i-gel® from Intersurgical: clinical evidence listing

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

Airway management in out-of-hospital cardiac arrest in Finland: current practices and outcomes

Hiltunen P, Jäntti H, Silfvast T, Kuisma M, Kurola J. Scand J Trauma Resusc Emerg Med. 2016; 24: 49

Data on patients with OHCA and attempted resuscitation in an area of Finland over a six-month period in 2010 was collected, with airway techniques and adverse events recorded. Of the 614 patients, 67% were treated with endotracheal intubation and 30% with supraglottic airway devices.  Overall survival to hospital discharge was 17.8%.

Link to abstract

I-gel as an alternative to endotracheal tube in adult laparoscopic surgeries: A comparative study

Badheka JP, Jadliwala RM, Chhaya VA, Parmar VS, Vasani A, Rajyaguru AM. J Minim Access Surg. 2015 Oct-Dec;11(4):251-6

60 patients were randomly assigned to either the i-gel or ETT group. Ease, insertion attempts and insertion time were measured, followed by gastric tube insertion attempts and perioperative complications. i-gel was quicker to insert and is a safe and suitable alternative to ETT in this scenario.

Link to abstract

Emergency airway management by paramedics: comparison between standard endotracheal intubation, laryngeal mask airway, and I-gel

Leventis C, Chalkias A, Sampanis M A, Foulidou X, Xanthos T. Eur J Emerg Med. 2014 Oct; 21(5): 371-3

Study to investigate intubation skill levels of 72 paramedics using ETI, LMA and i-gel® in a manikin model. The success rate was higher, and the insertion time lower for those using i-gel®. There was a ‘statistically significant association’ between experience level and insertion time of LMA. Authors conclude that paramedics should ‘lay greater emphasis on airway management using supraglottic devices, especially i-gel®’.

Link to abstract

Hands-off time during insertion of six airway devices during cardiopulmonary resuscitation: A randomised manikin trial

Ruetzler K, Gruber C, Nabecker S, Wohlfarth P, Priemayr A, Frass M, Kimberger O, Sessler D, Roessler B. Resuscitation 2011; 82(8): 1060-1063

After an audio-visual lecture and practical demonstration, 40 voluntary emergency medical technicians with limited airway management experience were recruited to perform airway management with six devices, including the i-gel®, during sustained compressions on manikins. Hands-off time was significantly longer when inserting a traditional endotracheal tube, whereas the supraglottic devices were inserted successfully on each occasion.

Link to abstract.

 

 

The use of i-gel® extraglottic airway during percutaneous dilatational tracheostomy: a case series

Corso RM, Piraccini E, Agnoletti V, Baccanelli M, Coffa A, Gambale G. Minerva Anaestesiol 2011; 77(8): 852-3

The i-gel® was used in eight patients for tracheostomy. Patients were extubated and the ET tube was replaced with the i-gel®. A percutaneous tracheostomy kit was then advanced to the second tracheal ring and the procedure was performed. Arterial pressure, PaO2/FiO2, minute ventilation and airway pressure were measured before, during and after tracheostomy. There were no significant differences in ventilatory and haemodynamic parameters. Use of the i-gel® was successful in seven of eight patients. The i-gel® provided better views of the glottis compared to the cLMA and ventilation was comparable to the ET tube. Large trials must take place to determine whether a one in eight failure rate remains.

Abstract text