Can i-gel Replace Endotracheal Tube during Elective Cesarean Section?

Amin, Sabry Mohamed; Fathy, Sameth

doi:10.4172/2155-6148.1000605

Cited by 7 publications

(7 citation statements)

References 24 publications

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“…The use of SGA in emergency situations such as rescue airway device is easily justifiable as the risks of aspiration outweigh the potential of hypoxaemia and death. However, since 2001, the use of SGA as primary airway device during GA for CD has been demonstrated in several studies and been reviewed on several occasions [8][9][10][11][12][13][14][15][16][17]19,43 && ,44,45 && ,46]. To date, there are at least twelve peer reviewed studies describing the use of SGA as primary airway device (Table 1) [8][9][10][11][12][13][14][15][16][17][18][19].…”

Section: Supraglottic Airway Devices As Primary Devices In Obstetric ...mentioning

confidence: 99%

“…However, since 2001, the use of SGA as primary airway device during GA for CD has been demonstrated in several studies and been reviewed on several occasions [8][9][10][11][12][13][14][15][16][17]19,43 && ,44,45 && ,46]. To date, there are at least twelve peer reviewed studies describing the use of SGA as primary airway device (Table 1) [8][9][10][11][12][13][14][15][16][17][18][19]. Eight articles describe the use of SGA as a primary airway device during elective CDs under GA [8,9,[11][12][13][14]18,19], three studies report the use of SGA in elective and emergency caesarean deliveries [10,16,17] and one study in emergency cases only [15].…”

Section: Supraglottic Airway Devices As Primary Devices In Obstetric ...mentioning

confidence: 99%

“…To date, there are at least twelve peer reviewed studies describing the use of SGA as primary airway device (Table 1) [8][9][10][11][12][13][14][15][16][17][18][19]. Eight articles describe the use of SGA as a primary airway device during elective CDs under GA [8,9,[11][12][13][14]18,19], three studies report the use of SGA in elective and emergency caesarean deliveries [10,16,17] and one study in emergency cases only [15]. Cricoid force was applied in all but one study during induction of GA, but its use during the maintenance phase of anaesthesia was variable, with some releasing it after insertion of the SGA or if ventilation was compromised and others releasing after the delivery of the baby.…”

Section: Supraglottic Airway Devices As Primary Devices In Obstetric ...mentioning

confidence: 99%

“…In obstetric practice, SGA are confined to use as a rescue airway device when failed intubation occurs [1,7 & ]. More recently, SGAs have been used as the primary airway device for elective and emergency caesarean delivery (CDs) in carefully selected patient cohorts [8][9][10][11][12][13][14][15][16][17][18][19]. This review aims to discuss the place of SGAs in obstetric anaesthetic practice and review the available literature.…”

Section: Introductionmentioning

confidence: 99%

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The role of supraglottic airway devices in obstetric anaesthesia

Metodiev

Mushambi

2023

Current Opinion in Anaesthesiology

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Purpose of reviewTo discuss the role of supraglottic airway devices as rescue and primary airway devices in pregnant patients.Recent findingsGeneral anaesthesia in pregnant patients is associated with increased incidence of difficult and failed intubation, especially when performed for caesarean deliveries. The Difficult Airway Society and the Obstetric Anaesthetists’ Association guidelines for the management of failed intubation recommend the use of second-generation supraglottic airway devices as a rescue airway strategy when failed intubation occurs. This practice is now widely accepted and embedded in routine teaching and clinical practice. On the other hand, there is little but growing evidence describing the use of supraglottic airway devices as the primary airway device and an alternative to endotracheal intubation for patients undergoing elective and emergency caesarean deliveries under general anaesthesia. Most of the published research supporting this practice was done on carefully selected patients who were nonobese and who did not have gastroesophageal reflux or anticipated difficult airway. Despite demonstrating high insertion success rates and low complication rates, these studies were underpowered and have thus far, failed to provide robust data on the true risk of aspiration in this setting.SummaryBased on current scientific data, the evidence for the safe use of supraglottic airway devices as primary airway devices during general anaesthesia for caesarean deliveries is not compelling. However, their use as rescue airway devices remains a well established strategy supported by international guidelines.

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Section: Supraglottic Airway Devices As Primary Devices In Obstetric ...mentioning

confidence: 99%

Section: Supraglottic Airway Devices As Primary Devices In Obstetric ...mentioning

confidence: 99%

Section: Supraglottic Airway Devices As Primary Devices In Obstetric ...mentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

The role of supraglottic airway devices in obstetric anaesthesia

Metodiev

Mushambi

2023

Current Opinion in Anaesthesiology

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“…Since the 1990s, there has been a gradual increase in the use of SAD as a means to continue anesthesia for CD when failed intubation occurs. 7 Since 2001, the use of the SAD as the primary airway device for GA for CD has been demonstrated in several studies [103][104][105][106][107][108][109][110][111][112][113] and evaluated in a recent editorial. 114 Although most of the studies excluded obese and nonfasted patients, to some surprise, a few included nonfasted patients undergoing emergency CD.…”

Section: Futurementioning

confidence: 99%