i-gel® from Intersurgical: clinical evidence listing

Lofgren B, Adelborg K. Anaesthesia 2014; 69(8): 929-30

A response to the two concerns raised by McKenna (Anaesthesia 2014; 69(8): 928) and Baker (Anaesthesia 2014; 69(8): 928-9), acknowledging that more studies are needed and that there is currently “insufficient evidence” to recommend any specific ventilation technique among lifeguards. They also reiterate their study conclusions.

Link to abstract

Middleton PM, Simpson PM, Thomas RE, Bendall JC. Resuscitation 2014;85(7):893-7

Subjects with out-of-hospital cardiac arrest were allocated to either the i-gel or Portex Soft Seal laryngeal mask group, within a large Australian ambulance group. Primary outcome was successful insertion of the airway. The i-gel had a significantly higher success rate than Portex Soft Seal and significantly lower median ease of insertion scores.

Link to abstract

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

Nolan JP, Ornato JP, Parr MJA, Perkins GD, Soar J. Resuscitation 2013; 84(2): 129-36

A summary of the key papers published across the full spectrum of cardiopulmonary resuscitation.

Abstract text