Comparative study of two different methods of I-gel insertion:Reverse versus Standard technique.

Supraglottic airway devices (SAD’s ) offers an excellent non invasive option for ventilation in patients undergoing various surgeries and in pre hospital emergencies. They also help in providing a rescue access in patients with difficult intubation.I-gel is a second generation SAD that features a non inflatable anatomically shaped cuff which provides a acceptable airway seal. It has some advantages over endotracheal intubation, such as quick and ease of placement, devoid hemodynamic response of laryngoscopy, lesser requirement for neuromuscular blockade and a lower incidence of postoperative morbidity like laryngospasm, cough at removal, dysphagia, dysphonia . I-gel is conventionally placed with its concave curvature facing the mandible like the LMA. But the bulky design of the I-gel may be hindered by the tongue size while insertion through conventional technique thereby obstructing its passage to the pharynx. This tends to longer time and increasing number of attempts for insertion of I-gel.This study is designed to compare the efficacies of two insertion techniques Standard vs Reverse technique for I-gel placement in terms of success rate ,insertion time and incidence of post op complications.