i-gel® from Intersurgical: clinical evidence listing

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

Comparison between supraglottic airway devices and endotracheal tubes in patients undergoing laparoscopic surgery: A systematic review and meta-analysis

Park SK, Ko G, Choi GJ, Ahn EJ, Kang H. Medicine (Baltimore). 2016 Aug;95(33):e4598

In total, 17 randomised controlled trials were identified fitting the parameters outlined. Incidence of postoperative complications including cough at removal, dysphagia, sore throat and laryngospasm were higher in the ETT group. However no differences were shown regarding insertion success at first attempt and insertion time, among others.

Link to abstract

Retrospective cohort investigation of perioperative upper respiratory events in children undergoing general anesthesia via a supraglottic airway

No HJ, Koo BW, Oh AY, Seo KS, Na HS, Ryu JH, Lee SW. Medicine (Baltimore) 2016 Jul;95(28):e4273.

Observational analysis of medical records of previous anaesthetic procedures at one university hospital. Comparison of the two anaesthetic agents included use of four supraglottic airways: LMA Flexible, LMA Supreme, LarySeal and i-gel.

Link to abstract

A comparison of the I-Gel supraglottic device with endotracheal intubation for bronchoscopic lung volume reduction coil treatment

Arevalo-Ludeña J, Arcas-Bellas JJ, Alvarez-Rementería R, Flandes J, Morís L, Muñoz Alameda LE. J Clin Anesth. 2016 Jun;31:137-41

Prospective observational study on 22 patients comparing the use of i-gel against orotracheal intubation. Tidal volume, peak pressure, gas leaks and adverse events were recorded. Authors conclude i-gel is 'an effective and safe alternative' to OTI in this scenario.

Link to abstract

Spatial relationship of I-gel and Ambu® AuraOnce on pediatric airway: a randomized comparison based on three dimensional magnetic resonance imaging

Aqil M, Delvi B, Abujamea A, Alzahrani T, Alzahem A, Mansoor S, Aaljazaeri A. Minerva Anestesiol. 2016 Jun 17

Sixty paediatric patients were split between the two groups, with scans of head and neck performed after confirmation of device placement. Both devices 'significantly' reduced the area of glottis opening. i-gel produced greater dilation of upper oesophogeal sphincter. Authors conclude more studies needed to test these results to 'reduce morbidity on pediatric airway'.

Link to abstract

Comparison of remifentanil EC50 for facilitating i-gel and laryngeal mask airway insertion with propofol anesthesia

Choi JB, Kwak HJ, Lee KC, Lee SR, Lee SY, Kim JY. J Anesth. J Anesth. 2016 Jun;30(3):377-83

Randomised study comparing 41 female patients across two groups: i-gel and LMA, undergoing anaesthesia. EC50 of remifentanil concentration for i-gel insertion was significantly lower.

Link to abstract