i-gel® from Intersurgical: clinical evidence listing

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

Is an i-gel supraglottic airway useful for airway rescue in the community?

Peutrell I, Jennison N. British Journal of Midwifery 2014 May; 22(5): 254-8

Twenty midwives asked to manage newborn resuscitation scenarios on a manikin using two techniques: Bag valve mask with a Guedel, and a bag with an i-gel. Time to first breath quicker with i-gel, no significant difference in duration of inflation breaths. Higher inflation pressures generated with i-gel.

Link to abstract

The LMA-Supreme versus the I-gel in simulated difficult airway in children: a randomised study

Kus A, Gok CN, Hosten T, Gurkan Y, Solak M, Toker K. Eur J Anaesthesiol. 2014 May;31(5):280-4

In this double-blind study, the scenario was made more difficult by using a cervical collar. Primary aim was to compare leak pressures between devices, with success rate, insertion and fibreoptic view other parameters measured. First attempt success and leak pressure was higher with LMA Supreme. Both devices proved effective, and differences may not be clinically significant.

Link to abstract

Shift of the i-gel position after chest compression: comparison of fixation methods using Durapore tape, Multipore tape, or a fixation strap

Seno H, Komasawa N, Fujiwara S, Miyazaki S, Tatsumi S, Sawai T, Minami T. Masui. 2014 May;63(5):590-3

Manikin study to investigate effectiveness of three fixation methods on an automated chest compressor. Fixation strap may prove useful in stabilising i-gel insertion in this scenario.

Link to abstract

Is I-gel airway a better option to endotracheal tube airway for sevoflurane-fentanyl anesthesia during cardiac surgery?

Elgebaly AS, Eldabaa AA. Anesth Essays Res. 2014 May-Aug;8(2):216-22

49 adult patients were randomly assigned between each device group, with fentanyl doses, hemodynamic parameters and mean arterial pressure among results taken at various points throughout the procedure. i-gel requires less anaesthetic doses in this scenario.

Link to abstract

Higher insertion success with the i-gel supraglottic airway in out-of-hospital cardiac arrest: a randomised controlled trial

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.

Link to abstract