{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,30]],"date-time":"2026-03-30T13:55:46Z","timestamp":1774878946286,"version":"3.50.1"},"reference-count":26,"publisher":"Wiley","issue":"10","license":[{"start":{"date-parts":[[2014,7,16]],"date-time":"2014-07-16T00:00:00Z","timestamp":1405468800000},"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":[[2014,10]]},"abstract":"<jats:title>Summary<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>I\u2010gel<jats:sup>\u2122<\/jats:sup> is a relatively newer addition in the pediatric anesthesia practice. Its comparison with the other laryngeal mask airway repor\u2010ted a wide range of results. Randomized controlled trials where i\u2010gel<jats:sup>\u2122<\/jats:sup> has been compared with other laryngeal masks (laryngeal mask airway ProSeal<jats:sup>\u2122<\/jats:sup> and laryngeal mask airway Classic<jats:sup>\u2122<\/jats:sup>) in children for airway management device during general anesthesia has been included in this meta\u2010analysis.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>PubMed and Central Register of Clinical Trials of the Cochrane Collaboration for eligible controlled trials using following search words: \u2018i\u2010gel\u2019, \u2018i\u2010gel laryngeal mask airway\u2019, \u2018i\u2010gel children\u2019, \u2018i\u2010gel paediatric\u2019 until February 15, 2014. A total nine prospective randomized controlled trials have been included in this meta\u2010analysis.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Pooled analyses have found that i\u2010gel<jats:sup>\u2122<\/jats:sup> provided significantly higher oropharyngeal leak pressure than laryngeal mask airway ProSeal<jats:sup>\u2122<\/jats:sup> [496 participants, mean difference 2.07\u00a0cm H<jats:sub>2<\/jats:sub>O, 95% <jats:styled-content style=\"fixed-case\">CI<\/jats:styled-content> 0.52\u20133.62; <jats:italic>P<\/jats:italic>\u00a0=\u00a00.009] and a similar leak in comparison with laryngeal mask airway Classic<jats:sup>\u2122<\/jats:sup> [355 participants, mean difference 1.73\u00a0cm H<jats:sub>2<\/jats:sub>O, 95% <jats:styled-content style=\"fixed-case\">CI<\/jats:styled-content> \u22120.04, 3.51\u00a0cm H<jats:sub>2<\/jats:sub>O; <jats:italic>P<\/jats:italic>\u00a0=0.06]. No difference was found in first insertion success rate and ease of insertion between i\u2010gel<jats:sup>\u2122<\/jats:sup>, laryngeal mask airway ProSeal<jats:sup>\u2122<\/jats:sup>, and laryngeal mask airway Classic<jats:sup>\u2122<\/jats:sup>. Ease of gastric tube insertion is similar between i\u2010gel<jats:sup>\u2122<\/jats:sup> and laryngeal mask airway ProSeal<jats:sup>\u2122<\/jats:sup>. Reported complications are infrequent and similar in all three devices.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>We conclude that i\u2010gel<jats:sup>\u2122<\/jats:sup> is an effective alternative of the commonly used laryngeal mask airway ProSeal<jats:sup>\u2122<\/jats:sup> and laryngeal mask airway Classic<jats:sup>\u2122<\/jats:sup> in children for airway management during general anesthesia.<\/jats:p><\/jats:sec>","DOI":"10.1111\/pan.12483","type":"journal-article","created":{"date-parts":[[2014,7,16]],"date-time":"2014-07-16T07:03:33Z","timestamp":1405494213000},"page":"1072-1079","source":"Crossref","is-referenced-by-count":47,"title":["Evaluation of i\u2010gel<sup>\u2122<\/sup> airway in children: a meta\u2010analysis"],"prefix":"10.1111","volume":"24","author":[{"given":"Souvik","family":"Maitra","sequence":"first","affiliation":[{"name":"Department of Anaesthesia and Intensive Care All India Institute of Medical Sciences New Delhi India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Dalim K.","family":"Baidya","sequence":"additional","affiliation":[{"name":"Department of Anaesthesia and Intensive Care All India Institute of Medical Sciences New Delhi India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sulagna","family":"Bhattacharjee","sequence":"additional","affiliation":[{"name":"Department of Anaesthesia and Intensive Care All India Institute of Medical Sciences New Delhi India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Puneet","family":"Khanna","sequence":"additional","affiliation":[{"name":"Department of Anaesthesiology PGIMER Chandigarh India"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2014,7,16]]},"reference":[{"key":"e_1_2_9_2_1","doi-asserted-by":"publisher","DOI":"10.1111\/anae.12003.x"},{"key":"e_1_2_9_3_1","unstructured":"Intersurgical: User guide: i\u2010gel\u00aesupraglottic airway adult and paediatric sizes. 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