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Comparison of the i-gel and other supraglottic airways in adult manikin studies: Systematic review and meta-analysis

BACKGROUND: The i-gel has a gel-like cuff composed of thermoplastic elastomer that does not require cuff inflation. As the elimination of cuff inflation may shorten insertion time, the i-gel might be a useful tool in emergency situations requiring prompt airway care. This systematic review and meta-...

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Autores principales: An, Jiwon, Nam, Sang Beom, Lee, Jong Seok, Lee, Jinae, Yoo, Hanna, Lee, Hye Mi, Kim, Min-Soo
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Wolters Kluwer Health 2017
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5228692/
https://www.ncbi.nlm.nih.gov/pubmed/28072732
http://dx.doi.org/10.1097/MD.0000000000005801
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author An, Jiwon
Nam, Sang Beom
Lee, Jong Seok
Lee, Jinae
Yoo, Hanna
Lee, Hye Mi
Kim, Min-Soo
author_facet An, Jiwon
Nam, Sang Beom
Lee, Jong Seok
Lee, Jinae
Yoo, Hanna
Lee, Hye Mi
Kim, Min-Soo
author_sort An, Jiwon
collection PubMed
description BACKGROUND: The i-gel has a gel-like cuff composed of thermoplastic elastomer that does not require cuff inflation. As the elimination of cuff inflation may shorten insertion time, the i-gel might be a useful tool in emergency situations requiring prompt airway care. This systematic review and meta-analysis of previous adult manikin studies for inexperienced personnel was performed to compare the i-gel with other supraglottic airways. METHODS: We searched PubMed, the Cochrane Library, and EMBASE for eligible randomized controlled trials (RCTs) published before June 2015, including with a crossover design, using the following search terms: “i-gel,” “igel,” “simulation,” “manikin,” “manikins,” “mannequin,” and “mannequins.” The primary outcomes of this review were device insertion time and the first-attempt success rate of insertion. RESULTS: A total of 14 RCTs were included. At the initial assessment without difficult circumstances, the i-gel had a significantly shorter insertion time than the LMA Classic, LMA Fastrach, LMA Proseal, LMA Unique, laryngeal tube, Combitube, and EasyTube. However, a faster insertion time of the i-gel was not observed in comparisons with the LMA Supreme, aura-i, and air-Q. In addition, the i-gel did not show the better results for the insertion success rate when compared to other devices. CONCLUSION: The findings of this meta-analysis indicated that inexperienced volunteers placed the i-gel more rapidly than other supraglottic airways with the exception of the LMA Supreme, aura-i, and air-Q in manikin studies. However, the quicker insertion time is clinically not relevant. The unapparent advantage regarding the insertion success rate and the inherent limitations of the simulation setting indicated that additional evidence is necessary to confirm these advantages of the i-gel in an emergency setting.
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spelling pubmed-52286922017-01-25 Comparison of the i-gel and other supraglottic airways in adult manikin studies: Systematic review and meta-analysis An, Jiwon Nam, Sang Beom Lee, Jong Seok Lee, Jinae Yoo, Hanna Lee, Hye Mi Kim, Min-Soo Medicine (Baltimore) 3900 BACKGROUND: The i-gel has a gel-like cuff composed of thermoplastic elastomer that does not require cuff inflation. As the elimination of cuff inflation may shorten insertion time, the i-gel might be a useful tool in emergency situations requiring prompt airway care. This systematic review and meta-analysis of previous adult manikin studies for inexperienced personnel was performed to compare the i-gel with other supraglottic airways. METHODS: We searched PubMed, the Cochrane Library, and EMBASE for eligible randomized controlled trials (RCTs) published before June 2015, including with a crossover design, using the following search terms: “i-gel,” “igel,” “simulation,” “manikin,” “manikins,” “mannequin,” and “mannequins.” The primary outcomes of this review were device insertion time and the first-attempt success rate of insertion. RESULTS: A total of 14 RCTs were included. At the initial assessment without difficult circumstances, the i-gel had a significantly shorter insertion time than the LMA Classic, LMA Fastrach, LMA Proseal, LMA Unique, laryngeal tube, Combitube, and EasyTube. However, a faster insertion time of the i-gel was not observed in comparisons with the LMA Supreme, aura-i, and air-Q. In addition, the i-gel did not show the better results for the insertion success rate when compared to other devices. CONCLUSION: The findings of this meta-analysis indicated that inexperienced volunteers placed the i-gel more rapidly than other supraglottic airways with the exception of the LMA Supreme, aura-i, and air-Q in manikin studies. However, the quicker insertion time is clinically not relevant. The unapparent advantage regarding the insertion success rate and the inherent limitations of the simulation setting indicated that additional evidence is necessary to confirm these advantages of the i-gel in an emergency setting. Wolters Kluwer Health 2017-01-10 /pmc/articles/PMC5228692/ /pubmed/28072732 http://dx.doi.org/10.1097/MD.0000000000005801 Text en Copyright © 2017 the Author(s). Published by Wolters Kluwer Health, Inc. http://creativecommons.org/licenses/by/4.0 This is an open access article distributed under the Creative Commons Attribution License 4.0 (CCBY), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. http://creativecommons.org/licenses/by/4.0
spellingShingle 3900
An, Jiwon
Nam, Sang Beom
Lee, Jong Seok
Lee, Jinae
Yoo, Hanna
Lee, Hye Mi
Kim, Min-Soo
Comparison of the i-gel and other supraglottic airways in adult manikin studies: Systematic review and meta-analysis
title Comparison of the i-gel and other supraglottic airways in adult manikin studies: Systematic review and meta-analysis
title_full Comparison of the i-gel and other supraglottic airways in adult manikin studies: Systematic review and meta-analysis
title_fullStr Comparison of the i-gel and other supraglottic airways in adult manikin studies: Systematic review and meta-analysis
title_full_unstemmed Comparison of the i-gel and other supraglottic airways in adult manikin studies: Systematic review and meta-analysis
title_short Comparison of the i-gel and other supraglottic airways in adult manikin studies: Systematic review and meta-analysis
title_sort comparison of the i-gel and other supraglottic airways in adult manikin studies: systematic review and meta-analysis
topic 3900
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5228692/
https://www.ncbi.nlm.nih.gov/pubmed/28072732
http://dx.doi.org/10.1097/MD.0000000000005801
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