Magne C, Pichenot V, Didier P, Bérard L, Lejus-Bourdeau C. Anaesth Crit Care Pain Med. 2016 Sep 23
Size 1 and 1.5 were used in this study on patients under the age of two. Successful insertion at the first attempt was recorded in 75% of cases.
Link to abstract
4f4e61e6-04c4-4dbc-8eb0-95efd00e43e1|1|1.0|27604f05-86ad-47ef-9e05-950bb762570c
Gu Z, Jin Q, Liu J, Chen L. J Clin Monit Comput. 2016 Aug 4. [Epub ahead of print]
105 patients were including in this paediatric study, with primary outcomes including leak pressure and respiratory dynamic data. Authors conclude that the 'i-gel presented a better sealing effect and fewer adverse reactions.'
Link to abstract
c75b5089-13c8-457f-9f24-98209bc33c6e|1|2.0|27604f05-86ad-47ef-9e05-950bb762570c
No HJ, Koo BW, Oh AY, Seo KS, Na HS, Ryu JH, Lee SW. Medicine (Baltimore) 2016 Jul;95(28):e4273.
Observational analysis of medical records of previous anaesthetic procedures at one university hospital. Comparison of the two anaesthetic agents included use of four supraglottic airways: LMA Flexible, LMA Supreme, LarySeal and i-gel.
Link to abstract
Tags :
2016,
Medicine,
No HJ,
Review,
Desflurane,
Sevoflurane,
vs LMA Flexible,
vs LMA Supreme,
vs LarySeal,
Paediatric,
Upper respiratory events,
Free
f3dd19bd-3514-4c82-abc7-42d1dbcc3a63|1|5.0|27604f05-86ad-47ef-9e05-950bb762570c
Aqil M, Delvi B, Abujamea A, Alzahrani T, Alzahem A, Mansoor S, Aaljazaeri A. Minerva Anestesiol. 2016 Jun 17
Sixty paediatric patients were split between the two groups, with scans of head and neck performed after confirmation of device placement. Both devices 'significantly' reduced the area of glottis opening. i-gel produced greater dilation of upper oesophogeal sphincter. Authors conclude more studies needed to test these results to 'reduce morbidity on pediatric airway'.
Link to abstract
3772bda4-5111-4dfd-862a-26ee0c71b539|1|5.0|27604f05-86ad-47ef-9e05-950bb762570c
Original post by Pearson K. Reply by Cook TM. Anaesthesia Correspondence Website. 2016. Accessed 22 May.
In the original post, and in response to Cook's study on abandoning vintage laryngeal masks (Br J Anaesth. 2015 Oct;115(4):497-9), Pearson cautions against the 'universal replacement of 1st generation devices' especially considering sub-group care (paediatrics), versatility, training and cost, and instead suggests there should not be a one-size-fits-all approach. Pearson also comments on the significant move towards the use of i-gel in her hospital.
In response to this, Cook suggests clinicians use the best performing and safest device where available as first choice. Cook makes mention of the two published meta-analyses on i-gel in children: by Choi GJ and Maitra S.
Link to abstract
aa8f4a05-0f1f-4f3f-b906-d12b93b6537f|1|1.0|27604f05-86ad-47ef-9e05-950bb762570c