The i‐gel™ airway for ventilation and rescue intubation

Abstract

2 Draft code of practice for the diagnosis and certification of death. http:// www.rcoa.ac.uk/index.asp?PageID= 65&NewsID=150 [accessed 4 November 2006].3 Bell MDD, Moss E, Murphy PG.

Supraglottic airways in difficult airway management: successes, failures, use and misuse

“…To determine whether any of Anaesthesia, 2011, 66 (Suppl. 2), pages [45][46][47][48][49][50][51][52][53][54][55][56] A. Timmermann AE Supraglottic airways in difficult airway management . ..................................................................................................................................................................................................................... Ó 2011 The Author Anaesthesia Ó 2011 The Association of Anaesthetists of Great Britain and Ireland the newer SADs (with design features that might be anticipated to offer performance benefits) offer genuine clinical advantages, properly powered RCTs in patients with difficult-to-manage airways are needed, both in hospital and in the pre-hospital setting.…”

“…Case reports have been published with the SLMA [75], Aura-i TM (Ambu) [51] and i-gel [49]. There is a report of successful fibreoptic guided intubation via the i-gel ................................................................................................................................................................................................................... Ó 2011 The Author Anaesthesia Ó 2011 The Association of Anaesthetists of Great Britain and Ireland in two patients in whom the technique failed via a cLMA [50]. Just recently, a few level 1b studies (RCTs) have been published comparing different SADs with the ILMA.…”

“…Also the ILMA, designed especially for the management of the difficult airway, has been described as being successfully used for ventilation in the anticipated [26][27][28][29][30][31][32] and unanticipated [33,34] difficult airway in 97-100% of cases. Case reports or series (level 4) of successful ventilation in patients with difficult airways have been described for many other SADs: the LMA PLMA [35][36][37][38][39][40][41], the SLMA [42][43][44], the i-gel [45][46][47][48][49][50], the Ambu-i TM [51], the Air-Q [52][53][54][55], the CobraPLA [56] and the CobraPLUS [57]. The Laryngeal Tube, designed for emergency ventilation, is also successfully described in difficult airway management in elective adult [58] and paediatric [59] patients in the operation room.…”

A comparison of fibreoptic‐guided tracheal intubation through the Ambu®Aura‐i™, the intubating laryngeal mask airway and the i‐gel™: a manikin study

“…The i-gel has been evaluated for ease of insertion by novices in both manikins and patients and compares favourably with other supraglottic airway devices [6,7]. There have been reports of the i-gel's being used as both an airway rescue device and a conduit for fibreoptic-guided tracheal intubation in predicted difficult airways [8][9][10].…”

Comparison of fibrescope guided intubation via the classic laryngeal mask airway and i‐gel in a manikin*

“…The i-gel has been evaluated for ease of insertion by novices in manikins and in patients and appears to compare favourably with other supraglottic airway devices [9,10]. The i-gel has been reported both as an airway rescue device and as a conduit for fibreoptic intubation in predicted difficult airways [11][12][13]. We wondered whether the i-gel's design features of a shorter wider stem compared with the LMA Classic, together with the absence of epiglottic bars, might facilitate fibreoptic intubation through this device, and whether it might therefore have an important role in the management of unanticipated difficult intubation.…”