iGel airway
INDICATIONS:
- Primary airway for an unconscious adult/adolescent lacking a gag reflex
- Advanced airway if Intubation is anticipated to be difficult
- Advanced airway when intubation is likely to cause interruptions in compressions
- Advanced airway when intubation is unsuccessful
CONTRAINDICATIONS:
- Patient under 50kg
- Responsive patients with an intact gag reflex
- Patients with known esophageal disease
- Patients who have ingested caustic substances
- Known narcotic OD
- Laryngectomy patient with stoma
- Airway obstruction
- Oral trauma
- Ability to maintain airway without invasive procedure
EQUIPMENT:
- iGel Airway
- Water based lubricant
- ETCO2 device (use for pts. with perfusing rhythms)
- ET holder
- Suction catheter
- Oxygen
- BVM
- Stethoscope
PROCEDURE:
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Choose correct iGel based on size of patient:
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Size 4 - 50kg - 90kg (110lbs - 200lbs)
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Size 5 - Greater than 90kg (200lbs +)
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Suction, Ventilate pt. with 100% O2 prior to insertion.
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lubricate iGel on the protective cradle.
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Place head in neutral position “Sniffing position”
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Grasp lower jaw with thumb and index finger and lift.
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Introduce the soft tip of the iGel into the mouth with opening towards the chin.
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Insert the device downwards and backwards along the hard palate until resistance is met.
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Do not force the tube. If the tube doesn’t advance easily, redirect it or withdraw and reinsert.
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Ventilate and confirm placement with auscultation and End Tidal CO2 monitoring.
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Secure iGel with large tube holder.