BJA Advance Access published online on January 29, 2008
British Journal of Anaesthesia, doi:10.1093/bja/aem396
Case series: protection from aspiration and failure of protection from aspiration with the i-gel airway
Royal United Hospital, Combe Park, Bath BA1 3NG, UK
* Corresponding author. E-mail: ben{at}gibbison.com
We present three patients of regurgitation while using the i-gel supraglottic airway in 280 patients. In two patients, the i-gel completely protected the airway from aspiration. In one patient, it did not provide complete protection. The i-gel has features designed to separate the airway and gastro-intestinal tracts and as such should offer some protection against aspiration. However, the efficacy of these features has not been confirmed, and further study is required to determine the safety profile of the device.
Keywords: airway, complications; aspiration, equipment; airway
Declaration of interest. Intersurgical has provided i-gels to our department free of charge for evaluation. Dr Cook has received free equipment for evaluation and has been paid by Intavent-Orthofix and the LMA company (competitors of Intersurgical) for lecturing.
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