i-gel® from Intersurgical: clinical evidence listing

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

An exploration of the views of paramedics regarding airway management

Brandling J, Rhys M, Thomas M, Voss S, Davies S, Benger J. Scand J Trauma Resusc Emerg Med. 2016; 24: 56

A study within a UK ambulance study exploring the customs and beliefs or paramedics in relation to airway management and whether tracheal intubation sustains professional identity. Interviews were conducted with 17 participants, which identified four key factors: pride, utility, expectations and professionalisation. Authors conclude the interviews identified a 'wide range of views' on airway management based on evidence and experience.

Link to abstract

Sniffing Position and i-gel Rotation Approach for i-gel Insertion under General Anesthesia

Takahashi Y, Murashima K, Kayashima K. Masui 2016 Apr;65(4):330-5

Study on 50 adults to test the efficacy of i-gel insertion assistance techniques - sniffing the morning air position and rotation. Average insertion time was 24 seconds at first attempt. Authors conclude both techniques 'can be used for insertion'.

Link to abstract

 

Airway management in out-of-hospital cardiac arrest in Finland: current practices and outcomes

Hiltunen P, Jäntti H, Silfvast T, Kuisma M, Kurola J. Scand J Trauma Resusc Emerg Med. 2016; 24: 49

Data on patients with OHCA and attempted resuscitation in an area of Finland over a six-month period in 2010 was collected, with airway techniques and adverse events recorded. Of the 614 patients, 67% were treated with endotracheal intubation and 30% with supraglottic airway devices.  Overall survival to hospital discharge was 17.8%.

Link to abstract

The Difficult Airway Society 2015 guidelines and the sacred cows of routine airway management

Cook TM, Kelly FE. Anaesthesia. 2016 Apr;71(4):466-7

Based on the findings of the DAS 2015 guidelines, the authors argue that evidence suggests 2nd generation supraglottic airway devices perform better than 1st generation equivalents, and that 2nd gen should be used for airway rescue and routine airway management.

Link to abstract