The association between thenar eminence and I-gel™ dimensions in paediatric patients

Apan, Ozgun Cuvas; Apan, Alparslan

doi:10.1016/j.bjane.2014.08.003

Cited by 2 publications

(1 citation statement)

References 11 publications

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“…Apan et al . [ 8 ] conducted a prospective descriptive study in pediatric patients of age group 0–12 years, in which I-gel was inserted based on weight. They found statistically significant correlation between the measurements of thenar eminence and the I-gel which was inserted.…”

Section: Discussionmentioning

confidence: 99%

Comparison of standard weight-based and thenar eminence dimension-based selection of I-gel in pediatric patients – A randomized controlled study

Sachidananda,

Petkar,

Mitragotri

et al. 2023

Journal of Anaesthesiology Clinical Pharmacology

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Background and Aim: Supraglottic airway devices are increasingly being used for airway management. I-gel is being widely used even for pediatric patients. Although the weight-based selection of the size of the device seems to be the standard technique, this method may not be possible in all patients. The aim of the study was to compare the standard weight-based method with the thenar eminence dimension-based method for I-gel selection. Material and Methods: A prospective randomized study was conducted on 74 pediatric patients of either sex, aged between 6 months and 15 years, belonging to American Society of Anesthesiologists (ASA) physical status I, II, and III and who were posted for various surgical procedures under general anesthesia. The study population was divided into two groups of 37 patients each. I-gel was inserted based on weight in group A patients and based on thenar eminence size in group B patients. Parameters like first attempt success rate, ease of insertion, and complications were compared between the two groups using Student’s t-test and Chi-square test. Results: The demographic values between the groups were comparable. The first attempt success rate was 97.4% in group A and 91.7% in group B (P = 0.358). Insertion of I-gel was unsuccessful in two patients in group B. Two patients of group B had blood staining of the device. None of the patients had complications related to insertion. Conclusion: The thenar eminence dimension can be used instead of weight while choosing the size of I-gel in pediatric patients. None of the patients had complications related to device insertion.

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Section: Discussionmentioning

confidence: 99%

Comparison of standard weight-based and thenar eminence dimension-based selection of I-gel in pediatric patients – A randomized controlled study

Sachidananda,

Petkar,

Mitragotri

et al. 2023

Journal of Anaesthesiology Clinical Pharmacology

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show abstract

What are the factors associated with successful I-gel™ insertion and uneventful anaesthesia in children under age two?

Magne

Pichenot

Péan

et al. 2017

Anaesthesia Critical Care & Pain Medicine

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The association between thenar eminence and I-gel™ dimensions in paediatric patients

Abstract: The dimensions of thenar eminence were fitted to that of the weight based size of I-gel and this anatomic landmark may be a practical tool to assess appropriate size for paediatric patients.

Cited by 2 publications

References 11 publications

Comparison of standard weight-based and thenar eminence dimension-based selection of I-gel in pediatric patients – A randomized controlled study

Comparison of standard weight-based and thenar eminence dimension-based selection of I-gel in pediatric patients – A randomized controlled study

What are the factors associated with successful I-gel™ insertion and uneventful anaesthesia in children under age two?

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