i-gel® from Intersurgical: clinical evidence listing

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

Airway techniques and ventilation strategies

Nolan JP, Soar J. Curr Opin Crit Care 2008; 14(3): 279-286

This review by Jerry Nolan and Jasmeet Soar discusses the advantages and disadvantages of various methods of airway management during cardiopulmonary resuscitation, and the role of ventilation during out-of-hospital CPR. In the section on supraglottic airways, i-gel® was one of a number of devices mentioned. It confirmed that the ease of insertion of the i-gel® and its favourable leak pressure make it ‘theoretically very attractive as a resuscitation device for those inexperienced in tracheal intubation’. It also confirmed further study was required.

Link to abstract.

Strategies to prevent unrecognised oesophageal intubation during out-of-hospital cardiac arrest

Nolan J. Resuscitation 2008; 76(1): 1-2

From the abstract: ‘Tracheal intubation has long been regarded as a fundamental and essential component of advanced life support (ALS). It has been assumed that tracheal intubation improves the chances of surviving from cardiac arrest. There are no reliable data to support this belief and there are several reasons why attempted intubation can be harmful, particularly when undertaken by inexperienced individuals.’

Abstract text