Our doctors find themselves in some of the most remote and difficult environments in the world. That it is a ship in the middle of the Arctic, a military base in Afghanistan or the construction of a pipeline in the plains of Africa. In North America, our customers are constantly relying on us to provide the most effective medical care.
In pursuit of this goal, we are constantly reevaluating our protocols and medical equipment. That's why, after careful review, research, and hands-on experience from our Chief Medical Officer, Dr. Jayson Eversgerd, we have recently changed our advanced King LT respiratory equipment to the I-II. gel
Advanced airway equipment protects the respiratory tract during cardiopulmonary resuscitation to ensure that rescue breaths do not cause negative side effects, such as Aspiration of vomiting. The i-gel is a simpler, faster and safer supraglottic device. In fact, it has been so effective and can be used so quickly that some have questioned whether a prehospital attempt at endotracheal intubation should ever be made.
Here are the three main advantages of i-gel over other devices like the King LT:
The i-gel is made of a soft thermoplastic elastomer, similar to a gel, which constitutes the non-inflatable cuff. The non-inflatable cuff of the i-gel forms a non-traumatic seal on the laryngeal, pharyngeal and parapharyngeal structures. This non-inflatable cuff has a number of potential benefits, including easier insertion, minimal risk of tissue compression, and post-insertion stability (ie, no change of position with balloon swelling). 1 . It is not necessary to insert the fingers into the patient's mouth for complete insertion. The contiguous and smooth surface of the device, from the end of the bowl and all the way through the tube section, allows the device to slide easily along the back of the throat and stay firmly in place.
Because of its simple design, the i-gel requires fewer technical skills than the previous methods and requires little training, both initial and ongoing. In addition, the device is only intended for single use, which means that it does not require any sterilization after use.
An experienced user of the i-gel can achieve successful insertion in less than five seconds and studies have shown that i-gel is faster than any other supraglottic device does not require headline inflation 2 . All that is needed to prepare the device is to simply lubricate the front, back and sides of the cuff without swelling with a water-based lubricant. In comparison, King LT requires filling the balloon after insertion. Most importantly, the speed of entry of the i-gel is translated by first-pass success rates much higher than any other supraglottic device on the market.
The recommended insertion technique consists of the following steps:
Grasp the lubricated i-gel firmly along the integrated bite block. Position the device so that the output of the i-gel cuff is directed towards the patient's chin.
The patient should be in the "sniffing morning air" position with the head extended and the neck flexed. The chin should be gently squeezed before inserting the i-gel.
Introduce the soft tip into the patient's mouth in a direction towards the hard palate.
Slide the device down and back along the hard palate with a steady but gentle push until a definite resistance is felt.
The design of the i-gel is really anatomically correct compared to previous devices. Developed from data from studies of fresh cervical cadaveric dissections, direct and indirect pharyngolaryngeal endoscopies, radiographs and CT and MRI imaging, its design minimizes multidirectional compression forces or of movement of tissues and surrounding structures.
This anatomical design, combined with the soft thermoplastic elastomer of medical grade, is less likely to cause undesirable effects compared to other supraglottic devices. The risk of rotation and malposition leading to partial or complete obstruction of the airways is extremely low with i-gel.
The Bottom Line
The i-gel is widely used in prehospital medicine in the United Kingdom and Australia and is the standard of care for field resuscitation in the UK for several of the reasons described above . These same benefits make it perfect for our staff operating in remote, challenging and industrial environments. As Remote Medical International strives to ensure that our clients consistently receive the highest quality of care from our field physicians, we are proud to continually seek out opportunities to learn and learn from each other. ;improve.
Below, you will find a tutorial from the manufacturer of the i-gel, demonstrating how incredibly easy this device is to use even by very novice medical providers.