i-gel® from Intersurgical: clinical evidence listing

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

Are supraglottic airways a safe alternative to tracheal intubation for laparoscopic surgery?

Thompson J, O’Neill S. Br J Hosp Med 2008; 69(5): 303

This review article compares supraglottic airways to tracheal intubation for laparoscopic surgery. Evidence gathered so far indicates that supraglottic airways such as the i-gel® produce adequate ventilation and pressures with a reduced risk of complications such as aspiration. The authors state that further investigation should take place to determine whether these devices can be used in obese patients during laparoscopic procedures.

Link to abstract.

 

Airway techniques and ventilation strategies

Nolan JP, Soar J. Curr Opin Crit Care 2008; 14(3): 279-286

This review by Jerry Nolan and Jasmeet Soar discusses the advantages and disadvantages of various methods of airway management during cardiopulmonary resuscitation, and the role of ventilation during out-of-hospital CPR. In the section on supraglottic airways, i-gel® was one of a number of devices mentioned. It confirmed that the ease of insertion of the i-gel® and its favourable leak pressure make it ‘theoretically very attractive as a resuscitation device for those inexperienced in tracheal intubation’. It also confirmed further study was required.

Link to abstract.

Fibreoptic intubation through an i-gel® supraglottic airway in two patients with predicted difficult airway and intellectual disability

Michalek P, Hodgkinson P, Donaldson W. Anesth Analg 2008; 106(5): 1501-1504

This case study describes successful fibreoptic guided tracheal intubation through the i-gel® in two uncooperative adult patients with learning disability and predicted difficult airway. The i-gel® maintained the airway immediately after induction, allowing oxygenation and ventilation. Fibreoptic identification of the laryngeal inlet was successful on the first attempt and a tracheal tube inserted into the trachea, without complication, in both patients.

Link to abstract.

Effect of chest compressions on the time taken to insert airway devices in a manikin

Gatward JJ, Thomas MJC, Nolan JP, Cook TM. Br J Anaesth 2008; 100(3): 351-356

In this study, 40 volunteer doctors regularly involved in CPR, were timed inserting four different airway devices, including i-gel® and a tracheal tube, with and without stopping chest compressions. Comparison of the speed of insertion of the different devices during CPR allowed ranking of the devices. The i-gel® was inserted approximately 50% faster than the other devices tested.

Link to abstract.

 

 

 

A new single use supraglottic airway with a non-inflatable cuff and an esophageal vent: An observational study of the i-gel®

Richez B, Saltel L, Banchereau F, Torrielli R, Cros AM. Anesth Analg. 2008; 106(4): 1137-9

This study on 71 ASA I-II women scheduled for gynaecological surgery, reported a 97% insertion success rate with i-gel®. Mean seal pressure was 30cm H2O. A gastric tube was inserted in 100% of cases. Only one case of coughing and sore throat occurred. The authors concluded that ‘the i-gel® is a reliable, easily inserted airway device that provides an adequate seal with a low morbidity rate.’

Link to abstract.