{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,18]],"date-time":"2026-08-18T01:20:00Z","timestamp":1787016000248,"version":"build-2736575974"},"reference-count":17,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2012,11,27]],"date-time":"2012-11-27T00:00:00Z","timestamp":1353974400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Pediatric Anesthesia"],"published-print":{"date-parts":[[2013,2]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>The laryngeal mask airway Supreme (Supreme) is a new single\u2010use supraglottic device with gastric access capability now available in all sizes for children.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Objectives<\/jats:title>\n                    <jats:p>To compare the i\u2010gel with the Supreme in children for routine airway maintenance.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Materials\/Methods<\/jats:title>\n                    <jats:p>One hundred and seventy children, aged 3\u00a0months to 11\u00a0years, 5\u201350\u00a0kg in weight, were randomly assigned to receive either the i\u2010gel or the Supreme. The primary outcome measured was airway leak pressure. Secondary outcomes included the following: ease and time for insertion, insertion success rate, fiberoptic grade of view, ease of gastric tube placement, number of airway manipulations, quality of airway during anesthetic maintenance, and complications.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      A total of 168 patients were assessed for the outcomes. The median (\n                      <jats:styled-content style=\"fixed-case\">IQR<\/jats:styled-content>\n                      [range]) airway leak pressure for the i\u2010gel was higher than with the Supreme, 20 (18\u201325 [9\u201340])\u00a0cm H\n                      <jats:sub>2<\/jats:sub>\n                      O vs 17 (14\u201322 [10\u201340])\u00a0cm H\n                      <jats:sub>2<\/jats:sub>\n                      O, respectively (\n                      <jats:italic>P\u00a0<\/jats:italic>\n                      =\n                      <jats:italic>\u00a0<\/jats:italic>\n                      0.001). There were no differences in the time for device insertion, fiberoptic grade of view, quality of airway, and complications. Median (\n                      <jats:styled-content style=\"fixed-case\">IQR<\/jats:styled-content>\n                      [range]) time of successful insertion of a gastric tube was faster with the Supreme, 12 (9.2\u201314.3 [5.2\u201344.2])\u00a0s than with the i\u2010gel, 14 (11.9\u201319 [6.9\u201375])\u00a0s;\n                      <jats:italic>P<\/jats:italic>\n                      \u00a0=\u00a00.01. The number of airway manipulations during placement was higher with the i\u2010gel than with the laryngeal mask airway Supreme (12 vs 13 patients),\n                      <jats:italic>P<\/jats:italic>\n                      \u00a0=\u00a00.02.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>In infants and children, when a single\u2010use supraglottic device with gastric access capabilities is required, the i\u2010gel demonstrated higher airway leak pressures and can be a useful alternative to the Supreme.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/pan.12078","type":"journal-article","created":{"date-parts":[[2012,11,28]],"date-time":"2012-11-28T19:25:10Z","timestamp":1354130710000},"page":"127-133","source":"Crossref","is-referenced-by-count":52,"title":["A randomized equivalence trial comparing the i\u2010gel and laryngeal mask airway\n                    <scp>S<\/scp>\n                    upreme in children"],"prefix":"10.1111","volume":"23","author":[{"given":"Narasimhan","family":"Jagannathan","sequence":"first","affiliation":[{"name":"Department of Pediatric Anesthesia Ann &amp; Robert H. Lurie Children's Hospital of Chicago Northwestern University's Feinberg School of Medicine Chicago IL USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Katherine","family":"Sommers","sequence":"additional","affiliation":[{"name":"Department of Pediatric Anesthesia Ann &amp; Robert H. Lurie Children's Hospital of Chicago Northwestern University's Feinberg School of Medicine Chicago IL USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lisa E.","family":"Sohn","sequence":"additional","affiliation":[{"name":"Department of Pediatric Anesthesia Ann &amp; Robert H. Lurie Children's Hospital of Chicago Northwestern University's Feinberg School of Medicine Chicago IL USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Amod","family":"Sawardekar","sequence":"additional","affiliation":[{"name":"Department of Pediatric Anesthesia Ann &amp; Robert H. 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