Performance of the i-gel™ during pre-hospital cardiopulmonary resuscitation

Häske, David; Schempf, Benjamin; Gaier, Gernot; Niederberger, Christoph

doi:10.1016/j.resuscitation.2013.04.025

Cited by 43 publications

(46 citation statements)

References 11 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…The i-gel is widely used for airway management in emergency situations, especially outside hospital [1][2][3][4]. It is important to insert the i-gel at the first attempt to secure the airway and provide adequate oxygenation.…”

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

A prospective randomised comparison of two insertion methods for i-gel^™placement in anaesthetised paralysed patients: standard vs rotational technique

et al. 2014

View full text Add to dashboard Cite

SummaryIn this prospective randomised study, we compared two techniques for i-gel TM insertion. One hundred and eighty-one anaesthetised, paralysed adult patients were randomly allocated into one of two groups. In the standard group (n = 91), the i-gel was inserted using the standard technique. In the rotation group (n = 90), the i-gel was rotated 90°a nticlockwise in the mouth and re-rotated in the hypopharynx to the original alignment. The success rate, insertion time, air leak pressure and complications were assessed. The success rate for insertion at the first attempt was lower for the standard technique, 78 (86%) vs 87 (97%; p = 0.016). The mean (SD) insertion time was longer (26.9 (14.5) s vs 22.4 (10.2) s; p = 0.016) and air leak pressure was lower (22.5 (10.4) cmH 2 O vs 27.1 (9.4) cmH 2 O; p = 0.002) in the standard group. The incidence of bloodstaining was higher with the standard technique (8 (9%) vs 1 (1%); p = 0.034). This study suggests that the rotational technique is superior to the standard technique for i-gel insertion.

show abstract

Section: Discussionmentioning

confidence: 99%

“…This device has been used for routine elective anaesthesia and has also been shown to be effective in pre-hospital emergency airway management [1][2][3][4]. The i-gel can also be used as a conduit for fibreoptic bronchoscopy-guided tracheal intubation in patients with difficult airways [5][6][7].…”

Section: Introductionmentioning

confidence: 99%

A prospective randomised comparison of two insertion methods for i-gel^™placement in anaesthetised paralysed patients: standard vs rotational technique

et al. 2014

View full text Add to dashboard Cite

show abstract

“…15 Studies have shown that becoming an expert on this requires 50-100 tracheal intubation performance. 16 Therefore SADs have been preferred recently. [17][18][19] Besides, SAD training has become mandatory in England for paramedic registration.…”

Section: Discussionmentioning

confidence: 99%

Comparison of Classical Laryngeal Mask, I Gel and Tracheal Intubation for Limited Experienced UsersDuring Uninterrupted Chest Compressions

