Pressure support ventilation with the I-gel in intensive care unit: case report

Belgin Akan; Deniz Erdem; Mahinur Demet Albayrak; Esra Aksoy; Fatma Akdur; Nermin Gogus

doi:10.1016/j.bjane.2013.10.007

Clinical Informations

Pressure support ventilation with the I-gel in intensive care unit: case report

Ventilação controlada por pressão com I-gel em unidade de terapia intensiva: relato de caso

Belgin Akan; Deniz Erdem; Mahinur Demet Albayrak; Esra Aksoy; Fatma Akdur; Nermin Gogus

http://dx.doi.org/10.1016/j.bjane.2013.10.007 Braz J Anesthesiol, vol.66, n2, p.219-221, 2016

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Abstract

ABSTRACT BACKGROUND AND OBJECTIVES: The I-gel supraglottic airway has a non-inflatable cuff made from a gel-like thermoplastic elastomer. The use of the I-gel during anesthesia for spontaneously breathing patients or intermittent positive pressure ventilation has been reported. But there are a few published reports about the use of the I-gel with pressure-controlled ventilation. CONTENTS AND CONCLUSIONS: In this case report we described the use of the I-gel supraglottic airway along 48 h in intensive care unit for the management of ventilation in a patient needed mechanic ventilation but in whom tracheal intubation could not be performed.

Keywords

I-Gel, LMA, Difficult airway, Pressure-controlled ventilation, Intensive care unit

Resumo

RESUMO JUSTIFICATIVA E OBJETIVOS: O dispositivo supraglótico I-gel para o manejo das vias aéreas tem um manguito não insuflável feito de um elastômero termoplástico semelhante ao gel. Há relato sobre o uso do I-gel em pacientes sob anestesia para a ventilação, espontânea ou com pressão positiva intermitente. Porém, há poucos relatos publicados sobre o uso do I-gel com ventilação controlada por pressão. CONTEÚDO E CONCLUSÕES: Descrevemos neste relato de caso o uso do dispositivo supraglótico I-gel durante 48 horas em unidade de terapia intensiva para o manejo das vias aéreas em paciente que precisou de ventilação mecânica, mas no qual a intubação traqueal não pôde ser feita.

Palavras-chave

I-Gel, Máscaras Laríngeas-ML, Manuseio das Vias Aéreas, Ventilação com Pressão Positiva Intermitente, Unidade de Terapia Intensiva

References

De Lloyd L, Hodzoviv I, Voisey S. Comparison of fiberscope guided intubation via the classic laryngeal mask airway and I-gel in a manikin. Anaesthesia. 2010;65:36-43.

Henderson J, Popat M, Latto IP. Difficult Airway Society guidelines for management of the unanticipated difficult intubation. Anaesthesia. 2004;59:675-94.

Gatward JJ, Cook TM, Seller C. Evaluation of the size 4 I-gel trade mark airway in one hundred non-paralysed patients. Anaesthesia. 2008;63:1124-30.

Uppal V, Fletcher G, Kinsella J. Comparison of the I-gel with cuffed tracheal tube during pressure-controlled ventilation. Br J Anaesth. 2009;102:264-8.

Mallampati SR, Gatt SP, Gugino LD. A clinical sign to predict difficult laryngoscopy a prospective study. Can Anesth Soc J. 1985;32:487-90.

Richez B, Saltel L, Banchereau F. A new single use supraglottic device with a noninflatable cuff and an esophageal vent an observational study of the I-gel. Anesth Analg. 2008;106:1137-9.

Gabbott D, Beringer R. The I-gel supraglottic airway a potential role for resuscitation?. Resuscitation. 2007;73:161-2.

Frova G, Sorbello M. Algorithms for difficult airway management a review. Minerva Anesthesiol. 2009;75:201-9.

Emmerich M, Dummler R. Use of the I-gel laryngeal mask for management of a difficult airway. Anaesthesist. 2008;57:779-81.

Helmy AM, Atef HM, ElTaher EM. Comparative study between Igel, a new supraglottic airway device, and classical laryngeal mask airway in anesthetized spontaneously ventilated patients. Saudi J Anesth. 2010;3:131-6.

Bordes M, Semjen F, Degryse C. Pressure-controlled ventilation is superior to volume-controlled ventilation with a laryngeal mask airway in children. Acta Anaesthesiol Scand. 2007;51:82-5.

Gibbison B, Cook TM, Seller C. Case series protection from aspiration and failure of protection from aspiration with the I-gel airway. Br J Anaesth. 2008;100:415-7.

Pressure support ventilation with the I-gel in intensive care unit: case report

Ventilação controlada por pressão com I-gel em unidade de terapia intensiva: relato de caso

Belgin Akan; Deniz Erdem; Mahinur Demet Albayrak; Esra Aksoy; Fatma Akdur; Nermin Gogus

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