i-gel® from Intersurgical: clinical evidence listing

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

Analyzing the efficacy of the I-gel supraglottic airway device in supine and lateral decubitus position

Saracoglu KT, Demir A, Pehlivan G, Saracoglu A, Eti Z. Anaesthesiol Intensive Ther. 2018 Sep 17

This prospective clinical trial assessed and compared the airway leak pressure and the fiberoptic view of the i-gel in both supine and lateral positions. Moreover, the impact of the i-gel insertion on haemodynamics was also monitored. 100 patients undergoing saturation biopsy were intubated with the i-gel in the supine position, which was subsequently changed to lateral position. Several measurements were taken after intubation and change of position, which included mean arterial pressure, heart rate, peripheral O2 saturation and end-tidal CO2. Furthermore, number of insertion attempts, insertion time, oropharyngeal leak pressure (OLP), and device placement were also recorded. The i-gel was successfully inserted in 88 patients on the first attempt and the insertion time was circa 8 seconds. Moreover, the OLP (27.45 mm Hg supine and 26.04 in lateral position) and fiberoptic view were comparable in both positions. Hence, the i-gel can be safely employed in both supine and lateral positions.

Link to abstract.

Evaluation of I-gel™ airway in different head and neck positions in anesthetized paralyzed children

Jain D, Ghai B, Bala I, Gandhi K, Banerjee G. Paediatr Anaesth. 2015;25(12):1248-53

30 children induced with sevoflurane in oxygen and administered atracurium intravenously. Oropharyngeal leak pressure in neutral, maximum flexion and maximum extension were primary outcomes measured. In extreme flexion of head and neck, caution is warranted during ventilation.

Link to abstract