A comparison of the i-gel and classic LMA insertion in manikins by experienced and novice physicians

Stroumpoulis, Konstantinos; Isaia, Christina; Bassiakou, Eleni; Pantazopoulos, Ioannis; Troupis, Georgios; Mazarakis, Antonios; Demestiha, Theano; Xanthos, Theodoros

doi:10.1097/mej.0b013e3283474ab3

Cited by 23 publications

(29 citation statements)

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“…In contrast, compared with classic LMA, use of the I-gel resulted in a high first-pass success rate (90.1% vs 47%) and reduced insertion time (15.2 sec vs 22.0 sec) by novices in a manikin setting [14]. The increased difficulties associated with PLMA insertion were likely caused by the large cuff impeding intraoral positioning and advancement into the pharynx, the lack of a backplate making the cuff more likely to fold over at the back of the mouth, and the need for more precise tip positioning [26,27].…”

Section: Discussionmentioning

confidence: 87%

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A comparison of ProSeal laryngeal mask airway, I-gel and endotracheal tube insertion by novices in a simulated difficult airway scenario

et al. 2016

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Section: Discussionmentioning

confidence: 87%

“…In contrast, insertion using SAD such as the LMA, PLMA, or I-gel was faster and performed with greater success than ETI in manikins by inexperienced practitioners [9,14]. Moreover, novice interns achieved successful insertion in 29 of the 30 cases in actual patients [15].…”

Section: Discussionmentioning

confidence: 99%

A comparison of ProSeal laryngeal mask airway, I-gel and endotracheal tube insertion by novices in a simulated difficult airway scenario

et al. 2016

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“…The results revealed the rate of successful insertions to be significantly higher for the i-gel airway, at 90.5% (105/116 participants), as compared to that with the LMA Classic, at only 63.8% (74/116 participants). 7 In addition, the insertion time of the i-gel airway (13.32 6 4.99 seconds) was significantly shorter than that of the LMA Classic (17.99 6 6.87 seconds). 7 These results match those of the present study comparing the modified i-gel airway and the LMA Flexible.…”

Section: Discussionmentioning

confidence: 97%

“…7 In addition, the insertion time of the i-gel airway (13.32 6 4.99 seconds) was significantly shorter than that of the LMA Classic (17.99 6 6.87 seconds). 7 These results match those of the present study comparing the modified i-gel airway and the LMA Flexible. The reasons for the success of the modified i-gel airway may be that the noninflatable cuff can be smoothly inserted into the pharynx, and that its thick airway tube shaft is easier to grip, enabling efficient transmission of force to the shaft.…”

Section: Discussionmentioning

confidence: 97%

Comparison of Insertion of the Modified i-gel Airway for Oral Surgery With the LMA Flexible: A Manikin Study

Sanuki

Sugioka

Komasawa

et al. 2014

Anesthesia Progress

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We previously modified the i-gel airway to enable its use in the field of oral and maxillofacial surgery and reported its fabrication methods. In general, the standard igel airway is quick to insert and has a high success rate, but the modified i-gel airway has yet to be assessed for these attributes. We, therefore, set out to compare the ease of insertion of the modified i-gel airway with the LMA Flexible to investigate the usefulness of the modified i-gel airway. The study participants, who included 20 new interns with no experience using either the LMA Flexible or the modified i-gel airway, inserted each device 3 times into an intubation practice manikin. The variables measured in this study were insertion time and rate of successful insertions. Mean insertion time over 3 attempts was significantly shorter for the modified i-gele airway (18.9 6 4.7 seconds) than the LMA Flexible (24.9 6 5.1 seconds, P , .001). The rate of successful insertions as a total of all 3 attempts was significantly higher for the modified i-gel airway (56/60 times, 93.3%) than the LMA Flexible (45/60 times, 75%; P ¼ .012). When used by an inexperienced operator, the modified i-gele airway is faster and has a higher success rate than the LMA Flexible, suggesting that it can be easily manipulated during insertion.

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“…European guidelines for resuscitation accepted the relatively safe and easy use of supraglottic airway devices (SAD's) by operators with limited airway management experience. [8] To decrease the "hands-off" time, emphasis on tracheal intubation was reduced in favor of supraglottic devices. [9] Name & Address of Corresponding Author Dr.…”

Section: Introductionmentioning

confidence: 99%

Comparison of Insertion Characteristics of I-Gel and Classic LMA by First Time Users

Alex¹,

Varghese²,

Ramadas³

et al. 2017

Ann. Int. Med. Den.Res.

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Background: To compare Classical Laryngeal mask airway (LMA classic) and I-Gel with regard to ease of insertion, number of attempts taken for optimal positioning, leak pressure, gastric dilation, and post device removal complications by first time users in patients undergoing elective ENT procedures. Methods: 100 adult patients who underwent elective ENT procedures under general anesthesia with spontaneous ventilation were randomly assigned into two groups: I-gel and LMA groups by draw method. Device insertion was done by first time users; in our study interns and anesthesia technicians were involved. Parameters compared were number and duration of insertion attempts for optimal positioning, gastric dilation, leak pressure and airway assessment after removal of the device by indirect laryngoscopy. Results: There were no statistically significant differences between the groups, with regard to hemodynamics and ventilation parameters. The mean time taken for insertion was 13.6 ± 3.9 seconds in the I-gel group, while it was 23.2 ± 7.9seconds in the LMA classic group and it was statistically significant (P <0.05). The number of insertion attempts between groups were statistically significant (P=0.027746). Leak pressure was 23.62 ± 4.9 cm H2O in the I-gel group compared to 18.2 ± 5.7 cm H2O in the LMA classic group (P<0.05). Incidence of gastric dilation was significantly more with LMA classic group 12(24%) compared to I-gel group 4(8%) (P=0.02926). Post device removal, presence of blood on the device and trauma to epiglottis and posterior pharyngeal wall was less in I-Gel group compared to LMA classic group. Conclusion: I-gel is better than Classic LMA with respect to ease of insertion, other insertion characteristics and trauma, especially in first time users.

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A comparison of the i-gel and classic LMA insertion in manikins by experienced and novice physicians

Abstract: In this manikin setting i-gel significantly improved success rates and insertion time compared with cLMA. Most importantly, i-gel use resulted in high first pass success rates for novice doctors, equal to those achieved by experienced doctors.

Cited by 23 publications

References 0 publications

A comparison of ProSeal laryngeal mask airway, I-gel and endotracheal tube insertion by novices in a simulated difficult airway scenario

A comparison of ProSeal laryngeal mask airway, I-gel and endotracheal tube insertion by novices in a simulated difficult airway scenario

Comparison of Insertion of the Modified i-gel Airway for Oral Surgery With the LMA Flexible: A Manikin Study

Comparison of Insertion Characteristics of I-Gel and Classic LMA by First Time Users

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