i-gel® from Intersurgical: clinical evidence listing

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

Consensus guidelines for managing the airway in patients with COVID ‐19

Cook TM, El-Boghdadly K, McGuire B, McNarry AF, Patel A, Higgs A. Anaesthesia 2020 Jun; 75(6): 785-799

 

 

Severe acute respiratory syndrome‐corona virus‐2, which causes coronavirus disease 2019 (COVID‐19), is highly contagious. Airway management of patients with COVID‐19 is high risk to staff and patients. We aimed to develop principles for airway management of patients with COVID‐19 to encourage safe, accurate and swift performance. This consensus statement has been brought together at short notice to advise on airway management for patients with COVID‐19, drawing on published literature and immediately available information from clinicians and experts. Recommendations on the prevention of contamination of healthcare workers, the choice of staff involved in airway management, the training required and the selection of equipment are discussed. The fundamental principles of airway management in these settings are described for: emergency tracheal intubation; predicted or unexpected difficult tracheal intubation; cardiac arrest; anaesthetic care; and tracheal extubation. We provide figures to support clinicians in safe airway management of patients with COVID‐19. The advice in this document is designed to be adapted in line with local workplace policies.

Link to abstract

I-gel airway for advanced uses: a case of successful utilization of this second-generation supraglottic airway device for controlled ventilation during general anaesthesia in lateral decubitus position

Shiraishi Zapata CJ. Minerva Anestesiol. 2017 Feb;83(2):219-220

Letter to editor reporting the case of successful controlled ventilation in lateral decubitus position on a 39-year-old male. i-gel size 4 chosen after failed tracheal intubation. No evidence of trauma or pharyngeal inflammation.

Link to abstract

I-gel O2 resus pack, a rescue device in case of severe facial injury and difficult intubation

Baratto F, Gabellini G, Paoli A, Boscolo A. Am J Emerg Med. 2017 Jan 26

Report of two cases of attempted suicide by firearm managed with the use of the i-gel O2 Resus Pack. In both patients, laryngoscopy attempts failed before an i-gel was inserted and either fibreoptic-assisted intubation or fibreoptic bronchoscopy were performed. Authors conclude that the i-gel's properties mean the device could easily be used by untrained rescuers and might perform an important role during out-of-hospital emergency.

Link to abstract.

Fiberoptic-guided intubation after insertion of the i-gel airway device in spontaneously breathing patients with difficult airway predicted: a prospective observational study

Arévalo-Ludeña J, Arcas-Bellas JJ, Alvarez-Rementería R, Alameda LE. J Clin Anesth. 2016 Dec;35:287-292

After i-gel insertion in 85 adult patients, general anaesthesia was induced to place an endotracheal tube by fibreoptic bronchoscope. i-gel insertion time, intubation time and oxygen saturation were monitored. Authors conclude this to be a safe and effective technique.

Link to abstract.

Bilateral pneumonectomy with difficult airway managed by using a combination of i-gel and EZ-Blocker

Ueshima H, Otake H. J Clin Anesth. 2016 Nov;34:516

Report of a successful case using i-gel insertion after two failed attempts at intubation with a video laryngoscope on a 73-year-old female with hypertension and a difficult airway.

Link to abstract