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.

Pilot manikin study showed that a supraglottic airway device improved simulated neonatal ventilation in a low-resource settings

Pejovic NJ, Trevisanuto D, Nankunda JJ, Tylleskar T. Acta Paediatr. 2016 Dec;105(12):1440-1443

After brief training, 25 participants attempted insertion, with success rate and insertion time recorded. i-gel achieved 100% insertion success rate and was more effective than the face mask in establishing PPV.

Link to abstract.

Addressing the challenges of paramedic recruitment and engagement in Airways-2

Pilbery R, Green J, Hall H, Whitley G. Emerg Med J 2016; 33e12

Report into the three main challenges facing recruitment for the Airways-2 trial (comparison of i-gel against tracheal intubation in patients suffering OHCA). 

Link to abstract.

Design and implementation of the AIRWAYS-2 trial

Taylor J, Black S, Brett S, Kirby K, Nolan JP, Reeves BC, Robinson M, Rogers CA, Scott LJ, South A, Stokes EA, Thomas M, Voss S, Wordsworth S, Benger JR. Resuscitation. 2016 Sep 30. pii: S0300-9572(16)30476-2

Patient enrollment began in June 2015 for this study comparing the use by paramedics of the i-gel against endotracheal intubation in OHCA in the UK. The primary outcome is the modified Rankin Scale score at hospital discharge. The trial will enrol 9070 patients over two years.

Link to abstract.

Evaluation of six different airway devices regarding regurgitation and pulmonary aspiration during cardio-pulmonary resuscitation (CPR) – A human cadaver pilot study

Piegeler T, Roessler B, Goliasch G, Fischer H, Schlaepfer M, Lang S, Ruetzler K. Resuscitation 2016 May;102:70-4

Randomised human cadaver study comparing Laryngeal Tube, EasyTube, LMA Classic, i-gel, ETI and BVM effect on protection against regurgitation and aspiration during CPR. Five minutes of CPR was administered according to 2010 European Resuscitation Council Guidelines. Aspiration was detected in two out of five cadavers with i-gel, while none were recorded when using ETI. Study provides experimental evidence that ETI offers superior protection during CPR.

Link to abstract