A randomized comparison of the i-gel and the ProSeal laryngeal mask airway in pediatric patients: performance and fiberoptic findings

Abstract

Both the pediatric i-gel and the PLMA were successfully inserted in children. The fiberoptic view was better with the i-gel than with the PLMA.

A performance comparison of the paediatric i‐gel™ with other supraglottic airway devices

“…The mean oropharyngeal leak pressure with the i-gel was between 21 and 28 cmH 2 O. Gasteiger et al [12] and Fukuhara et al [13] found no significant differences between the devices. The largest trial in this group was by Tokgoz et al [14] and included i-gel sizes 1-2.5.…”

“…Lee et al [16] found a better fibreoptic view through the i-gel compared with the LMA Classic. The fibreoptic view seems to improve with increasing size of the patient [13] and probably reflects the change in laryngeal anatomy as a child grows.…”

“…In the studies by Goyal et al [6] and [10] Unclear Unclear High* Unclear Kus et al [11] Unclear Unclear High* Unclear Gasteiger et al [12] Low Unclear High* Low † Goyal et al [6] Low Unclear High* Unclear Fukuhara et al [13] Low Unclear High* Unclear Das et al [7] Low Unclear High* Unclear Das et al [8] Low Unclear High* Unclear Lee et al [22] Unclear Unclear High* Unclear Theiler et al [18] Low Low High* Low † Tokgoz et al [14] Low Unclear High* Unclear Lee et al [16] Unclear Unclear High* Unclear Kim et al [17] Low Low High* Unclear Mitra et al [15] Low Unclear High* Unclear *Not possible to blind researchers to airway device used. †Intention to treat analysis stated.…”

“…For the purposes of our review we defined a 'good' view as one revealing a full or partial view of the vocal cords. Fukuhara et al [13] demonstrated that the fibreoptic view through the i-gel was significantly better than that through the LMA ProSeal for sizes 2, 2.5 and 3, although not for size 1.5. Lee et al [16] found a better fibreoptic view through the i-gel compared with the LMA Classic.…”

A clinical evaluation of i-gelTMduring general anesthesia in children

“…또한 합병증 발생률(10% 이내)은 다른 SAD와 유사하거나 낮다고 평가되었다 [4]. 그러나 소아 환자에서 i-gel에 대한 기도 관리 연구는 제한적이다 [8][9][10]. Table 1에 표시하였다.…”