i-gel® from Intersurgical: clinical evidence listing

Middleton PM, Simpson PM, Thomas RE, Bendall JC. Resuscitation 2014;85(7):893-7

Subjects with out-of-hospital cardiac arrest were allocated to either the i-gel or Portex Soft Seal laryngeal mask group, within a large Australian ambulance group. Primary outcome was successful insertion of the airway. The i-gel had a significantly higher success rate than Portex Soft Seal and significantly lower median ease of insertion scores.

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Corso RM, Battelli D, Maitan S, Zampone S, Agnoletti V. J Anaesthesiol Clin Pharmacol. 2014 Apr;30(2):288-90

Database review of 45 patient records meeting authors' set criteria, which included i-gel sizes 1-2.5. i-gel use in MRI produces no artefacts and the authors conclude the device is a useful device in this scenario, offering quick insertion time and low rate of complications.

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Jaoua H, Djaziri L, Bousselmi J, Belhouane H, Skander R, Ben Maamer A, Cherif A, Ben Fadhel K. Tunis Med. 2014 Apr;92(4):239-44

100 patients scheduled for short duration elective surgery were included, with ease of insertion, leak fraction, gastric leak, complications and ease of insertion among the parameters measured. Success rate of insertion was 99%, with first-attempt success at 92%. Authors conclude that the I-gel can be used 'safely and effectively'.

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Adelborg K, Al-Mashhadi RH, Nielsen LH, Dalgas C, Mortensen MB and Løfgren B. Anaesthesia. 2014 Apr; 69(4): 343-7

Forty lifeguards took part in this manikin study, where time to ventilation and proportion of successful ventilations (both with and without ‘concurrent’ chest compressions) were measured. Mean time to ventilate with i-gel® was 15.6 seconds, compared to 35.2 for Soft Seal and 35.1 for AuraOnce. Authors concluded that ‘most lifeguards preferred the i-gel®’.

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Nolan JP, Ornato JP, Parr MJA, Perkins GD, Soar J. Resuscitation 2014; 85(4): 437-43

Second of two editorials summarising key papers published in Resuscitation in 2013, covering advanced life support and post-resuscitation care, amongst other topics.

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