Comparison Between The Lma Classic (Tm) And New I-Gel (Tm) Supraglottic Airway Device: A Manikin Study

Objective: It is nowadays well established that the laryngeal mask airway (LMA) is an alternative airway to endotracheal intubation for prehospital environment. However, problems have been reported and many other kinds of supraglottic airway devices (SGDs) were introduced. The I-gel (TM) is one of the latest SGD, and it has been designed for easy and fast insertion with non-inflatable cuff. We compared the efficacy between LMA Classic (TM) and I-gel (TM) by using both normal and difficult airway conditioned manikin. Methods: One hundred and two non-experienced volunteers made out of students and nurses participated in the airway management educational program that was held in the emergency medical center of Gwangmyeong Sungae Hospital. After finishing the program, the participants were tested on their performance skills (insertion time) on using the two devices in both normal and difficult airway conditioned manikin. A structured questionnaire was used to measure the knowledge, attitude and preference about each device on a 5-point scale. Results: In the LMA Classic (TM) and I-gel (TM) groups, it took 28.3 +/- 8.3 and 10.0 +/- 3.7 seconds with normal airway conditioned manikin (p<0.001), and 29.1 +/- 8.2 and 10.3 +/- 3.0 seconds elapsed with difficult airway conditioned manikin to achieve adequate airway management (p<0.001) in the corresponding order. The attitude and preference scale of the I-gel (TM) was higher than those of the LMA Classic (TM) (p<0.001). Conclusions: The insertion time of the I-gel (TM) was shorter than that of the LMA Classic (TM) in both normal and difficult airway conditioned manikin, and I-gel (TM) had a higher positive response for attitude and preference. (Hong Kong j.emerg.med. 2013;20:25-33)