|
KMID : 1155520150100010046
|
|
Anesthesia and Pain Medicine
2015 Volume.10 No. 1 p.46 ~ p.51
|
|
|
A clinical evaluation of i-gelTM during general anesthesia in children
|
|
Kim Hyuk
Lee Seung-Yoon
Shin Ho-Jin
Lee Ji-Hyeon
Choi So-Ron
Chung Chan-Jong
|
|
|
Abstract
|
|
|
Background: The i-gelTM (i-gel) is a new single-use supraglottic airway device with a non-inflatable cuff. This study investigated the safety and efficacy of the i-gel during general anesthesia in children.
Methods: Ninety-eight children at ASA physical status I-II who underwent general anesthesia were included in this prospective observatory study. The size of the i-gel was selected based on patient’s body weight. We evaluated success rates, insertion time, airway leak pressure, fiberoptic examination, airway manipulation, airway quality, and postoperative complications.
Results: The first-attempt success rate was 96.9% with overall success rate of 98.0%. The insertion time was 15.6 ± 4.7 seconds. The airway leak pressure was 28.2 ± 5.9 cmH2O. The maximal peak inspiratory pressure was 15.4 ± 3.0 cmH2O. On fiberoptic examination, vocal cords were visible in 86.5% of patients. During maintenance of anesthesia, manipulations of i-gel were required for 32 (33.3%) children to maintain airway. Controlled ventilation was possible in all cases, although excess leak transiently occurred in three children. Postoperative complications including blood-staining on device, cough, and sore throat were infrequent.
Conclusions: The i-gel size at 1.5?2.5 provided a satisfactory airway and ventilation during anesthesia in children. However, i-gel required a number of manipulations to maintain patency of airway during general anesthesia.
|
|
|
KEYWORD
|
|
|
i-gel, Pediatric anesthesia, Supraglottic airway device,
|
|
|
FullTexts / Linksout information
|
|
|
|
|
|
Listed journal information
|
|
  
|
|