Comparison of Clinical Performance of I-gel and Fastrach Laryngeal Mask Airway as an Intubating Device in Adults: A Systematic Review and Meta-Analysis
Pooled result · First-pass success rate for tracheal intubationResult — go to the resultRR for first-pass intubation success 0.81 95% CI 0.67–0.98Authors' conclusion
Based on our findings, a higher first-pass success rate was observed with the use of Fastrach when compared to I-gel.
Study context
- Population
- Adults undergoing intubation
- Participants
- 1,340 adults · 14 randomized controlled trials (RCTs)
- Comparison
- I-gel vs Fastrach as intubating SGA
- Outcome
- First-pass success rate for tracheal intubation
Methodological detailsBonferroni correction for secondary outcomes (99% CI)
- Bonferroni correction for secondary outcomes (99% CI)
Pooled result
As reported in the abstract
RR for first-pass intubation success
0.81
95% CI 0.67–0.98
P = 0.03
I-gel vs Fastrach
RR for first-pass intubation success 0.81 (95% CI 0.67–0.98); P = 0.03
Further pooled results
| Outcome | RR for first-pass intubation success (95% CI) | P value | |
|---|---|---|---|
| First-pass success rate, flexible scope through I-gel (subgroup)I² = 0%; favouring I-gel with flexible scope | 1.05 (1.01–1.11) | P = 0.03 | |
| 0.512RR for first-pass intubation success (log scale) |
Overall intubation success rate
- No significant difference irrespective of the device used
- RR 0.92; 0.82-1.04; P = .08; I² = 92% (99% CI, P, I²)
- 99% CI after Bonferroni correction
Tracheal intubation time
- No significant difference irrespective of the device used (WMD, seconds; 99% CI; P; I²)
- - 1.03; −4.75 to 2.69; P = .48; I² = 84%
- 99% CI after Bonferroni correction
Device insertion time
- No significant difference regarding device insertion time
- −6.48; −13.23 to 0.27; P = .01; I 2 = 98% (WMD, seconds; 99% CI; P; I²)
- 99% CI after Bonferroni correction; P < .01 considered significant
Success rate of initial SGD insertion
- No significant difference
Safety
Sore throat
- No significant difference
- 1.01; 0.65-1.57; P = .95; I² = 33% (RR; 99% CI; P; I²)
- 99% CI after Bonferroni correction
Blood presence post-SGD removal
- No significant difference
- 0.89; 0.42-1.86; P = .68; I² = 0% (RR; 99% CI; P; I²)
- 99% CI after Bonferroni correction
Original publication
Comparison of Clinical Performance of I-gel and Fastrach Laryngeal Mask Airway as an Intubating Device in Adults: A Systematic Review and Meta-Analysis. Anesth Analg. Published 10 January 2025. doi:10.
Composed by AI from the published abstract and checked against it. How Briefs are made →