Learning curve of i-gel insertion in novices using a cumulative sum analysis
Abstract The i-gel, a popular second-generation supraglottic airway device, has been used in a variety of airway management situations, including as an alternative to tracheal intubation for general anesthesia, rescue in difficult airway settings, and out-of-hospital cardiac arrest resuscitation. We...
| Main Authors: | , , , , |
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| Format: | Article |
| Language: | English |
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Nature Portfolio
2023-05-01
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| Series: | Scientific Reports |
| Online Access: | https://doi.org/10.1038/s41598-023-34152-5 |
| _version_ | 1797832064775487488 |
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| author | Toshiyuki Nakanishi Seishi Sakamoto Manabu Yoshimura Koichi Fujiwara Takashi Toriumi |
| author_facet | Toshiyuki Nakanishi Seishi Sakamoto Manabu Yoshimura Koichi Fujiwara Takashi Toriumi |
| author_sort | Toshiyuki Nakanishi |
| collection | DOAJ |
| description | Abstract The i-gel, a popular second-generation supraglottic airway device, has been used in a variety of airway management situations, including as an alternative to tracheal intubation for general anesthesia, rescue in difficult airway settings, and out-of-hospital cardiac arrest resuscitation. We aimed to investigate the number of experiences needed to achieve a rapid, highly successful first attempt i-gel insertion in novices with a cumulative sum analysis. We also looked at how learning affected success rates, insertion time, and bleeding and reflex (limb movement, frowning face, or coughing) incidences. This prospective observational study included 15 novice residents from March 2017 to February 2018 in a tertiary teaching hospital. Finally, 13 residents with 35 [30–42] (median [interquartile range]) cases of i-gel insertion were analyzed. The cumulative sum analysis showed that 11 of 13 participants had an acceptable failure rate after 15 [8–20] cases. With increasing experience, success rate (P = 0.004), insertion time (P < 0.001), and incidence of bleeding (P = 0.006) all improved. However, the incidence of reflex did not change (P = 0.43). Based on our results, we suggest that 20 cases are preferable for novices to develop skills in using the i-gel in airway management. |
| first_indexed | 2024-04-09T14:02:52Z |
| format | Article |
| id | doaj.art-033149cf775c463ea27c27430c238146 |
| institution | Directory Open Access Journal |
| issn | 2045-2322 |
| language | English |
| last_indexed | 2024-04-09T14:02:52Z |
| publishDate | 2023-05-01 |
| publisher | Nature Portfolio |
| record_format | Article |
| series | Scientific Reports |
| spelling | doaj.art-033149cf775c463ea27c27430c2381462023-05-07T11:12:34ZengNature PortfolioScientific Reports2045-23222023-05-011311810.1038/s41598-023-34152-5Learning curve of i-gel insertion in novices using a cumulative sum analysisToshiyuki Nakanishi0Seishi Sakamoto1Manabu Yoshimura2Koichi Fujiwara3Takashi Toriumi4Department of Anesthesiology and Intensive Care Medicine, Nagoya City University Graduate School of Medical SciencesDepartment of Anesthesiology, Japan Community Healthcare Organization Tokuyama Central HospitalDepartment of Anesthesiology, Japan Community Healthcare Organization Tokuyama Central HospitalDepartment of Materials Process Engineering, Nagoya UniversityDepartment of Anesthesiology, Japan Community Healthcare Organization Tokuyama Central HospitalAbstract The i-gel, a popular second-generation supraglottic airway device, has been used in a variety of airway management situations, including as an alternative to tracheal intubation for general anesthesia, rescue in difficult airway settings, and out-of-hospital cardiac arrest resuscitation. We aimed to investigate the number of experiences needed to achieve a rapid, highly successful first attempt i-gel insertion in novices with a cumulative sum analysis. We also looked at how learning affected success rates, insertion time, and bleeding and reflex (limb movement, frowning face, or coughing) incidences. This prospective observational study included 15 novice residents from March 2017 to February 2018 in a tertiary teaching hospital. Finally, 13 residents with 35 [30–42] (median [interquartile range]) cases of i-gel insertion were analyzed. The cumulative sum analysis showed that 11 of 13 participants had an acceptable failure rate after 15 [8–20] cases. With increasing experience, success rate (P = 0.004), insertion time (P < 0.001), and incidence of bleeding (P = 0.006) all improved. However, the incidence of reflex did not change (P = 0.43). Based on our results, we suggest that 20 cases are preferable for novices to develop skills in using the i-gel in airway management.https://doi.org/10.1038/s41598-023-34152-5 |
| spellingShingle | Toshiyuki Nakanishi Seishi Sakamoto Manabu Yoshimura Koichi Fujiwara Takashi Toriumi Learning curve of i-gel insertion in novices using a cumulative sum analysis Scientific Reports |
| title | Learning curve of i-gel insertion in novices using a cumulative sum analysis |
| title_full | Learning curve of i-gel insertion in novices using a cumulative sum analysis |
| title_fullStr | Learning curve of i-gel insertion in novices using a cumulative sum analysis |
| title_full_unstemmed | Learning curve of i-gel insertion in novices using a cumulative sum analysis |
| title_short | Learning curve of i-gel insertion in novices using a cumulative sum analysis |
| title_sort | learning curve of i gel insertion in novices using a cumulative sum analysis |
| url | https://doi.org/10.1038/s41598-023-34152-5 |
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