i-gel® from Intersurgical: clinical evidence listing

Schmolzer GM, Agarwal M, Kamlin CO, Davis PG. Resuscitation 2013; 84(6): 722-30

Review of available literature on the use of supraglottic airway devices during neonatal resuscitation. Current evidence suggests that resuscitation with a laryngeal mask is a ‘feasible and safe alternative to mask ventilation in infants’, however further randomised controlled trials are needed.

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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.

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Quinn AC, Milne D, Columb M, Gorton H and Knight M. Br J Anaesth. 2013 Jan;110(1):74-80

The purpose of this UK-wide study was to further evaluate the predetermined rate that one in 250 obstetric patients suffer failed intubation whilst undergoing general anaesthesia. Due to the lack of national figures, the study used the UK Obstetric Surveillance System (UKOSS) of data collection in centres across the UK to record incidence, risk factors and any reports of failed intubations. All contacted centres responded, equalling 57 completed reports, giving a unit-based estimation of one case in every 224 patients. Univariate analyses also recorded in detail in this report.

Link to abstract.

Kim YH. Korean J Anesthesiol 2012; 63(6): 489-490

Review assessing the use of SGAs in patients with increased risk of aspiration, focusing on five devices and the evidence to date. Provides a review of the common features of SGAs, including i-gel®, and the benefits they may bring. Author appears critical of the practice of using these devices, however later states that pulmonary aspiration may occur more through user error rather than device failure.

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Salmen M, Ewy G, Sasson C. BMJ Open 2012; 3: 2(5)

Collating data from 12 observational studies on the topic, covering both guidelines, the aim was to investigate the effect of both methods of treatment on cardiac arrest patients. Authors concluded that there is an ‘association with improved survival’ when cardiocerebral (CCR) protocols or 2005 Guidelines are compared with older versions, and that CCR appears to be a ‘promising resuscitation protocol for Emergency Medical Services’.

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