Introduction– This study was conducted for comparison of I–GEL supraglottic device with Proseal laryngeal mask airway in anesthetized paralysed patients undergoing elective surgery.

Method– This study is a hospital based randomized prospective comparative study conducted in our hospital. Sixty patients of ASA Grade 1 & 2 were randomly divided in two groups. Group "I" for I–GEL and group "P" for proseal. After induction with propofol and succinylcholine device was inserted, both group were premedicated with inj Glycopyrolate and inj Fentanyl and compared with respect to time of insertion, and number of attempts made.

Result– In group P average time of insertion was 16.60±3.37sec while in group I average time of insertion was 10.37±1.30sec and this was statistically significant (P value was <.001 sec). Device was inserted in 29 of 30 (96.7%) in group I while 25 of 30 (83.3%) in group P in first attempt and the difference was statistically not significant ( P=0.085). Ng tube was inserted in 27 (90%) in group I while 24 of 30 (80%) in the group P in first attempt. The difference was not statistically significant (p=0.27). Mean systolic, diastolic BP and mean HR rises significantly just after insertion and during removal of device in both groups but does not require any intervention i.e. changes from baseline is less than 20%. Only one patient in group I had developed post operative sore throat compared to five patients in group P. The incidence was not statistically significant (p=.085) when compared between the groups. The sore throat in all the cases was mild requiring no treatment. None of the patients in both the groups developed post operative hoarseness or dysphagia. In group I two patients was found with blood staining of device or lip trauma while in group P six patients. However the incidence was not statistically significant (P=0.13) when compared between two groups

Conclusion– Both device can be used for airway management in anesthetized patient with success rate more than 80% but I–GEL is provides more easy, quick and efficient method to secure airway when compared to proseal with less trauma during insertion and less postoperative sore throat.