ĐÁNH GIÁ HIỆU QUẢ VÀ TÍNH AN TOÀN CỦA MASK THANH QUẢN I-GEL TRONG GÂY MÊ CHO PHẪU THUẬT HÚT MỠ TỪNG VÙNG TẠI BỆNH VIỆN THẨM MỸ GANGWHOO

Abstract

Background: Regional liposuction procedures have become increasingly common in aesthetic surgery. The selection of an appropriate airway management strategy plays a crucial role in ensuring effective ventilation, hemodynamic stability, and minimizing anesthesia-related complications. The i-gel supraglottic airway is a newer-generation device that has been widely adopted in clinical practice; however, data evaluating its effectiveness and safety in liposuction surgery in Vietnam remain limited.

Objective: To evaluate the effectiveness and safety of anesthesia using the i-gel supraglottic airway in regional liposuction procedures at Gangwhoo Aesthetic Hospital.

Methods: A prospective cross-sectional descriptive study was conducted on 72 patients aged 18 years and older who underwent general anesthesia with the i-gel supraglottic airway for regional liposuction at Gangwhoo Aesthetic Hospital between May 2025 and July 2025. Outcome measures included patient characteristics, success rate of i-gel insertion, airway pressures, gas exchange parameters, hemodynamic variables, and airway-related adverse events.

Results: The first-attempt success rate of i-gel insertion was 98.6%, with no cases requiring conversion to endotracheal intubation. The mean peak airway pressure was 14.24 ± 1.87 cmH₂O, and the mean oropharyngeal leak pressure was 26.8 ± 3.9 cmH₂O. Oxygen saturation (SpO₂) and end-tidal carbon dioxide (EtCO₂) were maintained within physiological ranges throughout anesthesia. No episodes of regurgitation, aspiration, postoperative sore throat, or hoarseness were recorded.

Conclusions: The i-gel supraglottic airway is an effective and safe airway management device for general anesthesia in regional liposuction procedures and is suitable for routine use in aesthetic surgery settings.