease of intubation, and adverse events.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>\n                      Ambu AuraGain exhibited a superior Brimacombe score when assessed via fibreoptic bronchoscope (\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      = 0.001), despite necessitating more attempts to achieve successful ventilation. No significant disparities were detected regarding OLP or gastric tube insertion. When evaluating intubation characteristics, the time required for intubation was similar; however, the success rate of intubation and ease of intubation favoured the AuraGain. AuraGain accommodated larger endotracheal tubes with ease. Adverse events, including minor mucosal injuries, were comparable between the two devices.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions:<\/jats:title>\n                    <jats:p>I-gel and Ambu AuraGain demonstrated similar effectiveness in ventilation characteristics. However, Ambu AuraGain facilitated easier endotracheal intubation via SAD in anesthetized adults, owing to its ability to accommodate larger endotracheal tubes compared to i-gel.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.4103\/joacp.joacp_71_25","type":"journal-article","created":{"date-parts":[[2025,11,1]],"date-time":"2025-11-01T11:00:08Z","timestamp":1761994808000},"page":"62-68","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":1,"title":["Comparison of Brimacombe score and first-attempt success rate of intubation through Ambu AuraGain and i-gel in anaesthetized adult patients: A prospective open-label study"],"prefix":"10.4103","volume":"42","author":[{"given":"Naz","family":"Anjum","sequence":"first","affiliation":[{"name":"Department of Anaesthesiology All India Institute of Medical Sciences, Kalyani, West Bengal, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rajasekar","family":"Shreevastchavan","sequence":"additional","affiliation":[{"name":"Department of Anaesthesiology, Birmingham Heartlands Hospital, United Kingdom"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Abhijit","family":"Kumar","sequence":"additional","affiliation":[{"name":"Department of Anaesthesiology All India Institute of Medical Sciences, Kalyani, West Bengal, India"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2025,11,1]]},"reference":[{"key":"R1-20251226","doi-asserted-by":"crossref","first-page":"801","DOI":"10.1093\/bja\/55.8.801","article-title":"The laryngeal mask\u2014A new concept in airway management","volume":"55","author":"Brain","year":"1983","journal-title":"Br J Anaesth"},{"key":"R2-20251226","doi-asserted-by":"crossref","first-page":"144","DOI":"10.1097\/00000542-199307000-00021","article-title":"The laryngeal 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Anaesth"},{"key":"R12-20251226","doi-asserted-by":"crossref","first-page":"474","DOI":"10.1177\/0310057X1804600508","article-title":"A randomised controlled trial comparing fibreoptic-guided tracheal intubation through two supraglottic devices: Ambu\u00aeAuraGain\u2122laryngeal mask and LMA\u00aeFastrach\u2122","volume":"46","author":"Preece","year":"2018","journal-title":"Anaesth Intensive Care"},{"key":"R13-20251226","doi-asserted-by":"crossref","first-page":"187","DOI":"10.1111\/aas.13242","article-title":"Fiberoptic intubation of severely obese patients through supraglottic airway: A prospective, randomized trial of the Ambu\u00aeAuraGain\u2122laryngeal mask vs the i-gel\u2122airway","volume":"63","author":"Moser","year":"2019","journal-title":"Acta Anaesthesiol Scand"},{"key":"R14-20251226","first-page":"101344","article-title":"Comparing Ambu AuraGain\u2122Disposable Laryngeal Mask with i-gel\u2122as a conduit for fibreoptic guided tracheal intubation for elective surgery under general anaesthesia in adult patients","volume":"15","author":"Raj","year":"2024","journal-title":"Trends Anaesth Crit Care"},{"key":"R15-20251226","doi-asserted-by":"crossref","first-page":"439","DOI":"10.4103\/ija.IJA_189_21","article-title":"Comparison of Ambu AuraGain at low cuff pressure, Ambu AuraGain at high cuff pressure and i-gel in relation to incidence of postoperative upper airway complications","volume":"65","author":"Deepak","year":"2021","journal-title":"Indian J Anaesth"},{"key":"R16-20251226","first-page":"56","article-title":"Ambu AuraGain\u2122and i-gel\u2122in adult patients\u2014A comparative randomized controlled study","volume":"22","author":"Chugh","year":"2023","journal-title":"IOSR J Dent Med Sci"},{"key":"R17-20251226","doi-asserted-by":"crossref","first-page":"547","DOI":"10.1097\/00003643-200407000-00008","article-title":"Comparison of cuff-pressure changes in LMA Classic and the new Soft Seal laryngeal masks during nitrous oxide anaesthesia in spontaneous 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