Choudhary N, Kumar A, Kohli A, Wadhawan S, Bhadoria P. Indian J Anaesth. 2019 Mar;63(3):218-224
This investigation aimed to compare the successful intubation rate of the i-gel using three types of endotracheal tubes (ETTs). 75 ASA I and II patients (age 18-60 years) undergoing elective surgery under general anaesthesia were randomly assigned into three groups based on the type of endotracheal ETT, which included polyvinyl chloride ETT (Group P), intubating laryngeal mask airway ETT (Group I) and flexometallic ETT (Group F). Recorded parameters included time taken for successful intubation, success rate, number of attemps, manoeuvres, and complications. Results demonstrated that Group P had the lowest time and mean time for intubation, as well as the highest first attempt and overall intubation success rate. Therefore, the combination of polyvinyl chloride ETT with i-gel to intubate patients with difficult airways represents the most successful approach compared to other combinations. However, additional studies are needed to validate these results.
Link to abstract.
Tags :
2019,
Choudhary N,
Indian J Anaesth,
ETT,
intubation success rate,
Comparison trial,
Endotracheal intubation ,
polyvinyl chloride ETT,
intubating laryngeal mask airway,
flexometallic ETT,
vs ILMA
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Jain RA, Parikh DA, Malde AD, Balasubramanium B. Indian J Anaesth. 2018 Apr;62(4):269-279
This survey was sent to over 16,000 members of the Indian Society of Anaesthesiologists and given to delegates at the Asian Society of Paediatric Anaesthesiologists conference 2017. Percentage, mean and standard deviation were calculated. Results showed i-gel was the most commonly used device (60%) and 75% of respondents had access to second-generation supraglottic airways.
Link to abstract.
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Nirupa R, Gombar S, Ahuja V, Sharma P. Indian J Anaesth. 2016 Oct;60(10):726-731
Prospective, randomised controlled study on 100 patients, with the primary outcome being leak pressure assessed at five minutes. i-gel recorded 'superior' pressure and shorter insertion times compared to ProSeal.
Link to abstract
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Kapoor S, Jethava DD, Gupta P, Jethava D, Kumar A. Indian J Anaesth. 2014 Jul;58(4):397-402.
Two randomised groups were assigned either device and after insertion, blind tracheal intubation was attempted. Success at first attempt and overall intubation success rates were assessed. Authors concluded that the i-gel is 'a better device' for rescue ventilation.
Link to abstract.
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Singh J, Yadav MK, Marahatta SB, Shrestha BL. Indian J Anaesth 2012; 56(4): 348-52
Prospective, crossover, randomised trial of i-gel® against cLMA on 48 post-burn neck contracture patients with reduced neck movement and mouth opening. Primary outcome was overall success rate, with other measurements taken in time to ventilation, leak pressure, fibreoptic view and visualisation of square wave pattern. Success rate for i-gel® was 91.7%, against 79.2% for cLMA. i-gel® outperformed cLMA in all measurements. Authors conclude their study has ‘better clinical performance in the difficult airway management of the airway in the post burn contracture of the neck’.
Abstract text
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