Comparison between head rotation and standard techniques for i-gel™ insertion: a randomized controlled trial.
Seohee Lee1,2, Karam Nam3, Sang Joon Park1
1Department of Anesthesiology and Pain Medicine, Seoul National University Hospital, Seoul National University College of Medicine, 101 Daehak-ro, Jongno-gu, Seoul, 03080, Republic of Korea.
BMC Anesthesiology
|July 10, 2024
Summary
Head rotation significantly improves first-attempt success for i-gel insertion, reducing insertion time. This technique proved effective even when standard methods failed, offering a valuable alternative for airway management.
Area of Science:
- Anesthesiology
- Airway Management
- Medical Devices
Background:
- Evaluating i-gel insertion techniques is crucial for patient safety.
- Gravity's effect on the tongue can impede device placement.
- Optimizing i-gel insertion reduces procedural complications.
Purpose of the Study:
- To assess the impact of head rotation on i-gel insertion success.
- To determine if head rotation enhances first-attempt success rates.
- To investigate head rotation as an alternative i-gel insertion method.
Main Methods:
- Randomized controlled trial in adult surgical patients.
- Comparison of standard technique versus head rotation technique.
- Primary endpoint: first-attempt i-gel insertion success rate.
Main Results:
- Head rotation significantly increased first-attempt success (75.0% vs. 57.7%, P=0.021).
- Insertion time was significantly shorter with head rotation (13.4s vs. 16.3s, P=0.030).
- Head rotation was effective in cases where the standard technique failed.
Conclusions:
- Head rotation is an effective technique for i-gel insertion.
- This method improves first-attempt success and reduces insertion time.
- Consider head rotation as a primary or alternative i-gel insertion strategy.
