Uppal V, Gangaiah S, Fletcher G, Kinsella J. Br J Anaesth 2009; 103(6): 882-885
In this study, the i-gel® and LMA Unique® were both used in 39 patients. Leak pressure, insertion attempts, number of airway manipulations and leak volumes were similar for both devices. Insertion time was significantly less for the i-gel® at 12.2s compared to 15.2s for the LMA Unique®. It can be concluded that the i-gel® is a reasonable alternative to the LMA Unique® during controlled ventilation.
Link to abstract.
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Uppal V, Fletcher G, Kinsella J. Br J Anaesth 2009; 102(2): 264-8
In this study, published in the BJA, twenty-five patients were given a standard anaesthetic, followed by insertion of an i-gel. The lungs were ventilated at three different pressures and the difference between the inspired and expired tidal volumes used to calculate the leak volume and leak fraction. The i-gel was then removed and replaced with a conventional tracheal tube, for which similar readings were taken. The results were then compared. From the data taken, the authors concluded that, ‘compared with a tracheal tube there is no significant difference in the gas leak when using an i-gel during PCV with moderate airway pressures’.
Link to abstract.
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Schmidbauer W, Bercker S, Volk T, Bogusch G, Mager G, Kerner T. Br J Anaesth 2009; 102(1): 135-139
The three supraglottic devices were inserted into eight unfixed cadaver models with exposed oesophagi, connected to a water column producing both a slow and fast oesophageal pressure increase. During a fast increase of oesophageal pressure (simulated vomiting procedure) with the oesophageal lumen of the i-gel® and pLMA open, the authors reported that ‘the entire oesophageal liquid was drained to the outside without any tracheal aspiration occurring.’
Link to abstract.
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Gatward JJ, Thomas MJC, Nolan JP, Cook TM. Br J Anaesth 2008; 100(3): 351-356
In this study, 40 volunteer doctors regularly involved in CPR, were timed inserting four different airway devices, including i-gel® and a tracheal tube, with and without stopping chest compressions. Comparison of the speed of insertion of the different devices during CPR allowed ranking of the devices. The i-gel® was inserted approximately 50% faster than the other devices tested.
Link to abstract.
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Gibbison B, Cook TM, Seller C. Br J Anaesth 2008; 100(3): 415-417
Regurgitation of gastric contents was seen in three low-risk patients during anaesthesia. In two patients where only low volumes of gastric fluid were seen flowing from the i-gel®, there was no sign of aspiration. An 85kg male patient regurgitated large amounts of liquid, and although this was mostly expelled from the i-gel®’s gastric channel there were signs of minor aspiration. The i-gel® allowed early identification of regurgitation in these cases.
Link to abstract.
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