Prague Med. Rep. 2016, 117, 164-175

https://doi.org/10.14712/23362936.2016.17

The i-gel Supraglottic Airway as a Conduit for Fibreoptic Tracheal Intubation – A Randomized Comparison with the Single-use Intubating Laryngeal Mask Airway and CTrach Laryngeal Mask in Patients with Predicted Difficult Laryngoscopy

Pavel Michálek1,2, Will Donaldson1, Francis McAleavey1, Alexander Abraham1, Rachel J. Mathers3, Claire Telford4

1Department of Anaesthetics, Antrim Area Hospital, Northern HSC Trust, Antrim, United Kingdom
2Department of Anesthesiology and Intensive Care, First Faculty of Medicine, Charles University and General University Hospital in Prague, Prague, Czech Republic
3Department of Anaesthesia, Daisy Hill Hospital, Southern HSC Trust, Newry, United Kingdom
4AstraZeneca, Washington D.C., USA

Received August 23, 2016
Accepted November 14, 2016

References

1. Campbell, J., Michalek, P., Deighan, M. (2009) I-gel supraglottic airway for rescue airway management and as a conduit for tracheal intubation in a patient with acute respiratory failure. Resuscitation 80, 963. <https://doi.org/10.1016/j.resuscitation.2009.04.037>
2. Cormack, R. S., Lehane, J. (1984) Difficult tracheal intubation in obstetrics. Anaesthesia 39, 1105–1111. <https://doi.org/10.1111/j.1365-2044.1984.tb08932.x>
3. Corso, R. M., Piraccini, E., Agnoletti, V., Gambale, G. (2010) Use of an i-gel in a “can’t intubate/can’t ventilate” situation. Anaesth. Intensive Care 38, 212.
4. de Lloyd, L., Hodzovic, I., Voisey, S., Wilkes, A. R., Latto, I. P. (2010) Comparison of fibrescope guided intubation via the classic laryngeal mask airway and i-gel in a manikin. Anaesthesia 65, 36–43. <https://doi.org/10.1111/j.1365-2044.2009.06155.x>
5. Donaldson, W., Abraham, A., Deighan, M., Michalek, P. (2011) i-gelTM versus AuraOnceTM laryngeal mask for general anaesthesia with controlled ventilation in paralyzed patients. Biomed. Pap. Med. Fac. Univ. Palacky Olomouc Czech Repub. 155, 155–163. <https://doi.org/10.5507/bp.2011.023>
6. Ferson, D. Z., Rosenblatt, W. H., Johansen, M. J., Osborn, I., Ovassapian, A. (2001) Use of the intubating LMA-Fastrach in 254 patients with difficult-to-manage airways. Anesthesiology 95, 1175–1181. <https://doi.org/10.1097/00000542-200111000-00022>
7. Frerk, C., Mitchell, V. S., McNarry, A. F., Mendonca, C., Bhagrath, R., Patel, A., O’Sullivan, E. P., Woodall, N. M., Ahmad, I. (2015) Difficult Airway Society 2015 guidelines for management of unanticipated difficult intubation in adults. Br. J. Anaesth. 115, 827–848. <https://doi.org/10.1093/bja/aev371> <PubMed>
8. Halwagi, A. E., Massicotte, N., Lallo, A., Gauthier, A., Boudreault, D., Ruel, M., Girard, F. (2012) Tracheal intubation through the i-gelTM supraglottic airway versus the LMA FastrachTM: a randomized controlled trial. Anesth. Analg. 114, 152–156. <https://doi.org/10.1213/ANE.0b013e318236f438>
9. Kapila, A., Addy, E. V., Verghese, C., Brain, A. I. J. (1997) The intubating laryngeal mask airway: an initial assessment of performance. Br. J. Anaesth. 79, 710–713. <https://doi.org/10.1093/bja/79.6.710>
10. Kleine-Brueggeney, M., Theiler, L., Urwyler, N., Vogt, A., Greif, R. (2011) Randomized trial comparing the i-gelTM and Magill tracheal tube with the single-use ILMATM and ILMATM tracheal tube for fibreoptic-guided intubation in anaesthetized patients with a predicted difficult airway. Br. J. Anaesth. 107, 251–257. <https://doi.org/10.1093/bja/aer103>
