{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,9,26]],"date-time":"2025-09-26T00:16:11Z","timestamp":1758845771347,"version":"3.44.0"},"reference-count":35,"publisher":"Termedia Sp. z.o.o.","issue":"1","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Anaesthesiol Intensive Ther"],"abstract":"<jats:sec><jats:title>Introduction<\/jats:title><jats:p>Second-generation supraglottic airway devices, such as the laryngeal tube suction disposable (LTS-D) and i-gel, are widely used in pediatric anesthesia due to advantages such as improved sealing and gastric drainage. This randomized controlled trial compared the efficacy and safety of the LTS-D and i-gel in non-paralyzed pediatric patients under general anesthesia.<\/jats:p><\/jats:sec><jats:sec><jats:title>Material and methods<\/jats:title><jats:p>Eighty ASA I children aged 2\u20138 years (12\u201325 kg), scheduled for short elective surgical procedures, were randomized to the LTS-D (n = 40) or i-gel (n = 40) group. Primary outcomes were oxygen saturation (SpO\u2082) and end-tidal CO\u2082 (EtCO\u2082). Secondary outcomes included insertion time, oropharyngeal leak pressure, fiberoptic view, tidal volumes (Vt), and adverse events.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Both devices maintained comparable oxygenation. Mean EtCO\u2082 was slightly higher in the i-gel group, with a mean difference of 2.56 mmHg (95% CI: 1.86\u20133.26; P &lt; 0.001). The i-gel had significantly faster insertion times (24.53 \u00b1 2.00 s vs. 31.20 \u00b1 1.95 s; P &lt; 0.001) and superior fiberoptic visualization (optimal grades in 99% vs. 70%; P &lt; 0.001). The LTS-D showed higher oropharyngeal leak pressures (37.63 \u00b1 3.71 cmH\u2082O vs. 24.43 \u00b1 1.72 cmH\u2082O; P &lt; 0.001). Vt and adverse event rates were similar, with no severe complications reported (P = 0.65).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Both the LTS-D and i-gel are safe and effective for airway management in non-paralyzed children undergoing short procedures. The i-gel enables faster insertion and better anatomical positioning, while the LTS-D offers higher leak pressures, making it preferable when a better seal is needed. Device choice should be guided by clinical context and patient characteristics.<\/jats:p><\/jats:sec>","DOI":"10.5114\/ait\/208942","type":"journal-article","created":{"date-parts":[[2025,9,25]],"date-time":"2025-09-25T11:14:01Z","timestamp":1758798841000},"page":"248-256","source":"Crossref","is-referenced-by-count":0,"title":["Comparison of\u00a0LTS-D and i-gel in non-paralyzed pediatric patients under general anesthesia: a\u00a0randomized trial"],"prefix":"10.5114","volume":"57","author":[{"given":"Mostafa","family":"Somri","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Feras","family":"Somri","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Luis","family":"Gaitini","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Anan","family":"Safadi","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ayoub","family":"Abd El Azim","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ibraheem","family":"Mafra","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0183-1098","authenticated-orcid":true,"given":"Manuel \u00c1ngel","family":"G\u00f3mez-R\u00edos","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"3061","published-online":{"date-parts":[[2025,9,25]]},"reference":[{"key":"ref-1521679","doi-asserted-by":"publisher","DOI":"10.1111\/pan.14447"},{"key":"ref-1521680","doi-asserted-by":"publisher","DOI":"10.4103\/joacp.JOACP_24_17"},{"key":"ref-1521681","doi-asserted-by":"publisher","DOI":"10.2174\/0115733963295361240426064436"},{"key":"ref-1521682","doi-asserted-by":"publisher","DOI":"10.1007\/s00101-010-1845-0"},{"key":"ref-1521683","doi-asserted-by":"publisher","DOI":"10.1111\/pan.12483"},{"key":"ref-1521684","doi-asserted-by":"publisher","DOI":"10.1007\/s00540-024-03428-z"},{"key":"ref-1521685","doi-asserted-by":"publisher","DOI":"10.1093\/bja\/aev156"},{"key":"ref-1521686","doi-asserted-by":"publisher","DOI":"10.1111\/pan.14368"},{"key":"ref-1521687","doi-asserted-by":"publisher","DOI":"10.1016\/j.jopan.2022.03.008"},{"key":"ref-1521688","unstructured":"Brimacombe J, Berry A. 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