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Evaluation of i‐gel ™ airway in children: a meta‐analysis
Author(s) -
Maitra Souvik,
Baidya Dalim K.,
Bhattacharjee Sulagna,
Khanna Puneet
Publication year - 2014
Publication title -
pediatric anesthesia
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.704
H-Index - 82
eISSN - 1460-9592
pISSN - 1155-5645
DOI - 10.1111/pan.12483
Subject(s) - medicine , laryngeal mask airway , airway , laryngeal masks , anesthesia , airway management , randomized controlled trial , larynx , insertion time , mascara , meta analysis , leak , surgery , environmental engineering , engineering
Summary Background I‐gel ™ is a relatively newer addition in the pediatric anesthesia practice. Its comparison with the other laryngeal mask airway repor‐ted a wide range of results. Randomized controlled trials where i‐gel ™ has been compared with other laryngeal masks (laryngeal mask airway ProSeal ™ and laryngeal mask airway Classic ™ ) in children for airway management device during general anesthesia has been included in this meta‐analysis. Methods PubMed and Central Register of Clinical Trials of the Cochrane Collaboration for eligible controlled trials using following search words: ‘i‐gel’, ‘i‐gel laryngeal mask airway’, ‘i‐gel children’, ‘i‐gel paediatric’ until February 15, 2014. A total nine prospective randomized controlled trials have been included in this meta‐analysis. Results Pooled analyses have found that i‐gel ™ provided significantly higher oropharyngeal leak pressure than laryngeal mask airway ProSeal ™ [496 participants, mean difference 2.07 cm H 2 O, 95% CI 0.52–3.62; P = 0.009] and a similar leak in comparison with laryngeal mask airway Classic ™ [355 participants, mean difference 1.73 cm H 2 O, 95% CI −0.04, 3.51 cm H 2 O; P =0.06]. No difference was found in first insertion success rate and ease of insertion between i‐gel ™ , laryngeal mask airway ProSeal ™ , and laryngeal mask airway Classic ™ . Ease of gastric tube insertion is similar between i‐gel ™ and laryngeal mask airway ProSeal ™ . Reported complications are infrequent and similar in all three devices. Conclusion We conclude that i‐gel ™ is an effective alternative of the commonly used laryngeal mask airway ProSeal ™ and laryngeal mask airway Classic ™ in children for airway management during general anesthesia.