jueves, 10 de octubre de 2013

i-gel en pediatría/Pediatric i-gel

Introducción de los nuevos tamaños pediátricos de la mascarilla laríngea 
I-gel en la práctica clínica. Un estudio observacional prospectivo
Introduction of the new paediatric sizes of I-gel laryngeal mask airway
into clinical practice. A prospective observational study
J. L. Ayala, A. Mayor, L. E. Muñoz  

Comparación de i-gel 2.5 con ML Proseal en niños anestesiados y paralizados de cirugía electiva      
Comparison of Size 2.5 i-gel™ with Proseal LMA™ in Anaesthetised, Paralyzed Children Undergoing Elective Surgery.
Mitra S, Das B, Jamil SN.
Department of Anaesthesiology, Jawaharlal Nehru Medical College, A.M.U., Aligarh, India.
N Am J Med Sci. 2012 Oct;4(10):453-7. doi: 10.4103/1947-2714.101983.
BACKGROUND: The newest variation of i-gel is its pediatric version. This novel supraglottic airway device has the added advantage of a drain tube. In this study, we compared the effectiveness of size 2.5 i-gel with size 2.5 ProSeal LMA. AIMS: This study was designed to investigate the usefulness of the size 2.5 i-gel compared with the ProSeal laryngeal mask airway (PLMA) of the same size in anesthetized, paralyzed children. MATERIALS AND METHODS: Sixty ASA grade I - II patients undergoing elective surgery were included in this prospective study and were randomly assigned to the i-gel and PLMA groups (30 patients in each group). A size 2.5 supraglottic airway was inserted according to the assigned group. We assessed the ease of insertion, hemodynamic data, oropharyngeal sealing pressure, and postoperative complications. RESULTS:There were no differences in the demographic and hemodynamic data, success rates for the first attempt of insertion, or postoperative airway morbidity among the two groups. The airway leak pressure of the i-gel group (27.12 ± 1.69 cm H(2)O) was significantly higher than that of the PLMA group (22.75 ± 1.46 cm H(2)O). CONCLUSION: Hemodynamic parameters, ease of insertion and postoperative complications were comparable between the i-gel and PLMA, but the nairway sealing pressure was significantly higher in the i-gel group.
KEYWORDS: I-gel, Pediatric patients, ProSeal laryngeal mask airway
Intubación endotraqueal exitosa usando broncoscopía fibroptica a través de mascarilla i-gel en un niño con síndrome de Goldenhar             
Successful tracheal intubation using fiberoptic bronchoscope via an I-gel™ supraglottic airway in a pediatricpatient with Goldenhar syndrome -A case report-.
Kim YL, Seo DM, Shim KS, Kim EJ, Lee JH, Lee SG, Ban JS.
Department of Anesthesiology and Pain Medicine, Daegu Fatima Hospital, Daegu, Korea.
Korean J Anesthesiol. 2013 Jul;65(1):61-5. doi: 10.4097/kjae.2013.65.1.61. Epub 2013 Jul 19.
The I-gel™ is a single-use supraglottic airway device introduced in 2007 which features a non-inflatable cuff and allows passage of a tracheal tube owing to its large diameter and short length of the airway tube. In this case, the authors experienced a difficult airway management on a 4-year-old boy with underlying Goldenhar syndrome who underwent a tonsillectomy. Intubation using a laryngoscope was unsuccessful at the first attempt. In the following attempt, we used the I-gel™ supraglottic airway for ventilation and were able to achieve successful intubation with a cuffed tube by using fiberoptic bronchoscope through the I-gel™ supraglottic airway. The authors suggest that I-gel™ is a useful device for ventilation and it has many advantages for tracheal intubation in pediatric patients with difficult airway.
Airway management, Fiberoptic bronchoscope, Goldenhar syndrome, Laryngeal mask airway, Pediatric
Anestesiología y Medicina del Dolor
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