Fibreoptic assessment of laryngeal positioning of the paediatric supraglottic airway device I-Gel

Foucher-Lezla, Anne; Lehousse, T.; Monrigal, Jean P.; Granry, J.C.; Beydon, L.

doi:10.1097/eja.0b013e32835f9969

Cited by 12 publications

(8 citation statements)

References 7 publications

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“…Foucher-Lezla et al [29] reported a good fibreoptic view in 86% of patients; in their study, ventilation through the i-gel was always possible even when the view was poor. In most of the other observational studies, a good fibreoptic view was obtained in between 79% and 97% of patients.…”

Section: Fibreoptic View Of Larynx Through I-gelmentioning

confidence: 99%

“…Beringer et al [32] Unclear* Low Low Low Hughes et al [19] Unclear* Low Low Low Abukawa et al [23] Unclear* Low Low Low Gil et al [31] Unclear* Low Low Low Rylov et al [20] Low Low Low Low Foucher-Lezla et al [29] Low Low Low Low Franksen et al [30] Low Low Low Low Beylacq et al [21] Low Low Low Low * Decision to use i-gel or conventional supraglottic device left to discretion of senior anaesthetist so selection bias is possible. Das et al [7,8] the authors compared the i-gel with two other airway devices and the results have been separated for ease of comparison.…”

Section: Study Selection Bias Information Bias Measurement Errors Conmentioning

confidence: 99%

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

Smith

Bailey

2014

Anaesthesia

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SummaryWe performed a review of published literature comparing the i‐gel™ with other supraglottic airway devices in children. Sixty‐two articles were identified following a literature search; we included data from 14 randomised controlled trials and eight observational studies that compared i‐gel sizes 1–2.5 with other commonly used, equivalently‐sized, devices. The primary outcome in most studies was oropharyngeal leak pressure. In the 14 randomised trials the i‐gel performed the same as the comparator device in five trials, significantly better in eight studies (p < 0.05) and significantly worse in one (p < 0.01). Seven studies assessed fibreoptic views of the larynx through the device; two found significantly better views through the i‐gel. Three studies reported a shorter insertion time for the i‐gel, whereas two reported a longer time. Insertion success rate, gastric tube placement and complications were similar for all the devices. Seven of the eight observational studies measured average oropharyngeal leak pressures of 20–27 cmH2O and all had first‐time insertion success rates exceeding 90%. We conclude that the i‐gel is at least equivalent to other supraglottic airway devices currently available for use in children, and may enable a higher oropharyngeal leak pressure and an improved fibreoptic view of the glottis.

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Section: Fibreoptic View Of Larynx Through I-gelmentioning

confidence: 99%

Section: Study Selection Bias Information Bias Measurement Errors Conmentioning

confidence: 99%

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

Smith

Bailey

2014

Anaesthesia

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“…This stabilizer reduces the likelihood of bad positioning, while allowing for rapid, easy, safe, and reliable application [ 9 ]. The incorporated gastric channel also facilitates gastric tube insertion, which allows for venting of gastric contents [ 10 ]. The SLIPA is a noncuffed, single-use SAD that is made of soft plastic (ethylenevinylacetate copolymer) and has a hollow chamber to capture regurgitated liquids, which potentially reduces the risk of aspiration [ 11 ].…”

Section: Introductionmentioning

confidence: 99%

Comparison of the Disposable Streamlined Liner of the Pharynx Airway and the Disposable I-gel in Anaesthetized, Paralyzed Adults: A Randomized Prospective Study

El-Radaideh

Anesthesiology

Hani

2015

Anesthesiology Research and Practice

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Introduction. This study compared streamlined liner of the pharynx airway (SLIPA) and I-gel noninflatable, single-use, supraglottic airway device (SAD) performance in anesthetized, paralyzed adults. Methods. Eighty adults (ASA physical statuses I–III) who were undergoing elective procedures under general anesthesia with an SAD were enrolled in this prospective, randomized, single-blind study. Subjects were randomly and evenly assigned to the SLIPA or I-gel group for intraoperative airway management. Ease and number of insertions, insertion time, oropharyngeal sealing pressure, hemodynamic response, oxygen saturation (SpO2), end-tidal CO2 (EtCO2), and peri- and postoperative complications were examined. Results. The SLIPA and I-gel devices were successfully inserted in 100% and 95% of subjects, respectively. In two I-gel subjects (5%), ventilation was not possible after two attempts, but a size 55 SLIPA was successfully inserted in both cases. Forty-two and 38 patients were ultimately included in the SLIPA and I-gel groups, respectively. Insertion time was significantly shorter with the SLIPA (11.19 ± 3.03 s) than with the I-gel (15.05 ± 6.37 s, P = 0.003). Oropharyngeal sealing pressure was significantly higher in SLIPA (28.76 ± 3.11 cmH2O) than in I-gel (25.9 ± 3.65 cmH2O) subjects (P = 0.001). Blood staining occurred more frequently in SLIPA (n = 8, 19.0%) than in I-gel (n = 5, 13.2%) patients (P < 0.01). Heart rate, mean arterial blood pressure, SpO2, and EtCO2 were not significantly different between groups. Conclusion. Although blood staining incidence was higher, SLIPA insertion was easier and faster than I-gel insertion. The SLIPA provided better airway sealing pressure. Both devices had similar mechanical ventilation and oxygenation characteristics and comparable hemodynamic stability. Both noninflatable SADs are useful, but SLIPA rapid insertion and good airway sealing make it an effective alternative to the I-gel.

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“…23 Overall, the i-gel has been shown to be an effective SGA for a variety of children including infants. 24,25 Laryngeal Tube…”

Section: I-gelmentioning

confidence: 99%

The Role of Supraglottic Airways in Pediatric Emergency Medicine

Huang

Jagannathan

2015

Clinical Pediatric Emergency Medicine

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Fibreoptic assessment of laryngeal positioning of the paediatric supraglottic airway device I-Gel

Cited by 12 publications

References 7 publications

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

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

Comparison of the Disposable Streamlined Liner of the Pharynx Airway and the Disposable I-gel in Anaesthetized, Paralyzed Adults: A Randomized Prospective Study

The Role of Supraglottic Airways in Pediatric Emergency Medicine

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Fibreoptic assessment of laryngeal positioning of the paediatric supraglottic airway device I-Gel

Cited by 12 publications

References 7 publications

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

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

Comparison of the Disposable Streamlined Liner of the Pharynx Airway and the Disposable I-gel in Anaesthetized, Paralyzed Adults: A Randomized Prospective Study

The Role of Supraglottic Airways in Pediatric Emergency Medicine

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Product

Resources

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

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