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- Title
Evaluation of i-gel<sup>™</sup> airway in children: a meta-analysis.
- Authors
Maitra, Souvik; Baidya, Dalim K.; Bhattacharjee, Sulagna; Khanna, Puneet
- Abstract
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 H2O, 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 H2O, 95% CI −0.04, 3.51 cm H2O; 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.
- Subjects
META-analysis; PEDIATRIC anesthesia; ANESTHESIA; PEDIATRIC surgery; AIRWAY (Anatomy)
- Publication
Pediatric Anesthesia, 2014, Vol 24, Issue 10, p1072
- ISSN
1155-5645
- Publication type
Article
- DOI
10.1111/pan.12483