{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,2]],"date-time":"2026-08-02T15:57:23Z","timestamp":1785686243511,"version":"3.56.0"},"reference-count":30,"publisher":"Wiley","issue":"12","license":[{"start":{"date-parts":[[2024,8,7]],"date-time":"2024-08-07T00:00:00Z","timestamp":1722988800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"funder":[{"DOI":"10.13039\/501100003243","name":"Ministerstvo Zdravotnictv\u00ed Cesk\u00e9 Republiky","doi-asserted-by":"publisher","award":["CZ\u2010DRO\u2010VFN00064165"],"award-info":[{"award-number":["CZ\u2010DRO\u2010VFN00064165"]}],"id":[{"id":"10.13039\/501100003243","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["associationofanaesthetists-publications.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Anaesthesia"],"published-print":{"date-parts":[[2024,12]]},"abstract":"<jats:title>Summary<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>The i\u2010gel\u00ae Plus is a modified version of the i\u2010gel\u00ae supraglottic airway device. It contains a wider drainage port; a longer tip; ramps inside the breathing channel; and an additional port for oxygen delivery. There has been no prospective evaluation of this device in clinical practice.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>This international, multicentre, prospective cohort study aimed to evaluate the performance of the i\u2010gel Plus in adult patients undergoing elective procedures under general anaesthesia. The primary outcome was overall insertion success rate, defined as the ability to provide effective airway management through the device from insertion until the end of the surgical procedure. Secondary outcomes included device performance and incidence of postoperative adverse events. Data from the first 1000 patients are reported.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      In total, 1012 patients were enrolled; 12 forms were excluded from the final analysis due to incomplete data leaving 1000 included patients (545 female). Overall insertion success rate was 98.6%, with a first\u2010attempt success rate of insertion of 88.2%. A significant difference between females and males was seen for the overall success rate (97.4% vs. 99.6% respectively) but not for first\u2010attempt successful insertion. Mean (SD) oropharyngeal seal pressure was 32 (7) cmH\n                      <jats:sub>2<\/jats:sub>\n                      O. The only independent factor that increased the risk of first\u2010attempt failure was low operator experience. Complications included desaturation &lt;\u200985% in 0.6%; traces of blood on the device in 7.4%; laryngospasm in 0.5%; and gastric contents inside the bowl in 0.2% of patients.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>The i\u2010gel Plus appears to be an effective supraglottic airway device that is associated with a high insertion success rate and a reasonably low incidence of complications.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/anae.16401","type":"journal-article","created":{"date-parts":[[2024,8,7]],"date-time":"2024-08-07T17:29:26Z","timestamp":1723051766000},"page":"1284-1291","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":12,"title":["Evaluation of the i\u2010gel\u00ae Plus supraglottic airway device in elective surgery: a prospective international multicentre study*"],"prefix":"10.1111","volume":"79","author":[{"given":"Jakub","family":"Werner","sequence":"first","affiliation":[{"name":"Department of Anaesthesia and Intensive Medicine University Hospital Hradec Kralove  Hradec Kralove Czech Republic"},{"name":"Masaryk University  Brno Czech Republic"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Olga","family":"Klementova","sequence":"additional","affiliation":[{"name":"Department of Anaesthesiology and Intensive Care Medicine University Hospital Olomouc  Olomouc Czech Republic"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jan","family":"Bruthans","sequence":"additional","affiliation":[{"name":"Department of Anaesthesiology and Intensive Medicine General University Hospital and First Medical Faculty of the Charles University  Prague Czech Republic"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jaromir","family":"Macoun","sequence":"additional","affiliation":[{"name":"Department of Anaesthesiology and Intensive Medicine General University Hospital and First Medical Faculty of the Charles University  Prague Czech Republic"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tomasz","family":"Gaszynski","sequence":"additional","affiliation":[{"name":"Department of Anaesthesiology and Intensive Therapy Medical University of Lodz  Lodz Poland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tomas","family":"Henlin","sequence":"additional","affiliation":[{"name":"Department of Anaesthesia and Intensive Medicine Military University Hospital  Prague Czech Republic"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Will","family":"Donaldson","sequence":"additional","affiliation":[{"name":"Department of Anaesthesia Antrim Area Hospital  Antrim UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Erik","family":"Lichnovsky","sequence":"additional","affiliation":[{"name":"Department of Anaesthesia Craigavon Area Hospital  Portadown UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shiva","family":"Arava","sequence":"additional","affiliation":[{"name":"Department of Anaesthesia Craigavon Area Hospital  Portadown UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ana M","family":"Lopez","sequence":"additional","affiliation":[{"name":"Department of Anaesthesia Hospital Clinic de Barcelona  Barcelona Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Raquel","family":"Berge","sequence":"additional","affiliation":[{"name":"Department of Anaesthesia Hospital Clinic de Barcelona  Barcelona Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8119-5927","authenticated-orcid":false,"given":"Pavel","family":"Michalek","sequence":"additional","affiliation":[{"name":"Department of Anaesthesiology and Intensive Medicine General University Hospital and First Medical Faculty of the Charles University  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