i-gel® from Intersurgical: clinical evidence listing

Singh J, Yadav MK, Marahatta SB, Shrestha BL. Indian J Anaesth 2012; 56(4): 348-52

Prospective, crossover, randomised trial of i-gel® against cLMA on 48 post-burn neck contracture patients with reduced neck movement and mouth opening. Primary outcome was overall success rate, with other measurements taken in time to ventilation, leak pressure, fibreoptic view and visualisation of square wave pattern. Success rate for i-gel® was 91.7%, against 79.2% for cLMA. i-gel® outperformed cLMA in all measurements. Authors conclude their study has ‘better clinical performance in the difficult airway management of the airway in the post burn contracture of the neck’.

Link to abstract.

Sahin A, Tüfek A, Cingü AK, Caça I, Tokgöz O, Balsak S. Pediatr Anesth 2012; 22(8): 772-775

47 children due for eye surgery were administered with sevoflurane or desflurane randomly for anaesthesia. Intraocular pressure was then measured prior to i-gel® insertion, at two and five minutes after insertion, and immediately after removal. Sustained pressure decrease present during procedure, but no significant difference between pre- and post-operative pressure.

Link to abstract.

Fukuhara A, Okutani R, Oda Y. J Anesth. 2012; 27(1): 1-6

A prospective, randomised and controlled test of 134 children, aged three months to 15 years old, undergoing general anaesthesia were inserted with either i-gel® size 1.5-3 or ProSealTM equivalent to gauge insertion performance. Outcome variables included leak pressure, ease of insertion, success rate and fibreoptic view. Most outcomes were very similar, however fibreoptic view was significantly better with i-gel®.

Link to abstract.

Halgawi A, Massicotte N, Lallo A, Gauthier A, Boudreault D, Ruel M, Girard F. Anesth Analg. 2012; 114(1): 152-156

160 patients were randomised for blind intubation via i-gel® or LMA Fastrach®. First attempt and overall success rates were recorded and time to intubation was measured.

Link to abstract.

Fernández Díez A, Prez Villafane A, Bermejo González JC, Marcos Vidal JM. Rev Esp Anestesiol Reanim 2009; 56: 474- 478

In this study, 85 patients were randomised into two groups for ventilation via LMA Supreme® or i-gel® supraglottic airways. Ease of insertion, seal pressure, ventilatory parameters and insertion of a gastric tube were all recorded. Both devices were easy to insert, with the SupremeTM and i-gel® being inserted on the first attempt in 95.2 and 86% of cases respectively. Performance was generally comparable.

Abstract text