The I-Gel supraglottic airway is a diposable, latex-free device for airway management during anaesthesia. The design of this device is significantly different from the previously used devices, notably laryngeal mask airways. Its bowl is made of a soft, non-inflatable thermoplastic elastomer, anatomically preformed to mirror the perilaryngeal structure. The I-Gel contains an additional epiglottis rest, which helps to prevent the epiglottis from down-folding or obstructing the laryngeal inlet. The device also includes a gastric channel, allowing drainage of air and gastric contents or passage of a gastric tube. This book provides a brief history of airway management and the classification of supraglottic airway devices; the mechanisms and forces contributing to their seal, and highlights the main differences between the devices. Also discussed is the process of I-Gel development including an initial mannequin and cadaver studies, with a description of the I-Gels use in clinical practice, indications and description of its use in the operating room, and use of the I-Gel in different surgical subspecialities including laparoscopic procedures.
Preface; A Brief History of Airway Management; Re-Classification of Extraglottic/Supralaryngeal Airway Devices; Development of the I-Gel Supraglottic Airway; Description of the I-Gel Airway; Use of the I-Gel for Airway Management During General Anesthesia; Use of the I-Gel in Special Conditions - Laparoscopies, Lateral or Prone Positions, Airway Stenosis; Clinical Evidence for the Use of I-Gel in Pediatric Anesthesia; Evaluation of the I-Gel in Children; The Role of the I-Gel in the Management of the Difficult Airway; The I-Gel as a Conduit For Fibreoptic Tracheal Intubation; Use of the I-Gel Outside of the Operating Room, by Prehospital Teams & in Military Medicine; The I-Gel & Cardiopulmonary Resuscitation; Complications Related to the I-Gel Airway; Comparison of the I-Gel with Other Supraglottic Airway Devices; Teaching Airway Skills & the Role of the Airway Skills Laboratory; Experimental Studies Related to the I-Gel; Index.
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