• G J Choi, H Kang, C W Baek, Y H Jung, Y C Woo, and Y J Cha.
• Department of Anaesthesiology and Pain Medicine, Chung-Ang University College of Medicine, Seoul, Korea.
• Anaesthesia. 2014 Nov 1;69(11):1258-65.

AbstractWe systematically reviewed randomised controlled trials of the i-gel® vs different types of laryngeal mask airway in children. We included nine studies. There was no evidence for differences in: rate of insertion at first attempt; insertion time; ease of insertion; or gastric tube insertion. The mean (95% CI) oropharyngeal leak pressure was 3.29 (2.25-4.34) cmH2 O higher with the i-gel, p < 0.00001. The relative rate (95% CI) of a good fibreoptic view through the i-gel was 1.10 (1.01-1.19), p = 0.02. There were no significant differences in the rates of complications, except for blood on the airway, relative rate with the i-gel 0.46 (0.23-0.91), p = 0.02. We concluded that the clinical performance of the i-gel and LMA was similar, except for three outcomes that favoured the i-gel.© 2014 The Association of Anaesthetists of Great Britain and Ireland.

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