Choi HY, Kim W, Jang YS, Kang GH, Kim JG, Kim H. Emerg Med Int. 2019 Oct 31;2019:8913093
This prospective randomized crossover manikin study investigated the intubation performance of I-gel blind intubation (IGI) in comparison to I-gel bronchoscopic intubation (IBRI) and intubation using Macintosh Laryngoscope (MCL). 23 emergency physicians carried out intubations with two different types of ET tubes while performing chest compressions. Assessed outcomes included intubation time (primary) cumulative success rate for each intubation time was significantly shorter as compared to the IBRI and MCL using both ET tubes. On the other hand, the performance of polyvinyl chloride and wire reinforced silicon tubes were comparable for each intubation technique. Moreover, the IGI approach reached 100% intubation success rate in a significantly shorter amount of time as compared to the other techniques. Therefore, the IGI technique is a safe and effective approach when carrying out intubations in emergency scenarios that can be used by experienced intubators when administering chest compressions.
Link to abstract.
Tags :
2019,
Choi HY,
Emerg Med Int,
Randomised cross over study,
Manikin study,
blind intubation,
Macintosh laryngoscope,
emergency blind intubation,
ET tubes,
intubation time,
Chest compressions
f5043795-18df-47e0-82d5-9d76c4b9ff3e|2|1.5|27604f05-86ad-47ef-9e05-950bb762570c
Kim JG, Kim W, Kang GH, Jang YS, Choi HY, Kim H, Kim M. Clin Exp Emerg Med. 2018 Mar 30;5(1):29-34.
This prospective randomised crossover study was carried out to evaluate the performance and efficacy of the i-gel blind intubation (IGI) in airway management for pre-hospital trauma patients. Here, two blind intubation techniques were assessed (by 18 paramedics) using two supraglottic airway devices (IGI and LMA Fastrach) and a Macintosh laryngoscope (MCL).
Link to abstract.
Tags :
2018,
Clin Exp Emerg Med,
Kim JG,
Randomised cross over study,
RCT,
Airway management,
Paramedics,
pre-hospital,
emergency care,
Emergency medicine,
Trauma ,
blind intubation,
vs LMA Fastrach,
vs Macintosh laryngoscope
1fdd4b36-656e-4ca7-b567-60eb07b84ab0|1|3.0|27604f05-86ad-47ef-9e05-950bb762570c
Beleña JM, Núñez M, Vidal A, Gasco C, Alcojor A, Lee P, Pérez JL. Anaesthesist. 2015 Apr;64(4):271-6
140 patients split into device groups, with speed of insertion, success rates, leak pressure and tidal volume evaluated. i-gel proved quicker to insert and generally the results were comparable.
Link to abstract.
297fb8a3-663d-4075-aed3-b894388706bf|0|.0|27604f05-86ad-47ef-9e05-950bb762570c
Russo SG, Cremer S, Eich C, Jipp M, Cohnen J, Strack M, Quintel M & Mohr A. BR J Anaesth 2012; 109(6): 996-1004
This randomized cross-over study of 12 volunteer patients was conducted primarily to measure the in situ position of the LMA Supreme® and i-gel® via MRI scan. Position was also assessed functionally and optically by fibrescope. Results showed that the devices differed significantly: the LMA Supreme® protruded deeper into the oesophageal sphincter, whilst i-gel® caused greater compression of the tongue. Glottic aperture reduction and hyoid bone displacement were also measured. Authors deem the results relevent to the risk of aspiration, glottic narrowing, airway resistance and soft-tissue morbidity.
Link to abstract.
6819dd4d-c7c3-4bee-9d64-aaac48ea7712|0|.0|27604f05-86ad-47ef-9e05-950bb762570c