Letter to the EditorI-gel supraglottic airway for rescue airway management and as a conduit for tracheal intubation in a patient with acute respiratory failure
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Conflict of interest statement
No conflict of interest.
References (3)
- et al.
Difficult Airway Society guidelines for management of the unanticipated difficult intubation
Anaesthesia
(2004)
Cited by (26)
Guidelines for the management of tracheal intubation in critically ill adults
2018, British Journal of AnaesthesiaCitation Excerpt :The ICS, DAS, National Tracheostomy Safety Project, NAP4, and National Institute for Health and Care Excellence recommend immediate availability of fibreoptic endoscopes in ICU.9,10,188–190 Fibreoptic-guided intubation via an SGA may be achieved with a small tracheal tube preloaded over the endoscope, with both introduced via the SGA.191–198 This technique is suitable for some but not all SGAs and significantly limits the size of tracheal tube that can be inserted (typically 6.0 mm inner diameter).
The evolution of airway management-new concepts and conflicts with traditional practice
2017, British Journal of AnaesthesiaCitation Excerpt :A guide to its use can be found at http://www.das.uk.com/files/AIC_abbreviated_Guide_Final_for_DAS.pdf (accessed 7 October 2017). Supraglottic airway devices can also be used to facilitate tracheal intubation directly18–20 and have an important role in rescuing failed intubation.21 22 Since the manufacture of the LMA Proseal, various devices have also offered enhanced separation of the respiratory and gastrointestinal tracts.
Difficult Airway Society 2015 guidelines for management of unanticipated difficult intubation in adults
2015, British Journal of AnaesthesiaCitation Excerpt :With the need for repeated insertion attempts to achieve success238 and a low first-time success rate240 242 (even with second-generation devices243), the blind technique is redundant. Direct fibre-optically guided intubation has been described via a number of SADs, although this may be technically challenging.244–248 Fibre-optically guided tracheal intubation through the i-gel has been reported with a high success rate.249 250
The use of the i-gel in anaesthesia-Facts and fiction in 2013
2013, Trends in Anaesthesia and Critical CareCitation Excerpt :Multiple case reports have shown the successful use of an i-gel as a rescue airway device with subsequent successful intubation: In 2007, Sharma et al. published the first blind rescue intubation through an i-gel in a teenage boy with failed intubation attempts.51 However, most authors have described intubation through the i-gel using a fibreoptic scope in their case reports (Fig. 4).52–55 The use of an i-gel as a conduit has also been described in a case of difficult nasal fibreroptic intubation.56
Non–Laryngeal Mask Airway Supraglottic Airway Devices
2013, Benumof and Hagberg's Airway ManagementNon-Laryngeal Mask Airway Supraglottic Airway Devices
2012, Benumof and Hagberg's Airway Management: Third Edition