Challenge to pediatric anatomical variation : Can we draw the ideal line on the pediatric I-gel?

Abstract

Results suggested that it is possible to draw an ideal line on the I-gel with sizes 1.5 and 2 only.

Comparing I-Gel to Proseal Laryngeal Mask Airways in Infants: A Prospective Randomised Clinical Study

“…The results revealed that I-gel insertion length was related to patient height for paediatric sizes 1.5 and 2.0, but not for size 2.5. Considering our own results, which demonstrated the superiority of the ProSeal LMA over the I-gel in infants, we believe that it is necessary for further studies to investigate the use of the I-gel in infants under the same method used by Abukawa et al ( 1 ).…”

“…As the oropharyngeal-laryngeal arch is variable in children, it is recommended that the paediatric I-gel be inserted until resistance is felt. Abukawa et al ( 1 ) investigated the relationship between the insertion length of I-gel sizes 1.5, 2 and 2.5, along with the patients’ heights and weights. The size 1 I-gel was not assessed in the study, as the patient cohort did not require that size.…”

“…Various laryngeal mask airways (LMAs) and I-gel been compared in many studies. In the previous literature, studies involving infants (i.e., children aged less than 12 months) are very rare ( 1 – 10 ).…”