iGel Supraglotic Airway Flashcards
PPE
Appropriate hand hygiene
Disposable gloves
Eye protection if appropriate
Indications
Preferred airway in cardiac arrest
When BVM ventilation with an OPA in not effective
Prolonged ventilation required
Rescue device is ET tube fails
Contraindications
Patient has an intact gag reflex
Level on consciousness is too high
Cautions
Does not protect against vomiting or aspiration
May leak when high ventilation pressures are needed in COPD, asthmatic or obese patients
Prepare equipment
Lay out the Igel and other airway resus equipment on a clean surface or dump sheet if available
Size equipment
Size 3 for small adults
Size 4 for medium adults
Size 5 for large adults
Lubricate igel
Remove from packaging and cradle
Small amount of lubricant on the cradle
Lubricate the back, sides and front tip of the Igel
Prepare patient
Lay the patient supine with head in sniffing position (head tilt chin lift)
Open the mouth and ensure airway is clear
Suction if necessary
Insert Igel
Hold the Igel by the bite block
Pull down the patients chin
Insert the Igel towards the hard palate
Locate equipment
Slide the Igel along the hard palate with gentle pressure until definitive resistance is felt and the bite block is at the level of the incisors
Reassess
Ensure no gag reflex is triggered by the Igel
Remove immediately if present
Connect equipment
Complete the airway tree
Igel - catheter mount - filter - capnography - BVM - oxygen
Reassess end tidal & air entry
normal end tidal values
4.6-6kpa
above 1.33kpa in cardiac arrest
faster ventilation rates lower end tidal
slower rates increase it
Secure device
Use Thomas tube holder if available
continually reassess
check iGel placement after moving
any changes to patient condition or end tidal reading
