Hughes C, Place K, Berg S, Mason D. Pediatr Anaesth 2012; 22(8): 765-71
Over a 12-month period, 154 children were studied using i-gel® sizes ranging from 1 to 2.5 to assess the device based on successful rates of insertion, airway leak pressure, position confirmed by fibreoptic laryngoscopy, gastric tube placement, manipulations required, and complications. First insertion attempt was 93.5%, and complications arose in 20% of cases. Most were minor, however reports suggest there were cases of displacement and flexion compromising airway quality. Authors confirm ‘vigilance’ had to be used to secure the device, and that a decision on whether the higher cost for i-gel® is worth it depends on further studies of this kind.
Link to abstract.
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Russo SG, Cremer S, Galli T, Eich C, Bräuer A, Crozier TA, Bauer M, Strack M. BMC Anesthesiol 2012; 12: 18
Three groups of 40 elective patients each were assigned to i-gel®, LMA Supreme® and Laryngeal Tube Suction-D for a prospective, randomised and comparative study of position (fibre optic) and clinical performance data during surgery. Speed of insertion and success rates, leak pressure, dynamic airway compliance, and signs of postoperative airway morbidity were recorded, with i-gel® registering a 95% insertion success rate and the highest airway compliance. In conclusion, all devices were considered suitable for ventilation in elective surgery.
Abstract text
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Singh J, Yadav MK, Marahatta SB, Shrestha BL. Indian J Anaesth 2012; 56(4): 348-52
Prospective, crossover, randomised trial of i-gel® against cLMA on 48 post-burn neck contracture patients with reduced neck movement and mouth opening. Primary outcome was overall success rate, with other measurements taken in time to ventilation, leak pressure, fibreoptic view and visualisation of square wave pattern. Success rate for i-gel® was 91.7%, against 79.2% for cLMA. i-gel® outperformed cLMA in all measurements. Authors conclude their study has ‘better clinical performance in the difficult airway management of the airway in the post burn contracture of the neck’.
Abstract text
c9a8a01e-a19f-4e99-b6e5-ca6de28e87d7|0|.0|27604f05-86ad-47ef-9e05-950bb762570c
Singh J, Yadav MK, Marahatta SB, Shrestha BL. Indian J Anaesth 2012; 56(4): 348-52
Prospective, crossover, randomised trial of i-gel® against cLMA on 48 post-burn neck contracture patients with reduced neck movement and mouth opening. Primary outcome was overall success rate, with other measurements taken in time to ventilation, leak pressure, fibreoptic view and visualisation of square wave pattern. Success rate for i-gel® was 91.7%, against 79.2% for cLMA. i-gel® outperformed cLMA in all measurements. Authors conclude their study has ‘better clinical performance in the difficult airway management of the airway in the post burn contracture of the neck’.
Link to abstract.
52635fa5-6e2f-46c1-9b55-ccf0ebbecc74|0|.0|27604f05-86ad-47ef-9e05-950bb762570c
Siddiqui AS, Ahmed J, Siddiqui SZ, Haider S, Raza SA. J Coll Physicians Surg Pak. 2012; 22(7): 419-23
An experimental study using i-gel® on 100 female patients undergoing elective gynaecologic surgery was performance-measured on ease of insertion, time to insert, peak airway pressure and leak pressure. A gastric tube was placed in each patient. Pharyngolaryngeal morbidities were also recorded. In 92% of patients, i-gel® was inserted successfully first time and there were no instances of blood on the device post-procedure. Authors confirm the i-gel® is a simple and easy to use device.
Abstract text
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