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An evaluation of the I-gel supraglottic airway in 70 pediatric patients

Tze Yeng Yeoh1, Koo Boon Chan, Lynn S H Yeo

  • 1Department of Anaesthesia, National University Hospital, National University Health System, 5 Lower Kent Ridge Road, Main Building 1, Level 3, Singapore, 119074, Singapore, zinko_0625@yahoo.com.

Journal of Anesthesia
|September 21, 2014
PubMed

Insights

The I-gel supraglottic airway device showed a 96% insertion success rate in children. However, 24.3% experienced issues, necessitating airway changes in some cases for optimal ventilation.

Area of Science:

  • Anesthesiology
  • Pediatric Critical Care

Background:

  • The i-gel is a supraglottic airway device frequently used in adult general anesthesia.
  • Its application and safety in pediatric patients require thorough evaluation.

Purpose of the Study:

  • To assess the efficacy and safety of the i-gel supraglottic airway in pediatric patients.
  • Key parameters evaluated include insertion time, ventilation adequacy, and complication rates.

Main Methods:

  • A study involving 70 pediatric patients (1-16 years old, ASA I/II) undergoing elective surgery.
  • Evaluation of i-gel insertion speed, ventilation, leak pressure, gastric tube compatibility, and associated problems.

Main Results:

  • Successful insertion rate of 96% with a median insertion time of 25 seconds.
  • Complications occurred in 24.3% of patients, including device displacement and sore throat.
  • Airway device changes were required in some cases to ensure adequate ventilation.

Conclusions:

  • The i-gel demonstrates a high insertion success rate in children.
  • A moderate incidence of complications necessitates careful monitoring and potential device replacement for optimal pediatric airway management.

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