Tracheal intubation with I-gel supraglottic device in pediatric patients: a prospective case series

  • Mario Andrés Zamudio-Burbano a. School of Medicine, Universidad de Antioquia, Medellín, Colombia. b. Researcher Grupo EVA CLASA, Medellín, Colombia
  • Elmer Gaviria-Rivera School of Medicine, Universidad de Antioquia, Medellín, Colombia
  • Guillermo Gómez-Castellanos School of Medicine, Universidad de Antioquia, Medellín, Colombia
  • Cesar Ángel Rodríguez School of Medicine, Universidad de Antioquia, Medellín, Colombia
  • Santiago Medina Ramírez School of Medicine, Universidad de Antioquia, Medellín, Colombia
  • Juan Luis Ramírez Latorre School of Medicine, Universidad de Antioquia, Medellín, Colombia
  • Laura Herrera Caviedes School of Medicine, Universidad de Antioquia, Medellín, Colombia
  • Olga Giraldo-Salazar a. School of Medicine, Universidad de Antioquia, Medellín, Colombia. b. Hospital Universitario San Vicente Fundación, Medellín, Colombia.
Keywords: Intubation Intratracheal; Airway Management; Pediatrics; Anesthesia; Ventilation

Abstract

Introduction:

Currently, there are no devices showing an acceptable success rate in blind intubation in pediatrics.

Objectives:

The purpose of this particular series of cases is to identify the percentage of successful blind intubations using the Igel laryngeal mask in children between 2 and 35 kg of body weight, in addition to evaluating seal pressure, fiber optics vision through the device, and reporting the occurrence of complications.

Materials and methods:

A prospective case series in pediatrics; patients from 2 to 35 kg.

Results:

According to our study, the overall percentage of blind intubation was 23%, while the percentages of ideal and low vision to facilitate the insertion of the bronchoscope into the airway, and then inserting a tracheal tube through the fiber optics was 70%.

Conclusion:

We feel that the supraglottic I-gel is not the appropriate device for blind intubation; however, it is an acceptable recommendation to conduct fiber optics intubation.

References

1. Creighton RE. The infant airway. Can J Anaesth 1994;41:174-176.
2. Heinrich S1, Birkholz T, Ihmsen H. Incidence and predictors of difficult laryngoscopy in 11,219 pediatric anesthesia procedures. Paediatr Anaesth 2012;22:729-736.
3. Gasteiger L, Brimacombe J, Oswald E, et al. LMA ProSeal(TM) vs. i-Gel(TM) in ventilated children: a randomised, crossover study usingthe size 2 mask. Acta Anaesthesiol Scand 2012;56:1321-1324.
4. Theiler L, Kleine-Brueggeney M, Urwyler N, et al. Randomized clinical trial of the i-gel and Magill tracheal tube or single-use ILMA (and ILMA (tracheal tube for blind intubation in anaesthetized patients with a predicted difficult airway. Br J Anaesth 2011;107:243-250.
5. Theiler L, Gutzmann M, Kleine-Brueggeney M, et al. i-gel supraglottic airway in clinical practice: a prospective observational multicentre study. Br J Anaesth 2012;109: 990-995.
6. Duckett J, Fell P, Han K, et al. Introduction of the i-gel supraglottic airway device for prehospital airway management in a UK ambulance. Emerg Med J 2014;31:505-507.
7. Chauhan G, Nayar P, Seth A, et al. Comparison of clinical performance of the I-gel with LMA proseal. J Anaesthesiol Clin Pharmacol 2013;29:56-60.
8. Emmerich M, Tiesmeier J. The I-gel supraglottic airway: a useful tool in case of difficult fiberoptic intubation. Minerva Anestesiol 2012;78:1169-1170.
9. Michalek P, Hodgkinson P, Donaldson W. Fiberoptic intubation through an I-gel supraglottic airway in two patients with predicted difficult airway and intellectual disability. Anesth Analg 2008;106:1501-1504.
10. Michalek P, Donaldson W, Graham C, et al. A comparison of the Igel supraglottic airway as a conduit for tracheal intubation with the intubating laryngeal mask airway: a manikin study. Resuscitation 2010;81:74-77.
11. Sethi P, Samra T, Gupta N. Comparison of supraglottic devices i-gel((r)) and LMA Fastrach((r)) as conduit for endotracheal intubation. Indian J Anaesth 2014;58:790.
12. Cook TM, Cranshaw J. Randomized crossover comparison of ProSeal laryngeal mask airway with laryngeal tube sonda during anaesthesia with controlled ventilation. Br J Anaesth 2005;95:261-266.
How to Cite
1.
Zamudio-Burbano MA, Gaviria-Rivera E, Gómez-Castellanos G, Rodríguez C Ángel, Medina Ramírez S, Ramírez Latorre JL, et al. Tracheal intubation with I-gel supraglottic device in pediatric patients: a prospective case series. Colomb. J. Anesthesiol. [Internet]. 2018 Jan. 1 [cited 2024 Jun. 15];46(1):37-41. Available from: https://www.revcolanest.com.co/index.php/rca/article/view/344

Downloads

Download data is not yet available.
Published
2018-01-01
How to Cite
1.
Zamudio-Burbano MA, Gaviria-Rivera E, Gómez-Castellanos G, Rodríguez C Ángel, Medina Ramírez S, Ramírez Latorre JL, et al. Tracheal intubation with I-gel supraglottic device in pediatric patients: a prospective case series. Colomb. J. Anesthesiol. [Internet]. 2018 Jan. 1 [cited 2024 Jun. 15];46(1):37-41. Available from: https://www.revcolanest.com.co/index.php/rca/article/view/344
Section
Original

Altmetric

Article metrics
Abstract views
Galley vies
PDF Views
HTML views
Other views
QR Code