Pressure support ventilation with the I-gel in intensive care unit: case report

Background and objectives: The I-gel supraglottic airway has a non-inflatable cuff made from a gel-like thermoplastic elastomer. The use of the I-gel during anesthesia for spontaneously breathing patients or intermittent positive pressure ventilation has been reported. But there are a few published...

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Main Authors: Belgin Akan, Deniz Erdem, Mahinur Demet Albayrak, Esra Aksoy, Fatma Akdur, Nermin Gogus
Format: Article
Language:English
Published: Elsevier 2016-03-01
Series:Brazilian Journal of Anesthesiology
Online Access:http://www.sciencedirect.com/science/article/pii/S010400141300208X
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author Belgin Akan
Deniz Erdem
Mahinur Demet Albayrak
Esra Aksoy
Fatma Akdur
Nermin Gogus
author_facet Belgin Akan
Deniz Erdem
Mahinur Demet Albayrak
Esra Aksoy
Fatma Akdur
Nermin Gogus
author_sort Belgin Akan
collection DOAJ
description Background and objectives: The I-gel supraglottic airway has a non-inflatable cuff made from a gel-like thermoplastic elastomer. The use of the I-gel during anesthesia for spontaneously breathing patients or intermittent positive pressure ventilation has been reported. But there are a few published reports about the use of the I-gel with pressure-controlled ventilation. Contents and conclusions: In this case report we described the use of the I-gel supraglottic airway along 48 h in intensive care unit for the management of ventilation in a patient needed mechanic ventilation but in whom tracheal intubation could not be performed. Resumo: Justificativa e objetivos: O dispositivo supraglótico I-gel para o manejo das vias aéreas tem um manguito não insuflável feito de um elastômero termoplástico semelhante ao gel. Há relato sobre o uso do I-gel em pacientes sob anestesia para a ventilação, espontânea ou com pressão positiva intermitente. Porém, há poucos relatos publicados sobre o uso do I-gel com ventilação controlada por pressão. Conteúdo e conclusões: Descrevemos neste relato de caso o uso do dispositivo supraglótico I-gel durante 48 horas em unidade de terapia intensiva para o manejo das vias aéreas em paciente que precisou de ventilação mecânica, mas no qual a intubação traqueal não pôde ser feita. Keywords: I-Gel, LMA, Difficult airway, Pressure-controlled ventilation, Intensive care unit, Palavras-chave: I-Gel, Máscaras laríngeas, Manuseio das vias aéreas, Ventilação com pressão positiva intermitente, Unidade de terapia intensiva
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spelling doaj.art-641f5853b2604148a37c322ac58317022022-12-22T04:32:46ZengElsevierBrazilian Journal of Anesthesiology0104-00142016-03-01662219221Pressure support ventilation with the I-gel in intensive care unit: case reportBelgin Akan0Deniz Erdem1Mahinur Demet Albayrak2Esra Aksoy3Fatma Akdur4Nermin Gogus5Corresponding author.; Department of Anaesthesiology and Reanimation, Numune Training and Research Hospital, Ankara, TurkeyDepartment of Anaesthesiology and Reanimation, Numune Training and Research Hospital, Ankara, TurkeyDepartment of Anaesthesiology and Reanimation, Numune Training and Research Hospital, Ankara, TurkeyDepartment of Anaesthesiology and Reanimation, Numune Training and Research Hospital, Ankara, TurkeyDepartment of Anaesthesiology and Reanimation, Numune Training and Research Hospital, Ankara, TurkeyDepartment of Anaesthesiology and Reanimation, Numune Training and Research Hospital, Ankara, TurkeyBackground and objectives: The I-gel supraglottic airway has a non-inflatable cuff made from a gel-like thermoplastic elastomer. The use of the I-gel during anesthesia for spontaneously breathing patients or intermittent positive pressure ventilation has been reported. But there are a few published reports about the use of the I-gel with pressure-controlled ventilation. Contents and conclusions: In this case report we described the use of the I-gel supraglottic airway along 48 h in intensive care unit for the management of ventilation in a patient needed mechanic ventilation but in whom tracheal intubation could not be performed. Resumo: Justificativa e objetivos: O dispositivo supraglótico I-gel para o manejo das vias aéreas tem um manguito não insuflável feito de um elastômero termoplástico semelhante ao gel. Há relato sobre o uso do I-gel em pacientes sob anestesia para a ventilação, espontânea ou com pressão positiva intermitente. Porém, há poucos relatos publicados sobre o uso do I-gel com ventilação controlada por pressão. Conteúdo e conclusões: Descrevemos neste relato de caso o uso do dispositivo supraglótico I-gel durante 48 horas em unidade de terapia intensiva para o manejo das vias aéreas em paciente que precisou de ventilação mecânica, mas no qual a intubação traqueal não pôde ser feita. Keywords: I-Gel, LMA, Difficult airway, Pressure-controlled ventilation, Intensive care unit, Palavras-chave: I-Gel, Máscaras laríngeas, Manuseio das vias aéreas, Ventilação com pressão positiva intermitente, Unidade de terapia intensivahttp://www.sciencedirect.com/science/article/pii/S010400141300208X
spellingShingle Belgin Akan
Deniz Erdem
Mahinur Demet Albayrak
Esra Aksoy
Fatma Akdur
Nermin Gogus
Pressure support ventilation with the I-gel in intensive care unit: case report
Brazilian Journal of Anesthesiology
title Pressure support ventilation with the I-gel in intensive care unit: case report
title_full Pressure support ventilation with the I-gel in intensive care unit: case report
title_fullStr Pressure support ventilation with the I-gel in intensive care unit: case report
title_full_unstemmed Pressure support ventilation with the I-gel in intensive care unit: case report
title_short Pressure support ventilation with the I-gel in intensive care unit: case report
title_sort pressure support ventilation with the i gel in intensive care unit case report
url http://www.sciencedirect.com/science/article/pii/S010400141300208X
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AT esraaksoy pressuresupportventilationwiththeigelinintensivecareunitcasereport
AT fatmaakdur pressuresupportventilationwiththeigelinintensivecareunitcasereport
AT nermingogus pressuresupportventilationwiththeigelinintensivecareunitcasereport