Intersurgical i-gel Instrucciones De Uso página 5

These instructions do not constitute a complete guide to the use of the i-gel.
For further information please refer to the i-gel User Guide available by contacting Intersurgical.
The i-gel is a single use non-inflatable supraglottic airway for use in anaesthesia during Spontaneous or Intermittent
Positive Pressure Ventilation (IPPV).
Size Selection
Select the appropriate size i-gel:
i-gel size Patient weight (kg)
3 30-60
4 50-90
5 90+
If the seal is not adequate, select a larger size.
Pre-use check
Before use, check the interior of the airway tube and the gastric channel for occlusion or presence of any foreign
objects.
Pre-insertion preparation
1. Always wear gloves
2. Open the i-gel package, and on a flat surface take out the cage pack containing the device (figure 1)
3. In the final minute of pre-oxygenation, open the cage pack and transfer the device into the lid of the cage. Place a
small bolus of a water based lubricant, such as K-Y Jelly, onto the smooth inner surface ready for use. Do not use
silicone based lubricants. (figures 2,3 and 4)
4. Grasp the i-gel along the integral bite block and lubricate the front, back and sides of the cuff with a thin layer of
lubricant. Ensure after lubrication has been completed, that no BOLUS of lubricant remains in the bowl of the cuff
or elsewhere on the device. Avoid touching the cuff of the device with your hands (figures 5, 6 and 7).
5. Place the i-gel back into the cage pack in preparation for insertion (figure 8).
Recommended insertion technique
1. Grasp the lubricated i-gel firmly along the integral bite block. Position the device so that the i-gel cuff outlet is
facing towards the chin of the patient (figure 9).
2. The patient should be in the 'sniffing the morning air' position (as shown in figure 9) with head extended and neck
flexed. The chin should be gently pressed down by the anaesthetic assistant before proceeding to insert the i-gel.
3. Introduce the leading soft tip into the mouth of the patient in a direction towards the hard palate.
Glide the device downwards and backwards with a continuous but gentle push until a definitive resistance is felt.
DO NOT APPLY EXCESSIVE FORCE ON THE DEVICE DURING INSERTION. IT IS NOT NECESSARY TO
INSERT FINGERS OR THUMBS INTO THE PATIENT'S MOUTH DURING THE PROCESS OF INSERTING THE
DEVICE.
If there is early resistance during insertion a 'Triple Manoeuvre' or 'Insertion with Deep Rotation' is recommended.
4. At this point the tip of the airway should be located into the upper oesophageal opening (figure 10a) and the cuff
should be located against the laryngeal framework (figure 10b). The incisors should be resting on the integral bite-
block (figure 10c).
5. Hold the i-gel in place while it is taped (figure 11) or tied down (figure 12) by the anaesthetic assistant.
The i-gel should be used in accordance with recognised airway management practice for supraglottic airway
devices.
Patient size
Small adult
Medium adult
Large adult
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