{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,27]],"date-time":"2026-08-27T13:25:03Z","timestamp":1787837103522,"version":"build-2784847793"},"reference-count":10,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"4","license":[{"start":{"date-parts":[[2025,6,2]],"date-time":"2025-06-02T00:00:00Z","timestamp":1748822400000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-sa\/4.0"}],"content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2025,10]]},"abstract":"<jats:p>Enhanced recovery after cardiac surgery (ERACS) in pediatric patients using regional anesthesia is a well-recognized modality. However, there is no research on the use of supraglottic devices in pediatric patients under cardiopulmonary bypass. Twelve patients for acyanotic congenital heart surgery were recruited. An appropriately sized I-gel was inserted, and positive pressure ventilation without any leak or increased airway pressure was confirmed. Extubation was performed on the operating table without any airway complications or hemodynamic changes. The mean ICU stay was 1.6 days. With the correct selection of patients and strict vigilance, epidural analgesia and I-gel are well-tolerated and enable ultrafast tracking of patients with smooth extubation and superior hemodynamic stability in congenital cardiac surgery.<\/jats:p>","DOI":"10.4103\/joacp.joacp_379_24","type":"journal-article","created":{"date-parts":[[2025,6,2]],"date-time":"2025-06-02T10:00:10Z","timestamp":1748858410000},"page":"730-732","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":0,"title":["Enhanced recovery after cardiac surgery (ERACS) using supraglottic airway and thoracic epidural in pediatric patients: A pilot study"],"prefix":"10.4103","volume":"41","author":[{"given":"Alok","family":"Kumar","sequence":"first","affiliation":[{"name":"Department of Anaesthesia and Critical Care, Armed Forces Medical College, Pune, Maharashtra, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nihal","family":"Srivastava","sequence":"additional","affiliation":[{"name":"Department of Anaesthesia and Critical Care, Armed Forces Medical College, Pune, Maharashtra, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nihar","family":"Ameta","sequence":"additional","affiliation":[{"name":"Department of Anaesthesia and Critical Care, Armed Forces Medical College, Pune, Maharashtra, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Saajan","family":"Joshi","sequence":"additional","affiliation":[{"name":"Department of Anaesthesia and Critical Care, Armed Forces Medical College, Pune, Maharashtra, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nikhil","family":"Tiwari","sequence":"additional","affiliation":[{"name":"Department of Cardiothoracic Surgery, Armed Forces Medical College, Pune, Maharashtra, India"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2025,6,2]]},"reference":[{"key":"R1-20251001","first-page":"52","article-title":"A preliminary study of I-gel: A new supraglottic airway device","volume":"53","author":"Kannaujia","year":"2009","journal-title":"Indian J Anaesth"},{"key":"R2-20251001","doi-asserted-by":"crossref","first-page":"216","DOI":"10.4103\/0259-1162.134510","article-title":"Is I-gel airway a better option to endotracheal tube airway for sevoflurane-fentanyl anesthesia during cardiac surgery?","volume":"8","author":"Elgebaly","year":"2014","journal-title":"Anesth Essays Res"},{"key":"R3-20251001","doi-asserted-by":"crossref","first-page":"63","DOI":"10.1016\/0952-8180(95)00147-6","article-title":"Controlling the hemodynamic response to laryngoscopy and endotracheal intubation","volume":"8","author":"Kovac","year":"1996","journal-title":"J Clin Anaesth"},{"key":"R4-20251001","doi-asserted-by":"crossref","first-page":"1501","DOI":"10.1213\/ane.0b013e31816f22f6","article-title":"Fiberoptic intubation through an I-gel supraglottic airway in two patients with predicted difficult airway and intellectual disability","volume":"106","author":"Michalek","year":"2008","journal-title":"Anesth Analg"},{"key":"R5-20251001","doi-asserted-by":"crossref","first-page":"161","DOI":"10.1016\/j.resuscitation.2006.10.026","article-title":"The iGEL supraglottic airway: A potential role for resuscitation?","volume":"73","author":"Gabbott","year":"2007","journal-title":"Resuscitation"},{"key":"R6-20251001","first-page":"53","article-title":"Is I-gel a new revolution among supraglottic airway devices?--A comparative evaluation","volume":"20","author":"Jindal","year":"2009","journal-title":"Middle East J Anaesthesiol"},{"key":"R7-20251001","doi-asserted-by":"crossref","first-page":"388","DOI":"10.1111\/j.1365-2044.2007.04983.x","article-title":"Evaluation of four airway training manikins as patient simulators for the insertion of eight types of supraglottic airway devices","volume":"62","author":"Jackson","year":"2007","journal-title":"Anaesthesia"},{"key":"R8-20251001","doi-asserted-by":"crossref","first-page":"334","DOI":"10.1177\/21501351221151053","article-title":"Common inflammatory markers and outcome after pediatric cardiac surgery with high thoracic epidural anesthesia: A randomized controlled study","volume":"14","author":"Kumar","year":"2023","journal-title":"World J Pediatr Cong Heart Surg"},{"key":"R9-20251001","doi-asserted-by":"crossref","first-page":"786","DOI":"10.1111\/j.1365-2044.2008.05597.x","article-title":"Aspiration recognition with an I-gel airway","volume":"63","author":"Liew","year":"2008","journal-title":"Anaesthesia"},{"key":"R10-20251001","doi-asserted-by":"crossref","first-page":"415","DOI":"10.1093\/bja\/aem396","article-title":"Case series: Protection from aspiration and failure of protection from aspiration with the I-gel airway","volume":"100","author":"Gibbison","year":"2008","journal-title":"Br J Anaesth"}],"container-title":["Journal of Anaesthesiology Clinical Pharmacology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.ovid.com\/10.4103\/joacp.joacp_379_24","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,27]],"date-time":"2026-08-27T13:16:05Z","timestamp":1787836565000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.ovid.com\/10.4103\/joacp.joacp_379_24"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,6,2]]},"references-count":10,"journal-issue":{"issue":"4","published-print":{"date-parts":[[2025]]}},"URL":"https:\/\/doi.org\/10.4103\/joacp.joacp_379_24","relation":{},"ISSN":["0970-9185","2231-2730"],"issn-type":[{"value":"0970-9185","type":"print"},{"value":"2231-2730","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,6,2]]},"assertion":[{"value":"2024-07-25","name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2024-09-17","name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}}]}}