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

Journal of Anesthesia volume 29, pages 295–298 (2015)Cite this article

Abstract

The I-gel is a supraglottic airway device which is commonly used in adult patients undergoing general anesthesia. In this study, we evaluated the speed of insertion, adequacy of ventilation, leak pressure, gastric tube insertion, and problems when using the I-gel in children. We included 70 patients aged between 1 and 16 years old with ASA physical status classification I or II, undergoing elective surgery requiring general anesthesia, for which use of a supraglottic airway would be appropriate. The overall insertion success rate was 96 % with a median insertion time of 25 (18–34) [7–100] s. Seventeen patients (24.3 %) experienced problems including the need for change of airway device, laryngospasm, device displacement, blood on device after removal, and postoperative sore throat. In conclusion, there was a moderate rate of problems when using the I-gel in children, and it was necessary to change the airway in a few patients to optimize ventilation.

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Conflict of interest

The authors have no competing interests or external funding to declare.

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Affiliations

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

    Tze Yeng Yeoh, Koo Boon Chan, Lynn S. H. Yeo & Terry L. T. Pan

  2. Department of Anaesthesia, Yong Loo Lin School of Medicine, National University of Singapore, Singapore, Singapore

    Eugene H. C. Liu

Authors
  1. Tze Yeng Yeoh
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  2. Koo Boon Chan
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  3. Lynn S. H. Yeo
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  4. Eugene H. C. Liu
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  5. Terry L. T. Pan
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Correspondence to Tze Yeng Yeoh.

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Yeoh, T.Y., Chan, K.B., Yeo, L.S.H. et al. An evaluation of the I-gel supraglottic airway in 70 pediatric patients. J Anesth 29, 295–298 (2015). https://doi.org/10.1007/s00540-014-1915-6

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  • DOI: https://doi.org/10.1007/s00540-014-1915-6

Keywords

  • I-gel supraglottic airway
  • Pediatrics
  • Elective surgery
  • Airway complications