Patients Under General Anesthesia
Conditions
Interventions
During insertion, the i-gel is inserted while lifting the mandible along with the tongue using one hand to create space in the oral cavity.
Without rotating the head, the i-gel is inserted in the snif
s chin forward to open the mouth, and advancing it along the hard palate into the oral cavity.
Sponsors
Seirei Mikatahara General Hospital
Eligibility
Sex/Gender
All
Inclusion criteria
Inclusion criteria: Patients aged 50 years or older undergoing general anesthesia who require airway management. Patients who provided consent to participate in this study by signing a written informed consent form. [Justification] Since insertion difficulties with the i-gel are rare in younger individuals, the age criterion was set at 50 years or older.
Exclusion criteria
Exclusion criteria: Refusal to participate in the study Day surgery Pre-existing neurological or cognitive disorders Use of antipsychotic medications Body mass index (BMI) over 35 kg/m2 or body weight over 90 kg Mouth opening less than 2.5 cm Acute sore throat Conditions with a risk of aspiration (e.g., pregnancy, gastroesophageal reflux disease, hiatal hernia) History of difficult intubation Limited neck mobility (e.g., atlantoaxial subluxation, history of cervical spine or head and neck surgery)
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| First-Attempt Success Rate of Insertion | — |
Secondary
| Measure | Time frame |
|---|---|
| Success rate within two attempts Time required for successful insertion within two attempts Leak pressure Conversion to tracheal intubation Procedure-related complications assessed in the post-anesthesia care unit | — |
Countries
Japan
Contacts
Public Contactshingo kawashima
Seirei Mikatahara General Hospital Department of Anesthesiology
Outcome results
None listed