iarjaccIARJACCIARJACC2709-1880https://doi.org/10.47310/iarjacc.2022.v03i02.013Ease of I-Gel and Gastric Tube Insertion Among Three Different Techniques of I-Gel Insertion I.E. Standard, Rotational, Triple Airway Manoeuvre in Anaesthetized Paralyzed Adults -A Prospective Randomized TrialNeetikshaUrvashiNautiyalKhanMedical Officer Specialist at Pt.JLNGMC ChambaMedical Officer Specialist at SLBSGMC Ner Chowk MandiMedical Officer Specialist at ESI ParwanooBackground: The purpose of the current study was to examine the simplicity of inserting an I-Gel and stomach tube using three different insertion methods standard, rotational, and triple airway manoeuvre in anaesthetized paralysed adults. Materials & Methods: A total of 150 patients were included in this Prospective Randomised Trial at Department of Anaesthesia, Dr. R.P.G.M.C. Kangra at Tanda during the study period. The patients were divided into 3 groups with 50 patients each. The patients in group A included standard technique, group B with rotational technique, and group C included triple airway manoeuvre. Results: Our study showed that in standard group I-Gel insertion was easy in 84% of the patients, moderate in 14% and difficult in 2% of patients, in rotational group I-Gel insertion was easy in 94% of the patients and moderate in remaining 6% of patients, in triple airway manoeuvre group I-Gel insertion was easy in 92% of the patients and moderate in 8%of patients. Ease of I-Gel insertion was statistically not significant and were comparable between all the three groups (P = 0.384). In standard group gastric tube insertion was easy in 88% of the patients and moderate in 12%, in rotational group gastric tube insertion was easy in 96% of the patients and moderate in 4% and in triple airway manoeuvre group gastric tube insertion was easy in 100% of the patients. This might be due to better positioning and sealing in the triple airway manoeuvre technique with respect to both techniques (P = 0.025). Conclusion: Present study concluded that gastric tube insertion was significantly better in triple airway manoeuvre than standard and rotational techniques while Ease of I-Gel insertion was comparable between all the three groups.