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A randomized comparison of the i-gel with the self-pressurized air-Q intubating laryngeal airway in children

Authors
 Min-Soo Kim  ;  Jae Hoon Lee  ;  Sang Won Han  ;  Young Jae Im  ;  Hyo Jong Kang  ;  Jeong-Rim Lee 
Citation
 Pediatric Anesthesia, Vol.25(4) : 405-412, 2015 
Journal Title
 Pediatric Anesthesia 
ISSN
 1155-5645 
Issue Date
2015
Abstract
BACKGROUND: Supraglottic airway devices with noninflatable cuff have advantages in omitting the cuff pressure monitoring and reducing potential pharyngolaryngeal complications. Typical devices without cuff inflation available in children are the i-gel and the self-pressurized air-Q intubating laryngeal airway (air-Q SP). To date, there is no comparative study between these devices in pediatric patients. AIM: The purpose of this randomized study was to compare the i-gel(™) and the self-pressurized air-Q(™) intubating laryngeal airway (air-Q SP) in children undergoing general anesthesia. METHODS: Eighty children, 1-108 months of age, 7-30 kg of weight, and scheduled for elective surgery in which supraglottic airway devices would be suitable for airway management, were randomly assigned to either the i-gel or the air-Q SP. Oropharyngeal leak pressure and fiberoptic view were assessed three times as follows: after insertion and fixation of the device, 10 min after initial assessment, and after completion of surgery. We also assessed insertion parameters and complications. RESULTS: Insertion of the i-gel was regarded as significantly easier compared to the air-Q SP (P = 0.04). Compared to the air-Q SP group, the i-gel group had significantly higher oropharyngeal leak pressures at all measurement points and significantly lower frequencies of gastric insufflation at 10 min after initial assessment and completion of surgery. The air-Q SP group had better fiberoptic views than the i-gel group at all measurement points. CONCLUSION: Our results showed that the i-gel had easier insertion and better sealing function, and the air-Q SP provided improved fiberoptic views in children requiring general anesthesia.
Full Text
http://onlinelibrary.wiley.com/doi/10.1111/pan.12609/abstract
DOI
10.1111/pan.12609
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Anesthesiology and Pain Medicine (마취통증의학교실) > 1. Journal Papers
1. College of Medicine (의과대학) > Dept. of Urology (비뇨의학교실) > 1. Journal Papers
Yonsei Authors
김민수(Kim, Min Soo) ORCID logo https://orcid.org/0000-0001-8760-4568
이재훈(Lee, Jae Hoon) ORCID logo https://orcid.org/0000-0001-6679-2782
이정림(Lee, Jeong Rim) ORCID logo https://orcid.org/0000-0002-7425-0462
임영재(Im, Young Jae)
한상원(Han, Sang Won) ORCID logo https://orcid.org/0000-0003-0941-1300
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URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/139649
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