i-gel® from Intersurgical: clinical evidence listing

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

Reverse technique for i-gel® supraglottic airway insertion

Sen I, Bhardwaj N, Latha YS. J Anaesth Clin Pharmacol 2013; 29: 128-9

Case reported of tongue folding during procedure on a 30-year-old woman. Usual insertion technique did not provide a patent airway, so the authors confirm they used a reverse technique - proving successful. Authors conclude the technique was atraumatic and may be a suitable back-up.

Abstract text

Failed tracheal intubation in obstetric anaesthesia: 2 yr national case–control study in the UK

Quinn AC, Milne D, Columb M, Gorton H and Knight M. Br J Anaesth. 2013 Jan;110(1):74-80

The purpose of this UK-wide study was to further evaluate the predetermined rate that one in 250 obstetric patients suffer failed intubation whilst undergoing general anaesthesia. Due to the lack of national figures, the study used the UK Obstetric Surveillance System (UKOSS) of data collection in centres across the UK to record incidence, risk factors and any reports of failed intubations. All contacted centres responded, equalling 57 completed reports, giving a unit-based estimation of one case in every 224 patients. Univariate analyses also recorded in detail in this report.

Link to abstract.

 

 

Tracheal intubation with a camera embedded in the tube tip (VivasightTM)

Huitink JM, Koopman EM, Bouwman RA, Craenen A, Verwoert M, Krage R, Visser IE, Erwteman M, van Groeningen D, Tijink R and Schauer A. Anaesthesia. 2013 Jan;68(1):74-8

Study on tracheal intubation in manikins and patients with a camera embedded in the tip of the tracheal tube Vivasight™ pre-loaded in a size 5 i-gel®. All attempted intubations were successful, with a mean time of 1.4 seconds, and was faster when compared to intubation via LMA®.

Link to abstract.

 

i-gel® supraglottic airway in clinical practice: a prospective observational multicentre study

Theiler L, Gutzmann M, Kleine-Brueggeney M, Urwyler N, Kaempfen B, Greif R. Br J Anaesth 2012; 109(6): 990-995

Over a period of 24 months, 2049 uses of the i-gel® were measured across five independent hospitals in Switzerland to evaluate insertion success rates, leak pressures, adverse events, and risk factors for failure. Patients’ mean age was 47 years. The authors concluded that the i-gel® is a reliable device, failing in less than 5% of patients and providing high leak pressures. Serious adverse events are rare.

Abstract text

 

 

Comparison of the Proseal LMA® and intersurgical I-gel® during gynecological laparoscopy

Jeon WJ, Cho SY, Baek SJ, Kim KH. Korean J Anesthesiol. 2012; 63(6): 510-4

Adult patients undergoing gynaecological laparoscopy were split into two groups of 30 and randomly assigned to either PLMA or i-gel®. Insertion time and number of attempts were recorded. After successful insertion in all patients in both groups, on first attempt, airway leak pressure was also measured. No significant difference in insertion time or leak pressure. Authors conclude that i-gel® is a reasonable alternative to PLMA in this scenario. 

Abstract text