Journal Of Scientific Innovations In Anesthesiology

Evaluation and comparison of clinical efficacy of ambu auragain with i-gel, in patients undergoing laparoscopic cholecystectomy

• Authors Details :  
• Anand Kumar Singh ,  
• Swati Jain,  
• Nidhi Agrawal

Journal title : Journal of Scientific Innovations in Anesthesiology

Publisher : Revo Publication

Page Number : 1-9

Journal volume : 1

Journal issue : 1

38 Views Original Article

Background and Aim: Second and third-generation supraglottic airway devices (SADs) are increasingly used in laparoscopic surgeries due to their improved oropharyngeal seal and gastric drainage. This study evaluated and compared the clinical efficacy of the Ambu AuraGain (AAU) and the i-gel in patients undergoing laparoscopic cholecystectomy. Materials and Methods: In this prospective, randomized comparative study, 80 adult patients (ASA I and II) were randomly assigned to two groups (n=40 each): Group A (Ambu AuraGain) and Group G (i-gel). The primary objective was to compare oropharyngeal leak pressure (OLP). Secondary objectives included insertion time, ease of insertion, success rate, fiberoptic view of the glottis, and postoperative complications. OLP and peak airway pressure (PAP) were measured at various intervals, including during carboperitoneum. Results: The mean OLP was significantly higher in Group A than in Group G, both after insertion (32.9 ± 3.45 vs. 26.53 ± 1.61 cm H2O; p<0.001) and after deflation of carboperitoneum (34.15 ±2.9 vs. 28.2 ±1.71 cm H2O; p<0.001). The margin of safety (OLP–PAP) was significantly higher in the AAU group at all times (p<0.001). However, the i-gel was significantly faster to insert (14.8 ±2.94 vs. 22 ± 3.74 seconds; p<0.001) and easier to place (100% easy vs. 37.5% easy; p<0.001). Fiberoptic alignment was significantly better in the i-gel group, with 70% achieving a Grade 4 view compared to 29% in the AAU group (p<0.001). Postoperative complications were low and comparable between groups. Conclusion: Ambu AuraGain provides a superior oropharyngeal seal and a higher safety margin against leaks during laparoscopic surgery compared to i-gel. Conversely, i-gel is superior in terms of ease of insertion, speed, and anatomical alignment with the glottis, making it a better conduit for fiberoptic-guided intubation. Keywords: Ambu AuraGain, i-gel, Laparoscopic cholecystectomy, Oropharyngeal leak pressure, Supraglottic Airway device.

Article DOI & Crossmark Data

DOI : https://doi.org/10.65929/JSIA.2026.1.1.001

Article Subject Details

• Airway
• Anaesthesia
• Anaesthesia outside procedure
• Anaesthesia pain

Article Keywords Details

• i-gel
• Laparoscopic cholecystectomy
• Oropharyngeal leak pressure
• Supraglottic Airway device.
• Ambu AuraGain

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