i-gel® from Intersurgical: clinical evidence listing

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

Competence in the use of supraglottic airways by Australian surf lifesavers for cardiac arrest ventilation in a manikin

Holbery-Morgan L, Angel C, Murphy M, Carew J, Douglas F, Murphy R, Hood N, Rechtman A, Scarff C, Simpson N, Stewardson A, Steinfort D, Radford S, Douglas N, Johnson D. Emerg Med Australas. 2017 Feb;29(1):63-68

Lifesavers in Australia who already use pocket masks and BVMs were trained to use the LMA and i-gel on a manikin. Time to effective ventilation was similar between the pocket mask, BVM and i-gel, but longer for LMA. Authors feel there is a limited role for supraglottic airway devices in this scenario.

Link to abstract.

Performance of intubation with 4 different airway devices by unskilled rescuers: manikin study

Lee DW, Kang MJ, Kim YH, Lee JH, Cho KW, Kim YW, Cho JH, Kim YS, Hong CK, Hwang SY. Am J Emerg Med. 2015 May;33(5):691-6

LMA Classic, i-gel, PENTAX Airway Scope and Macintosh laryngoscope were all tested, with time to ventilation, intubation success rate and difficulty of intubation measured. Authors conclude that intubation with i-gel was faster and easier.

Link to abstract

Shift of the i-gel position after chest compression: comparison of fixation methods using Durapore tape, Multipore tape, or a fixation strap

Seno H, Komasawa N, Fujiwara S, Miyazaki S, Tatsumi S, Sawai T, Minami T. Masui. 2014 May;63(5):590-3

Manikin study to investigate effectiveness of three fixation methods on an automated chest compressor. Fixation strap may prove useful in stabilising i-gel insertion in this scenario.

Link to abstract

Performance of the i-gel™ during pre-hospital cardiopulmonary resuscitation

Häske D, Schempf B, Gaier G, Niederberger C. Resuscitation 2013; 84(9): 1229-32

This observational study of i-gel® use during CPR assessed ease of insertion, ventilation quality, leak and whether ventilation was possible without chest compression interruption. Insertions were attempted by 63 paramedics and seven emergency physicians in pre-hospital CPR, with an overall 90% first-attempt insertion success rate. Insertion was reported as easy in 80% of cases, with the same figure representing cases with no leak recorded. In 74% of cases, continuous chest compression was still possible. The authors say that, ‘the i-gel is an easy supraglottic device to insert and enables adequate ventilation during CPR’.

Link to abstract