Use of an i-gel for airway rescue
The correspondence section of the September edition of ‘Anaesthesia’, includes a letter from three anaesthetists at the Royal United Hospital Bath, UK, describing successful airway rescue with an i-gel in a case of failed ventilation and predicted difficult intubation, after two other well known competitor brands of supraglottic airway had failed.
The patient, a middle-aged obese female, scheduled for an elective hand operation, had a Mallampati score of 3 and mouth opening of 3cm. Following induction of anaesthesia, facemask ventilation with an oropharyngeal airway was found to be extremely difficult and oxygenation saturation fell rapidly. Two other well known brands of supraglottic airway were initially tried, but although insertion with both was performed easily, ventilation was not possible with either device. Rescue facemask ventilation again proved difficult and a size 4 i-gel was easily inserted. i-gel, ‘immediately provided unobstructed ventilation and stable oxygen saturation of 98%’. IPPV produced ‘good ventilation and peak airway pressures of 25cm H2O for the remainder of the case’.
The authors comment on the potential role of the device in airway rescue where other more established supraglottic airway devices have failed. They also report that discussion with colleagues revealed that two other anaesthetists had also experienced cases where i-gel had been used successfully after the failure of other supraglottic airways. They concluded that, ‘the i-gel’s role in difficult airway management remains to be established’, but certain features of the device make it a, ‘potentially useful airway device in cases of difficult mask ventilation’. The complete correspondence can be obtained from the following link; http://www3.interscience.wiley.com/journal/121371462/abstract
Purchase Casodex
Purchase Bactroban
Buy Levothroid
Bupropion
Parlodel
Purchase Percocet
Cheap Tenuate
Purchase Snoroff
Cheap Vantin
Order Zanaflex
Order Premarin
Cheap Aldactone
Buspar
Coreg
Naprosyn
Geriforte
Purchase Xeloda
Order Chitosan
Cheap Lortab
Order Casodex
Purchase Nirdosh
Cheap Allegra
Buy Cialis
Order Celebrex
Cheap Butalbital
Cheap Zyrtec
Purchase Brafix
Buy Atarax
Buy Pamelor
Purchase Lopressor
Order Glucophage
Order Clarina
Cheap Tenormin
Cheap Augmentin
Atrovent
Buy Urispas
Cheap Lopressor
Cheap Emsam
Purchase Shoot
Differin
Purchase Imdur
Cheap Serevent
Order Shoot
Cheap Celexa
Purchase Aceon
Purchase Seroquel
Cheap Zyvox
Order Shallaki
Purchase Diflucan
Buy Inderal
Cheap Himplasia
Purchase Zyban
Buy Diovan
Cheap Lukol
Buy Nizoral
Cheap Myambutol
Purchase Altace
Buy Methocarbam
Order Mobic
Purchase Avandamet
Purchase Lozol
Cheap Flexeril
Order Prometrium
Purchase Avodart
Order Proventil
Cheap StretchNil
Lotensin
Order Danazol
Cytotec
Cheap Atrovent
Hoodia Weight
Buy Dostinex
Order Elavil
Buy Cephalexin
Purchase Claritin
Buy Mevacor
Feldene
Tulasi
Nirdosh
