Presented in part at the Association of Paediatric Anaesthetists of Great Britain and Ireland Annual Scientific Meeting, Torquay, 2011.
A cohort evaluation of the paediatric i-gel™ airway during anaesthesia in 120 children*
Version of Record online: 1 SEP 2011
© 2011 The Authors. Anaesthesia © 2011 The Association of Anaesthetists of Great Britain and Ireland
Volume 66, Issue 12, pages 1121–1126, December 2011
How to Cite
Beringer, R. M., Kelly, F., Cook, T. M., Nolan, J., Hardy, R., Simpson, T. and White, M. C. (2011), A cohort evaluation of the paediatric i-gel™ airway during anaesthesia in 120 children. Anaesthesia, 66: 1121–1126. doi: 10.1111/j.1365-2044.2011.06884.x
- Issue online: 9 NOV 2011
- Version of Record online: 1 SEP 2011
- Accepted: 27 July 2011
We studied the i-gel™ in 120 anaesthetised children (92 boys, 28 girls; median (IQR [range]) age (3 -7 [0.4 -13]) years and weight 19 (15–26 [7–35]) kg) to assess efficacy and usability. Insertion was successful on the first/second/third attempt in 110/8/1 children and failed in one child. Median (IQR [range]) insertion time was 14 (9–16 [6–200]) s. Manual ventilation was possible in all cases, although excess leak precluded a tidal volume above 7 ml.kg−1 in three children. Fibreoptic inspection through the i-gel revealed a clear view of the vocal cords in 40 out of 46 cases (87%). Median (IQR [range]) leak pressure was 20 (16–26 [8–30]) cmH2O. During maintenance of anaesthesia, 16 manipulations were required in 11 children to improve the airway. One child regurgitated without aspirating. Other complications and side effects were infrequent. The i-gel was inserted without complications, establishing a clear airway and enabling spontaneous and controlled ventilation, in 113 (94%) children.
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