Saraçoğlu¹,

Topçu²,

Etı³

2016

Turkiye Klinikleri J Anest Reanim

View full text Add to dashboard Cite

A AB BS S TTR RA AC CT T O Ob bj je ec ct ti iv ve e: : Airway management is more difficult and time-consuming in emergencies as compared to elective procedures. The optimal method for airway management during cardiac arrest is unknown. We aimed to determine the most appropriate airway device in cardiopulmonary resuscitation for the medical staff with limited experience in airway management. M Ma at te er ri ia al l a an nd d M Me et th ho od ds s: : The 5th year medical students with limited prior experience, were invited to participate in this study. Students used three airway devices (classical laryngeal mask, I-gel or endotracheal tube) first on a normal manikin then repeated the same procedures on a cardiopulmonary resuscitation manikin during chest compressions. The duration of successful attempts, success rate, number of attempts, tidal volumes and airway pressures were recorded. R Re es su ul lt ts s: : Time required for providing airway was significantly longer with endotracheal tube compared to classical laryngeal mask and I-gel during cardiopulmonary resuscitation with or without chest compressions (p<0.001 and p<0.001). Tidal volume values following the classical laryngeal mask insertion were significantly lower than the values recorded after endotracheal tube and I-gel insertion (p<0.001 and p<0.001). The airway pressure values on the anesthesia device were significantly higher after endotracheal tube insertion (p<0.001). I-gel had significantly higher success rate in providing airway on first attempt compared to classical laryngeal mask (86.9% versus 69.5%) (p=0.021). During chest compressions, the success rate in securing airway on the first attempt was the highest for I-gel (94.2%) (p=0.0034). C Co on nc cl lu us si io on n: : Because novice users are not skilled personnel in advanced airway management the use of supraglottic airway devices may be an alternative for laryngoscopy and intubation during cardiopulmonary resuscitation. K Ke ey y W Wo or rd ds s: : Intubation, intratracheal; cardiopulmonary resuscitation; airway management Ö ÖZ ZE ET T A Am ma aç ç: : Havayolu yönetimi elektif işlemlerle karşılaştırıldığında acil durumlarda daha zor ve zaman alıcıdır. Kardiyak arrest sırasında havayolu yönetimi için optimal yöntem bilinmemektedir. Havayolu yönetimi konusunda kısıtlı deneyimi olan tıbbi personel için kardiyopulmoner resusitasyonda en uygun havayolu aygıtını belirlemeyi amaçladık. G Ge er re eç ç v ve e Y Yö ön nt te em ml le er r: : Kısıtlı deneyimi bulunan 5. sınıf tıp fakültesi öğrencileri bu çalışmaya davet edildi. Öğrenciler üç havayolu aygıtını (klasik laringeal maske, I-gel ya da endotrakeal tüp) önce normal bir mankende ardından bir kardiyopulmoner resusitasyon mankeninde göğüs kompresyonları sırasında kullandılar. Başarılı girişim süresi, başarı oranı, girişim sayısı, tidal volümler ve havayolu basınçları kaydedildi. B Bu ul lg gu ul la ar r: : Kardiyopulmoner resusitasyon sırasında göğüs kompresyonları varlığında ya da yokluğunda endotrakeal tüple havayolu sağlamak için gereken...

show abstract

“…Some reports suggest that SGDs require less professional skill and are suited to novice and occasional operators [3,5]. While the advantage of SGDs is their ease of use by novice operators [6], rapid and definite insertion of SGDs for sufficient quality ventilation can be difficult for novice doctors. Many reports have described effective i-gel insertion methods [19,20], but no consensus method currently exists.…”

Section: Discussionmentioning

confidence: 99%

“…The i-gel ® (i-gel; Intersurgical, Wokingham, United Kingdom) is a single-use SGD that has a non-inflatable, soft, gel-like cuff composed of a styrene ethylene butadiene styrene, which fits to the laryngeal structure [6]. Previous studies have shown that the i-gel has good airway sealing pressure and can be used not only for mechanical ventilation under general anesthesia, but also emergency airway management during resuscitation [7][8][9].…”

Section: Introductionmentioning

confidence: 99%

Laryngoscopy facilitates successful i-gel insertion by novice doctors: a prospective randomized controlled trial

et al. 2015

View full text Add to dashboard Cite

show abstract

Performance of the i-gel™ during pre-hospital cardiopulmonary resuscitation

Cited by 43 publications

References 11 publications

A prospective randomised comparison of two insertion methods for i-gel^™placement in anaesthetised paralysed patients: standard vs rotational technique

A prospective randomised comparison of two insertion methods for i-gel^™placement in anaesthetised paralysed patients: standard vs rotational technique

Comparison of Classical Laryngeal Mask, I Gel and Tracheal Intubation for Limited Experienced UsersDuring Uninterrupted Chest Compressions

Laryngoscopy facilitates successful i-gel insertion by novice doctors: a prospective randomized controlled trial

Contact Info

Product

Resources

About

Performance of the i-gel™ during pre-hospital cardiopulmonary resuscitation

Cited by 43 publications

References 11 publications

A prospective randomised comparison of two insertion methods for i-gel™placement in anaesthetised paralysed patients: standard vs rotational technique

A prospective randomised comparison of two insertion methods for i-gel™placement in anaesthetised paralysed patients: standard vs rotational technique

Comparison of Classical Laryngeal Mask, I Gel and Tracheal Intubation for Limited Experienced UsersDuring Uninterrupted Chest Compressions

Laryngoscopy facilitates successful i-gel insertion by novice doctors: a prospective randomized controlled trial

Contact Info

Product

Resources

About

A prospective randomised comparison of two insertion methods for i-gel^™placement in anaesthetised paralysed patients: standard vs rotational technique

A prospective randomised comparison of two insertion methods for i-gel^™placement in anaesthetised paralysed patients: standard vs rotational technique