Anaesthetic Allies: The I-gel and Its Rivals-Are We Becoming Less Familiar With the Latter?

Abstract

The field of airway management has undergone significant evolution, particularly with the introduction of the i-gel, a second-generation airway device. Initially developed to provide a less invasive alternative to endotracheal intubation, the i-gel gained widespread popularity due to its ease of insertion, rapid deployment, and minimal complications. This editorial compares the i-gel, highlighting its pros and cons. The i-gel offers key advantages, such as the anatomical seal without the need for cuff inflation, and reducing the risk of airway trauma. Furthermore, its reliable performance has been documented across various patient groups, including paediatrics and obese populations. Despite its strengths, there are limitations, such as reduced applicability in difficult airway situations and its lack of compatibility with endotracheal tubes. The choice of airway device should be tailored to the specific needs of the patient and the surgical procedure, emphasising the importance of maintaining familiarity with a variety of devices rather than solely relying on the i-gel. The editorial focuses on the ongoing evaluation of the role of the i-gel in modern anaesthesia, including the need for enhanced training in alternative supraglottic airway devices to ensure optimal airway management.