i-gel® from Intersurgical: clinical evidence listing

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

Evaluation of six different airway devices regarding regurgitation and pulmonary aspiration during cardio-pulmonary resuscitation (CPR) – A human cadaver pilot study

Piegeler T, Roessler B, Goliasch G, Fischer H, Schlaepfer M, Lang S, Ruetzler K. Resuscitation 2016 May;102:70-4

Randomised human cadaver study comparing Laryngeal Tube, EasyTube, LMA Classic, i-gel, ETI and BVM effect on protection against regurgitation and aspiration during CPR. Five minutes of CPR was administered according to 2010 European Resuscitation Council Guidelines. Aspiration was detected in two out of five cadavers with i-gel, while none were recorded when using ETI. Study provides experimental evidence that ETI offers superior protection during CPR.

Link to abstract

An exploration of the views of paramedics regarding airway management

Brandling J, Rhys M, Thomas M, Voss S, Davies S, Benger J. Scand J Trauma Resusc Emerg Med. 2016; 24: 56

A study within a UK ambulance study exploring the customs and beliefs or paramedics in relation to airway management and whether tracheal intubation sustains professional identity. Interviews were conducted with 17 participants, which identified four key factors: pride, utility, expectations and professionalisation. Authors conclude the interviews identified a 'wide range of views' on airway management based on evidence and experience.

Link to abstract

Sniffing Position and i-gel Rotation Approach for i-gel Insertion under General Anesthesia

Takahashi Y, Murashima K, Kayashima K. Masui 2016 Apr;65(4):330-5

Study on 50 adults to test the efficacy of i-gel insertion assistance techniques - sniffing the morning air position and rotation. Average insertion time was 24 seconds at first attempt. Authors conclude both techniques 'can be used for insertion'.

Link to abstract

 

Airway management in out-of-hospital cardiac arrest in Finland: current practices and outcomes

Hiltunen P, Jäntti H, Silfvast T, Kuisma M, Kurola J. Scand J Trauma Resusc Emerg Med. 2016; 24: 49

Data on patients with OHCA and attempted resuscitation in an area of Finland over a six-month period in 2010 was collected, with airway techniques and adverse events recorded. Of the 614 patients, 67% were treated with endotracheal intubation and 30% with supraglottic airway devices.  Overall survival to hospital discharge was 17.8%.

Link to abstract