Choudhary N, Kumar A, Kohli A, Wadhawan S, Bhadoria P. Indian J Anaesth. 2019 Mar;63(3):218-224
This investigation aimed to compare the successful intubation rate of the i-gel using three types of endotracheal tubes (ETTs). 75 ASA I and II patients (age 18-60 years) undergoing elective surgery under general anaesthesia were randomly assigned into three groups based on the type of endotracheal ETT, which included polyvinyl chloride ETT (Group P), intubating laryngeal mask airway ETT (Group I) and flexometallic ETT (Group F). Recorded parameters included time taken for successful intubation, success rate, number of attemps, manoeuvres, and complications. Results demonstrated that Group P had the lowest time and mean time for intubation, as well as the highest first attempt and overall intubation success rate. Therefore, the combination of polyvinyl chloride ETT with i-gel to intubate patients with difficult airways represents the most successful approach compared to other combinations. However, additional studies are needed to validate these results.
Link to abstract.
Tags :
2019,
Choudhary N,
Indian J Anaesth,
ETT,
intubation success rate,
Comparison trial,
Endotracheal intubation ,
polyvinyl chloride ETT,
intubating laryngeal mask airway,
flexometallic ETT,
vs ILMA
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Panneer M, Babu S, Murugaiyan P. Anesth Essays Res. 2017 Oct-Dec; 11(4): 930–933
The objective of this study was to compare the hemodynamic disturbances and possible complications caused by the i-gel and ETT in 80 patients (ASA II) undergoing cesarean receiving general anesthesia. A range of parameters was investigated including insertion time, ease of intubation, hemodynamics (insertion and removal) and postoperative complications (sore throat, blood on device, dysphagia, regurgitation, nausea, vomiting, laryngospasm and aspiration). Findings have demonstrated that patients in the ETT group had a higher incidence of difficult intubation, 20% higher mean arterial pressure and heart rate compared to the i-gel group. The ETT group also had a higher incidence of sore throat. Thus, the i-gel constitutes a superior alternative to the ETT in patients undergoing elective surgery under general anaesthesia.
Link to abstract.
Tags :
2017,
Anesth Essays Res,
Panneer M,
vs ETT,
vs ETI,
caesarean section,
RCT,
Anaesthesia,
Comparison trial,
Hemodynamic parameters,
Sore throat
35df1be0-678d-4ca4-9ee4-578e41964200|1|4.0|27604f05-86ad-47ef-9e05-950bb762570c
Liu ZJ, Yi J, Chen WY, Zhang XH, Huang YG. Medicine (Baltimore). 2017 May;96(19):e6905.
46 doctors with no intubation experience were given 20 minutes of airway training and a short practice session with the i-gel and Aura-I. They were then asked to insert each device into a manikin in random order and to attempt intubation through each airway. Time to ventilation, first-attempt and overall intubation success, incidence of gastric inflation, ease of insertion, view of the vocal cords, and insertion score were all recorded and compared. Participants attempted the same tasks at a 3-month follow-up session. First-attempt and overall success rates for intubation were high and comparable, with only 1 patient failing to intubate via the Aura-I at follow-up. Performance of the devices was generally comparable. Time to intubation was shorter with the i-gel at both time points. Participants also reported that the i-gel was easier to use. These results may be due to the lack of inflatable cuff.
Link to abstract
Tags :
Liu ZJ,
2017,
Manikin study,
Comparison trial,
Medicine (Baltimore),
performance,
laryngeal mask,
Novice users,
i-gel,
vs aura-i,
RCT
19b7dd53-0b55-4cd5-99f0-e12a0d144841|1|3.0|27604f05-86ad-47ef-9e05-950bb762570c
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
41da83e2-987d-466e-bf09-84d0c711d5b2|1|2.0|27604f05-86ad-47ef-9e05-950bb762570c
Guerrier G, Boutboul D, Rondet S, Hallal D, Levy J, Sjogren L, Legeais JM, Nicolau R, Mehanna C, Bourges JL, Samama CM. Cornea 2016;35(1):37-40
Study to assess the safety of the i-gel in keratoplasty performed under general anaesthesia, compared to tracheal tube intubation. No surgical complications reported in either group.
Link to abstract
88dffdf8-3c31-4d1c-abbd-360596741295|1|4.0|27604f05-86ad-47ef-9e05-950bb762570c