The I-gel^®, a single-use supraglottic airway device with a non-inflatable cuff and an esophageal vent: an observational study in children

Authors: BEYLACQ, L.; BORDES, M.; SEMJEN, F.; CROS, A.-M.

Source: Acta Anaesthesiologica Scandinavica, Volume 53, Number 3, March 2009 , pp. 376-379(4)

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Abstract:

Background:

The I-gel^® is a new single-use supraglottic airway device with a non-inflatable cuff. It is composed of a thermoplastic elastomer and a soft gel-like cuff that adapts to the hypopharyngeal anatomy. Like the LMA-ProSeal, it has an airway tube and a gastric drain tube. Little is known about its efficiency in pediatric anesthesia. Methods:

Fifty children above 30 kg, ASA I-II, undergoing a short-duration surgery were included in this prospective, observational study. We evaluated ease in inserting the I-gel^®, seal pressure, gastric leak, complications during insertion and removal, ease in inserting the gastric tube and ventilatory parameters during positive pressure ventilation. Results:

All devices were inserted at the first attempt. The mean seal pressure was 25 cmH₂O. There was no gastric inflation and gastric tube insertion was achieved in all cases. The results appear similar to those in a previous study concerning laryngeal mask airway in terms of leak pressure and complication rates. Conclusion:

Because the I-gel^® has a very good insertion success rate and very few complications, it seems to be an efficient and safe device for pediatric airway management.

Document Type: Research article

DOI: http://dx.doi.org/10.1111/j.1399-6576.2008.01869.x

Affiliations: 1: Department of Paediatric Anaesthesia, Hôpital des Enfants, CHU de Bordeaux, Bordeaux, Cedex, France

Publication date: 2009-03-01