11. Levitan, R. M., Ochroch, E. A., Kush, S., Shoffer, F. S., Hollander, J. E. (1998) Assessment of airway visualization: validation of the percentage of glottic opening (POGO) scale. Acad. Emerg. Med. 5, 919–923. <https://doi.org/10.1111/j.1553-2712.1998.tb02823.x>
12. Liu, E. H., Goy, R. W., Chen, F. G. (2006) The LMA CTrach, a new laryngeal mask airway for endotracheal intubation under vision: evaluation in 100 patients. Br. J. Anaesth. 96, 396–400. <https://doi.org/10.1093/bja/ael001>
13. Liu, E. H., Wender, R., Goldman, A. J. (2009) The LMA CTrach in patients with difficult airways. Anesthesiology 110, 941–943. <https://doi.org/10.1097/ALN.0b013e31819b62c7>
14. Michalek, P., Hodgkinson, P., Donaldson, W. (2008) Fiberoptic intubation through an i-gel supraglottic airway in two patients with predicted difficult airway and intellectual disability. Anesth. Analg. 106, 1501–1504. <https://doi.org/10.1213/ane.0b013e31816f22f6>
15. Michalek, P., Donaldson, W., Graham, C., Hinds, J. D. (2010) A comparison of the i-gel supraglottic airway as a conduit for tracheal intubation with the intubating laryngeal mask airway: a manikin study. Resuscitation 81, 74–77. <https://doi.org/10.1016/j.resuscitation.2009.10.009>
16. Michalek, P., Donaldson, W., Theiler, L. G. (2013) The use of i-gel in anaesthesia – facts and fiction in 2013. Trends Anaesth. Crit. Care 3, 246–251. <https://doi.org/10.1016/j.tacc.2013.06.002>
17. Michálek, P., Miller, D. M. (2014) Airway management evolution – In a search for an ideal extraglottic airway device. Prague Med. Rep. 115, 87–103. <https://doi.org/10.14712/23362936.2014.40>
18. Michalek, P., Donaldson, W., Vobrubova, E., Hakl, M. (2015) Complications associated with the use of supraglottic airway devices in perioperative medicine. Biomed Res. Int. 2015, 746560. <https://doi.org/10.1155/2015/746560> <PubMed>
19. Moore, A., Gregoire-Bertrand, F., Massicotte, N., Gauthier, A., Lallo, A., Ruel, M., Todorov, A., Girard, F. (2015) i-gel versus LMA Fastrach supraglottic airway for flexible bronchoscope-guided tracheal intubation using a Parker (GlideRite) endotracheal tube: a randomized controlled trial. Anesth. Analg. 121, 430–436. <https://doi.org/10.1213/ANE.0000000000000807>
20. Sharma, S., Scott, S., Rogers, R., Popat, M. (2007) The i-gel airway for ventilation and rescue intubation. Anaesthesia 62, 419–420. <https://doi.org/10.1111/j.1365-2044.2007.05045.x>
21. Teoh, W. H., Lim, Y. (2007) Comparison of the single use and reusable intubating laryngeal mask airway. Anaesthesia 62, 381–384. <https://doi.org/10.1111/j.1365-2044.2007.04980.x>
22. Theiler, L., Kleine-Brueggeney, M., Urwyler, N., Graf, T., Luyet, C., Greif, R. (2011) Randomized clinical trial of the i-gelTM and Magill tracheal tube or single-use ILMATM and ILMATM tracheal tube for blind intubation in anaesthetized patients with a predicted difficult airway. Br. J. Anaesth. 107, 243–250. <https://doi.org/10.1093/bja/aer102>
23. Timmermann, A. (2011) Supraglottic airways in difficult airway management: successes, failures, use and misuse. Anaesthesia 66, 45–56 (Suppl. 2). <https://doi.org/10.1111/j.1365-2044.2011.06934.x>
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