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

• Published in: Colombian journal of anesthesiology (Inglâes) Vol. 46; no. 1; pp. 37 - 41
• Main Authors: Zamudio-Burbano, Mario Andrés, Giraldo-Salazar, Olga, Gaviria-Rivera, Elmer, Gómez-Castellanos, Guillermo, Ángel Rodríguez, Cesar, Medina Ramírez, Santiago, Ramírez Latorre, Juan Luis, Herrera Caviedes, Laura
• Format: Journal Article
• Language: English; Portuguese
• Published: SCARE-Sociedad Colombiana de Anestesiología y Reanimación 01.03.2018
• Subjects: ANESTHESIOLOGY; Airway Management; Manejo de la Vía Aérea; Pediatrics; Intubation Intratracheal; Ventilación; Anesthesia; Ventilation; Anestesia; Pediatría; Intubación Intra-traqueal
• ISSN: 2256-2087; 0120-3347
• DOI: 10.1097/CJ9.0000000000000007

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.