Evidence map›Paper›PMID 42369990›Full record

ArticleIndian journal of anaesthesia2026

Clinical performance of i-gel and i-gel Plus for airway management of obese patients: A prospective randomised controlled trial.

Rati Prabha, Rajesh Raman, Farhan Z Shaikh, Shefali Gautam, Ahsan K Siddiqui, Mohammed P Khan

Abstract read
In one paragraph

Article in Indian journal of anaesthesia, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Rati PrabhaDepartment of Anaesthesiology, King George's Medical University, Lucknow, Uttar Pradesh, India.ORCID https://orcid.org/0000-0002-0152-0855
Rajesh RamanDepartment of Anaesthesiology, King George's Medical University, Lucknow, Uttar Pradesh, India.ORCID https://orcid.org/0000-0002-3334-3339
Farhan Z ShaikhDepartment of Anaesthesiology, King George's Medical University, Lucknow, Uttar Pradesh, India.ORCID https://orcid.org/0009-0007-5052-1153
Shefali GautamDepartment of Anaesthesiology, King George's Medical University, Lucknow, Uttar Pradesh, India.ORCID https://orcid.org/0000-0002-6449-5263
Ahsan K SiddiquiDepartment of Anaesthesiology, King George's Medical University, Lucknow, Uttar Pradesh, India.ORCID https://orcid.org/0000-0002-4044-2407
Mohammed P KhanDepartment of Anaesthesiology, King George's Medical University, Lucknow, Uttar Pradesh, India.ORCID https://orcid.org/0000-0003-0742-2022

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background and Aims: The i-gel Plus (i-gelP) is a refined version of i-gel supraglottic airway device (SAD), featuring an extended cuff tip, an intubation ramp, and a broader gastric channel, which may contribute to better performance. However, despite the anatomical and physiological airway challenges in obese individuals, scientific data on its use in this population are unavailable. The aim of this trial was to compare i-gel and i-gelP for perioperative airway management in obese patients. Methods: It is a prospective, single-centre, single-blind, randomised controlled trial. Seventy-six adult obese patients (body mass index ≥30 kg/m²) of American Society of Anesthesiologists physical status II-III, undergoing elective surgery, were randomised for airway management using either i-gel or i-gelP. The primary outcome variable was oropharyngeal leak pressure (OLP). The secondary outcomes were first-attempt and overall insertion success rates, leak fraction, insertion time, ease of device placement, fibreoptic glottic view, and complications. Statistical comparison was done using unpaired Results: Three patients were excluded after failed SAD insertion, leaving 36 in the i-gel group and 37 in the i-gelP group for analysis. Demographic characteristics were comparable between groups. i-gelP achieved significantly higher OLP than i-gel {34.57 (2.85) [33.62-35.52] vs 27.67 (2.88) [26.69-28.64] cm H Conclusion: I-gelP is superior to i-gel for managing the airway of obese patients, mainly class 1 obesity during elective surgery.

Indexed as

Airway managementanaesthesiaelective surgical procedureslaryngeal masksobesitypost-operative complications

Identifiers

PMID42369990
PMCPMC13309115

What Socratic holds

Textmetadata
LicenceCC BY-NC-SA
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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.