Comparison of the i-gel and other supraglottic airways in adult manikin studies

An, Jiwon; Nam, Seok Woo; Lee, Jong Seok; Lee, Jinae; Yoo, Hana; Lee, Hye Mi; Kim, M. S.

doi:10.1097/md.0000000000005801

Cited by 20 publications

(11 citation statements)

References 35 publications

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“…17 In the present study, most of the patients in LMA group (60%) had MPC grade II for air way maintenance, however, in i-gel group majority of patients (60%) had MPC grade I for airway maintenance (p=0.60). An et al 18 and Kapoor et al 19 reported findings contrasting to our study. They reported majority of patients with MPC I for airway maintenance in i-gel group as compared to LMA group.…”

Section: Discussioncontrasting

confidence: 99%

Comparison of Efficacy of Laryngeal Mask Airway and Intersurgical-Gel Supraglottic Airway Device During General Anesthesia in a Tertiary Care Hospital

Butt¹,

Nisa²,

Mustafa³

et al. 2019

JIMDC

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Background: Upper airways collapse during anesthesia is a common issue faced by anesthetists. Air way maintenance is an essential component of general anesthesia. Laryngeal mask airway and Intersurgical-gel (i-gel) air way devices are new advances in general anesthesia. Present study aims to compare the ease of insertion and hemodynamic response of i-gel supraglottic and laryngeal mask airway (LMA). Material and Methods: A Randomized Clinical trial was conducted at the Department of Anesthesia, Shaikh Zayed Hospital, Lahore. Study duration was 6 months (June 2014- December 2014). A total of 60 patients were selected through non-probability consecutive sampling. Ethical approval was taken from ethical review board of Sheikh Zayed Hospital and informed written consents were taken from all the participants. Patients were randomly divided into two groups using lottery method. Group A was given laryngeal mask airway device while group B patients were provided with i-gel supraglottic device during anesthesia. Patients were compared for ease of insertion and hemodynamic parameters. Data was analyzed using SPSS version 24. Chi-square and t-test were applied and p-value ≤0.05 was considered statistically significant. Results: A total of 60 patients were included in study. Mean age of patients was 35.2±11.7 years in LMA group and 36.7±13 years in i-gel group. Group B had lower number of insertion attempts (p=0.01) and high insertion satisfaction (p=0.4) as compared to group A. However, process failure and bleeding rate was found to be slightly higher in group B (16% and 13% respectively) as compared to group A (p>0.05). Conclusion: i-gel supraglottic device is a successful alternative option in terms of ease of insertion and less hemodynamic response as compared to laryngeal mask airway during general anesthesia. Key words: , ,

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Section: Discussioncontrasting

confidence: 99%

Comparison of Efficacy of Laryngeal Mask Airway and Intersurgical-Gel Supraglottic Airway Device During General Anesthesia in a Tertiary Care Hospital

Butt¹,

Nisa²,

Mustafa³

et al. 2019

JIMDC

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“…The incidence of failure, unrecognized esophageal intubation, and dislodgement of endotracheal tube are also high. [ 1 22 23 ] A number of studies have been conducted in manikins[ 24 25 26 ] as well as in patients[ 6 7 27 ] using various available SADs. Most authors reported better results with I-gel than with other SADs[ 6 7 8 24 27 ] except LMA supreme.…”

Section: Discussionmentioning

confidence: 99%

Evaluation of I-Gel™ versus classic LMA™ for airway management by paramedics and medical students: A manikin study

et al. 2020

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Background and Aim: Airway management is a lifesaving skill which all health-care workers should possess. Currently, most of the resuscitation councils recommend supraglottic airway devices as the technique of choice for airway management during cardiopulmonary resuscitation by health-care providers without expertise in tracheal intubation. This is because of its high first-pass success rate and easy to acquire and retain skill even by novices. Materials and Methods: The present study was planned to compare the efficacy of two commonly available supraglottic airway devices, classic LMA (cLMA) and I-gel in securing airway in adult manikin by inexperienced persons (58 paramedics and 46 medical students), after a brief training. Our primary aim was to determine the first attempt success rate, and other parameters studied were the time and ease of insertion, overall success rate, and preference for device. Results: The first-attempt success rate of I-gel was higher in both groups of participants (74% in students and 69% in paramedicals) compared to that of cLMA (70% in l students and 53% in paramedics) although the overall success was the same. Majority of participants could secure airway quickly and easily by I-gel than by cLMA. More than 90% of participants preferred I-gel over cLMA. Conclusion: This study shows that inexperienced persons could learn to place the I-Gel and cLMA successfully in the manikin after a brief training in manikin. The first-attempt success rate and insertion of I-gel was easier and faster than that of cLMA by both groups of participants and most participants preferred I-gel due to ease of handling.

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“…The success rate under physiologic conditions with ET was comparable to other studies [ 4 , 16 ]. With the SADs, success rates tend to differ largely, depending on the model and the setup [ 2 , 19 ]. AirQ, AuraG, and LT were inserted the fastest in physiologic conditions and CS, most likely because these are easiest to handle.…”

Section: Discussionmentioning

confidence: 99%

Performance and skill retention of five supraglottic airway devices for the pediatric difficult airway in a manikin

et al. 2018

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Supraglottic airway devices (SADs) have been introduced to assist medical professionals in emergency situations with limited experience in securing airways via conventional endotracheal intubation (ETI). Literature on the use of SADs for securing an airway during pediatric critical settings is scarce, and there is a lack of studies comparing different SADs to each other and to conventional ETI. We conducted a study comparing five different SADs to ETI with regard to success rate, time to first ventilation, and personal rating in a pediatric manikin under simulated physiologic and pathologic airway conditions in 41 pediatricians of varying clinical experience and training. Only the AirQ, AuraG, and laryngeal tube (LT) were inserted within 30 s correctly by all participants under physiologic conditions. In tongue edema (TE), AirQ and LT had the highest success rate. In limited mobility of the cervical spine (CS), AirQ, AuraG, and LT again all were inserted within 30 s. In a multivariate analysis, factors influencing the success were experience with the respective device and level of medical education. Under TE conditions, there were significantly longer insertion times for the ETI, laryngeal mask airway (LMA), and EzT. Under CS conditions, there were significantly longer insertion times for the ETI, LMA, LT, and EzT. A multivariate analysis showed experience with the respective device to be the only factor of influence on time to first ventilation.Conclusion: LT, AuraG, and AirQ were superior in providing fast and effective ventilation during simulated difficult airway situations in pediatricians. What is Known: • Supraglottic airway devices have been introduced for medical professionals who lack experience for managing difficult airway situations.• A variety of these devices have been developed so far, but not compared to each other yet. What is New: • We compared five different supraglottic airway devices with regard to success rate, time to first ventilation, and personal rating in a pediatric manikin under simulated physiologic and pathologic airway conditions.• Laryngeal tube, AuraG, and AirQ were superior in providing fast and effective ventilation during simulated difficult airway situations in pediatricians with varying clinical experience.

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Comparison of the i-gel and other supraglottic airways in adult manikin studies

Cited by 20 publications

References 35 publications

Comparison of Efficacy of Laryngeal Mask Airway and Intersurgical-Gel Supraglottic Airway Device During General Anesthesia in a Tertiary Care Hospital

Comparison of Efficacy of Laryngeal Mask Airway and Intersurgical-Gel Supraglottic Airway Device During General Anesthesia in a Tertiary Care Hospital

Evaluation of I-Gel™ versus classic LMA™ for airway management by paramedics and medical students: A manikin study

Performance and skill retention of five supraglottic airway devices for the pediatric difficult airway in a manikin

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