i-gel® from Intersurgical: clinical evidence listing

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

i-gel as alternative airway tool for difficult airway in severely injured patients

Häske D, Schempf B, Niederberger C, Gaier G. Am J Emerg Med. 2016;34(2):340

Report of two cases where i-gel was successfully used in a prehospital setting on patients with severe head and neck trauma. Authors suggest that, on evidence, i-gel is an 'appropriate primary airway tool'.

Link to abstract

Successful airway management with i-gel in the lateral position for a patient combined with sulcus vocalis

Ueno T, Komasawa N, Minami T. J Clin Anesth. 2016;28:91-2

Report of successful airway management of a 62-year-old male with intractable hoarseness. Upon extubation, no increased hoarseness reported. i-gel recommended by authors for patients with sulcus vocalis.

Link to abstract

Successful i-gel insertion combined with Macintosh laryngoscope with a swollen tonsil

Komasawa N, Nishihara I, Minami T. J Clin Anesth. 2016;28:89-90

In this case of a 13-year-old patient, the i-gel was inserted passed the swollen tonsil to give unventful mechanical ventilation and no postoperative complications or bleeding of the tonsil.

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

85 patients with at least three difficult airway predictors were included, with insertion time, intubation time and oxygen saturation outcomes measured, amongst others. No serious adverse events were recorded and no airway damage reported. Authors conclude that fibreoptic-guided intubation through the i-gel is a 'safe and effective' technique.

Link to abstract.

 

The i-gel Supraglottic Airway as a Conduit for Fibreoptic Tracheal Intubation - A Randomized Comparison with the Single-use Intubating Laryngeal Mask Airway and CTrach Laryngeal Mask in Patients with Predicted Difficult Laryngoscopy

Michálek P, Donaldson W, McAleavey F, Abraham A, Mathers RJ, Telford C. Prague Med Rep. 2016;117(4):164-175

Comparative study of three supraglottic airways as conduits in patients with predicted difficult laryngoscopy. Primary outcome measure was success rate of tracheal intubation through the device. No statistical difference was recorded in success rates between devices, however i-gel proved quicker to insert compared to ILMA and the intubation time was shorter compared to CTrach. i-gel is a suitable alternative to sILMA and CTrach in this scenario, and the shorter times recorded may provide an advantage in cases of difficult oxygenation.

Link to abstract.