Kim MH, et al. - Researchers performed this single-centre trial, from January 2014 to October 2016, to compare the efficacy and safety of the laryngeal mask airway supreme (LMA-S) and i-gel in anaesthetised and paralysed elderly patients. They allocated 106 elderly patients undergoing urological or orthopaedic surgery to either the LMA-S (n = 53) or i-gel (n = 53) group and compared the rate of successful insertion at the first attempt, the adequacy of positive pressure ventilation and airway sealing, fibreoptic laryngoscopy grades and stability of airway maintenance during anaesthesia. They found that use of both the LMA-S and i-gel was successful as well as safe in elderly patients. However, compared with the LMA-S, the i-gel showed better airway sealing at insertion and during maintenance of anaesthesia.