The i-gel vs. the PRO-Breathe Laryngeal Mask Airway in Children

In anesthetized spontaneously breathing children, leakage volume was greater, device dislodgement was more common, and first-attempt insertion success was lower with the i-gel.

The i-gel is an extraglottic device with a noninflatable cuff made of a flexible gelatinous material. The PRO-Breathe is a silicone-based standard laryngeal mask airway (LMA) device. The i-gel has been shown to be effective and easy to place in adults and children, but questions remain regarding the degree of leakage and the effectiveness of ventilation. Volume leakage can result in ineffective ventilation and soilage of a sterile operative environment. Inappropriate LMA inflation pressures and the use of neuromuscular blockade have limited prior comparisons.

These investigators randomized 200 pediatric patients (<16 years) undergoing elective surgery to an appropriately sized i-gel or PRO-Breathe LMA. Patients with congenital anomalies and …

Reviewing Author

Calvin A. Brown III, MD, FAAEM

Disclosures

Consultant / Advisory boardVerathon, Inc. (Scientific Advisory Board Member)

Editorial boardsScientific American Emergency Medicine; Manual of Emergency Airway Management (Editor-in-Chief)

Leadership positions in professional societiesPrograms Subcommittee Chair for the Society for Academic Emergency Medicine–Residency and Fellowship Fair

Calvin A. Brown III, MD, FAAEM

Disclosures

Consultant / Advisory boardVerathon, Inc. (Scientific Advisory Board Member)

Editorial boardsScientific American Emergency Medicine; Manual of Emergency Airway Management (Editor-in-Chief)

Leadership positions in professional societiesPrograms Subcommittee Chair for the Society for Academic Emergency Medicine–Residency and Fellowship Fair

The i-gel vs. the PRO-Breathe Laryngeal Mask Airway in Children

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Reviewing Author