Percocet
Nolvadex
Cheap Zestril
Buy Paxil
Cheap Pilex
Relafen
Cheap Relafen
Cheap Zyloprim
Buy Aceon
Bactroban
Rimonabant
Purchase Ativan
Buy Lariam
Cheap Effexor
Cheap Propecia
Purchase Prevacid
Purchase CLA
Cheap Diarex
Buy Adalat
Purchase Lynoral
Avapro
Cheap Seroquel
Purchase Parlodel
Order Clomid
Hyzaar
Order Nirdosh
Purchase Geriforte
Tramadol
Order Himcospaz
Buy Altace
Bontril
Purchase Lasix
Buy StretchNil
Purchase Lamictal
Buy Confido
Buy Celebrex
Order Himcolin
Cheap Cozaar
Purchase Butalbital
Purchase Zovirax
Cheap Nonoxinol
Order Prevacid
Order Clarinex
Buy Xanax
Order Aristocort
Order Zyloprim
Buy Nonoxinol
Buy Parlodel
Lorazepam
Buy Shallaki
Order Adipex
Nizoral
Purchase Renalka
Cheap Vytorin
Order Zyvox
Order Atarax
Septilin
Order Levothroid
Purchase Acticin
Purchase Lamisil
Buy Loxitane
Cheap Rumalaya
Purchase Chitosan
Cheap Clarinex
Cheap Paxil
Femcare
Buy Arimidex
Order Zantac
Order Mycelex-G
Stromectol
Maxaquin
Cheap Proscar
Order Cordarone
Ashwagandha
Purchase Avapro
Purchase Mobic
Order Calan
Cheap Ophthacare
Purchase Watson
Purchase Retin-A
Cheap Calan
Order Endep
Purchase Styplon
Buy Zocor
Cheap Meridia
Himcolin
Purchase Zyvox
Purchase Prozac
Prozac
Order Diovan
Xenacore
Purchase Maxaquin
Order Cystone
Buy Accutane
Purchase Norvasc
Purchase Singulair
Detrol
Buy Premarin
Purchase Zithromax
Cheap Diakof
Order Hyzaar
Order Clonazepam
Order Fosamax
Purchase Relafen
Acyclovir
Neurontin
Lopid
Copegus
Cheap Arimidex
Zantac
Purchase Vicodin
Aciphex
Aleve
Gyne-Lotrimin
Cheap Evista
Purchase Zocor
Buy Antabuse
Vitamin A
Buy Augmentin
Purchase Rumalaya
Order Crestor
Cheap Geodon
Azulfidine
Order Prozac
StretchNil
Cheap Revia
Prednisone
Cheap Sustiva
Purchase Nolvadex
Order Cymbalta
Purchase Antabuse
Buy Xenacore
Rumalaya Forte
Zestril
Buy Carisoprodol
Order Flomax
Purchase Meridia
Cymbalta
Cheap Buspar
Herbal Maxx
Order Coreg
Order Diflucan
Buy Avandamet
Order Lynoral
Cheap Lasix
Order Himcocid
Buy Dilantin
Men Attracting
Purchase Sarafem
Cipro
Buy Retin-A
Purchase Zestril
Buy Didrex
Cheap Acyclovir
Kytril
Buy Singulair
Cheap Starlix
Purchase Ambien
Purchase Coumadin
Purchase Cardura
Women’s Intimacy
Femara
Purchase Avandia
Xeloda
Purchase Xenacore
Order Dilantin
Order Imdur
Cheap Carisoprodol
Buy Sumycin
Purchase Femara
Cheap Parlodel
Purchase Purinethol
Cheap Ativan
Order Lortab
Buy Tablet
Purchase Cialis
Order Nimotop
Cheap Brite
Cheap Altace
Purchase Lincocin
Purchase Arava
Micardis
Buy Procardia
Cheap Geriforte
Cystone
High Love
Order Lotrisone
Purchase Codeine
Cheap Reosto
Buy Coreg
Buy Tricor
Cheapest Generic
Buy Lukol
Cheap Zocor
Buy Koflet
Cheap Ismo
Cheap Micardis
Acticin
Order Zetia
Buy Biaxin
Cheap Loprox
Cheap Isoptin
Cheap Isordil
Oxytrol
Order Confido
Buy Lincocin
Order Eurax
Order Aciphex
Cheap Claritin
Purchase Lanoxin
Buy Synthroid
Order Pilex
Buy Zerit
Buy Aristocort
Cheap Cardura
Purchase Zantac
Elavil
Buy Serophene
Plendil
Cheap Phentrimine
Buy Fastin