I - GEL

Supraglottic Airway Device

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 I GEL:
-

-
The i-gel was invented by Dr. Muhammed Nasir
in 2003.

* It is a cuffless and generation supraglottic airway

device with a gastric channch

whatmakes
* itunique? www.theanesthesianotes.com.

It is made
*
from a medical grade thermoplastic
elastomer called SEBS [Styrene Ethylene
Butadiene Styrene]

* mechanism: After its placement, body temperature

activates this elastomer that expands and allows
the
ages to conform to the
anatomy of the
hypopharynz
* It is a single use, cuffless, latex and puc free
device.

*It is designed to create a non-inflatable,

anatomical seal of the pharyngeal, Laryngeal
and perilaryngeal structures.
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Parts and Uses:

1) GASTRIC CHANNEL: It
incorporates a gastric
channel (except in size 1).
* It provides an early warning of
regurgitation, allows for the passing of a nasogastric
tube to empty the stomach contents.
www.theanesthesianotes.com.
2) INTEGRAL BLOCK:It reduces
BITE the possibility of
airway channel occlusion
3) BUCCAL CAVITY STABILIZER:Itaids in insertion and
eliminates the potential for rotation

4) EPIGLOTTIC REST: It reduces the possibility of

and airway obstruction
epiglottic'down folding'
5) NON INFLATABLE CUFF:
-
made from unique soft gel-
like material allowing ease insertion
of and
reduced trauma

6) 15mm CONNECTOR:For a reliable connection to

standard catheter mountor connection
any

Advantage:The adult sizes can be used as a

conduct for intubation under
fibreoptic guidance in a known or
unexpectedly difficult intubation.

Buy notes at www.theanesthesianotes.com

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Continued…
15mm
connector -

Proximal end Δ

of gastaare 6

5
·

Gastrahel
size and
weight
guidance &
Integral
Bite block

Insertion
depth guide · Buccal cavity
(only adult)
Stabilizer

a
Epiglottic rest
www.theanesthesianotes.com..

& Non inflatable

cuff

o Distal end of
gastric channel
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 STEPS FOR INSERTING i-GEL

1. The appropriate size i-get is

opened with its
protective cradle

2. A Lubricantjelly (preferably water based like

k-y jelly) is placed on the middle of smooth
surface of cradle
3. The [-gee is then lubricated on its back, side
and front by rubbing this
jelly already placed
on cradle.

1. At the time of Insertion, the patient is placed in

sniffing position, i-get is taken from the cradle

the
and with its cuff outletfacing towards the chin
of the patient, the device is inserted along the
hard Palate. Instagram @anesthesianotes/

5. It is glided along the hard palate until a definitive

resistance is felt

6. The device is fixed from 'maxilla to maxilla'

Continued…
 www.theanesthesianotes.com.

SIZE AGE WEIGHT

5 Large adult >

90kg
4 Medium adult 50-90kg
3 small adult 30-60kg
2.5
Large paediatric 25-35kg
2 small paediatric 10-25kg
1.5 Infant 5 -

12kg
1 Neonate 2 -

5kg

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 'i-gel O2'incorporates
BONUS: a supplementary
onygen port and integral hooking
an

for securing the airway support strap

of

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