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Anesth Pain Med > Volume 10(4); 2015 > Article
General Article
Anesthesia and Pain Medicine 2015;10(4):312-316.
DOI: https://doi.org/10.17085/apm.2015.10.4.312    Published online October 31, 2015.
Clinical performance comparison of I-gel insertion by anesthesiology residents versus novice clinicians
Kwang Ho Lee, Ji Young Lee, Ji Hyoung Park, Sangwoo Jung, Yeonggwan Jeon, John Junghun Shin, Hyun Kyo Lim
1Departments of Anesthesiology and Pain Medicine, Wonju, Korea. hyunkyolim@yonsei.ac.kr
2Orhtopedic Surgery, Yonsei University Wonju College of Medicine, Wonju, Korea.
Received: 10 August 2015   • Revised: 15 September 2015   • Accepted: 23 September 2015
Abstract
BACKGROUND
I-gel is a recently developed supraglottic airway device with many advantages. Like laryngeal mask airway (LMA), I-gel is an easier and quicker intubation alternative to endotracheal intubation in certain situations. In this study, we assessed the ease of I-gel insertion and compared the clinical performance of anesthetsiology residents (group R) experienced in endotracheal intubation versus that of interns (group I) with little intubation experience.
METHODS
This prospective and randomized study included 60 patients. The ease of insertion, number of I-gel insertion attempts, presence of air leakage, and postoperative complications such as bleeding, dental trauma, hoarseness, and sore throat were evaluated in each group.
RESULTS
Insertion was successful on the initial attempt in 29 of 30 cases in group R. In group I, 24 initial insertions were successful. The mean insertion times were 12.5 +/- 4.8 and 27.9 +/- 12.5 seconds for group R and group I, respectively (P < 0.001). No significant differences were observed between the two groups regarding postintubational air leakage. Regarding complications, two cases of bleeding, one case of dental trauma, and two cases of sore throat were recorded. No significant differences were observed between the two groups for any of the complications examined.
CONCLUSIONS
I-gel is a suitable alternative insertion device that enables rapid and easy intubation by physicians who are experienced with endotracheal intubation. Moreover, this device also enables efficient and safe insertion during emergent situations for novice clinicians, even those who have little experience in intubation.
Key Words: Airway management, I-gel
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