i-gel® from Intersurgical: clinical evidence listing

A comprehensive list of all known published clinical evidence on the device

I-gel airway for advanced uses: a case of successful utilization of this second-generation supraglottic airway device for controlled ventilation during general anaesthesia in lateral decubitus position

Shiraishi Zapata CJ. Minerva Anestesiol. 2017 Feb;83(2):219-220

Letter to editor reporting the case of successful controlled ventilation in lateral decubitus position on a 39-year-old male. i-gel size 4 chosen after failed tracheal intubation. No evidence of trauma or pharyngeal inflammation.

Link to abstract

I-gel O2 resus pack, a rescue device in case of severe facial injury and difficult intubation

Baratto F, Gabellini G, Paoli A, Boscolo A. Am J Emerg Med. 2017 Jan 26

Report of two cases of attempted suicide by firearm managed with the use of the i-gel O2 Resus Pack. In both patients, laryngoscopy attempts failed before an i-gel was inserted and either fibreoptic-assisted intubation or fibreoptic bronchoscopy were performed. Authors conclude that the i-gel's properties mean the device could easily be used by untrained rescuers and might perform an important role during out-of-hospital emergency.

Link to abstract.

Fiberoptic-guided intubation after insertion of the i-gel airway device in spontaneously breathing patients with difficult airway predicted: a prospective observational study

Arévalo-Ludeña J, Arcas-Bellas JJ, Alvarez-Rementería R, Alameda LE. J Clin Anesth. 2016 Dec;35:287-292

After i-gel insertion in 85 adult patients, general anaesthesia was induced to place an endotracheal tube by fibreoptic bronchoscope. i-gel insertion time, intubation time and oxygen saturation were monitored. Authors conclude this to be a safe and effective technique.

Link to abstract.

A proposal for a new scoring system to predict difficult ventilation through a supraglottic airway

Saito T, Chew ST, Liu WL, Thinn KK, Asai T, Ti LK. Br J Anaesth. 2016 Sep; 117 Suppl 1: i83-i86

By using previously reported derivation data, a score was validated in 5532 patients ranging between 0 and 7 points. Under this format, the authors conclude the scoring system to be easy to perform and reliable.

Link to abstract.

Layperson mouth-to-mask ventilation using a modified I-gel laryngeal mask after brief onsite instruction: a manikin-based feasibility trial

Schälte G, Bomhard LT, Rossaint R, Coburn M, Stoppe C, Zoremba N, Rieg A. BMJ Open 2016;6(5):e10770

100 participants were analysed using a labelled i-gel with an integrated mouthpiece and asked to follow an instruction chart. 79% were able to ventilate the manikin effectively, with 90% using the correct turn and direction.

Link to abstract