Key result
Two-person I-gel insertion achieves ~93% first-attempt success with rapid placement and no major complications.
Why the study?
I-gel is favored over ET for airway management during general anaesthesia, but the efficacy of a two-person technique for insertion in paralysed patients required evaluation.
Does a two-person technique for I-gel insertion improve insertion efficacy and safety in paralyzed patients undergoing general anesthesia?
Observational (n=40)
No
Does a two-person technique for I-gel insertion improve insertion efficacy and safety in paralyzed patients undergoing general anesthesia?
A two-person technique for I-gel insertion in paralyzed patients is feasible, yielding a high first-attempt success rate and short insertion time.
Supports two-person I-gel feasibility under anesthesia; hypothesis-generating and requires RCTs before practice adoption.
Background: Recently anesthesiologists favoring I-gel over ET in securing airway during general anaesthesia because of better haemodynamic response and post-operative complications. In this study, we have assessed the efficacy of two -person technique for insertion of I- gel in paralysed patients.Methods: I- gel is insertion was done in 40 patients undergoing general anaesthesia. Insertion time, number of attempts, air leaks, Tidal volume (TV) and expired tidal volume (ETV), emergence from anaesthesia, post-operative complications were assessed.Results: Mean insertion time was 14.02±1.99 seconds. Insertion was successful in 37 patients (92.5%) in first attempt. 3 (7.5%) patients needed second attempts. Emergence from anaesthesia was satisfactory in all cases (100%).3 patients (7.5%) had mild cough and there were blood stained in the device in 2 cases (5%).6 patients (15%) had mild, 5 patients (12.5%) had moderate sore throat in first 24 hours. 4 patients (10%) had mild pain during swallowing.Conclusions: Two- person technique for insertion of I-gel is easier and lower insertion time with fewer complications.
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Barman et al. (2021) conducted an observational in General anaesthesia for abdominal and surface surgeries (n=40). Two-person technique for I-gel insertion was evaluated on First attempt insertion success. The two-person technique for I-gel insertion achieved a 92.5% first-attempt success rate with a mean insertion time of 14.02 seconds and no major complications.
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