i-Gel Supraglottic airway device Quiz

1 / 10

What is the proper way to secure a properly placed i-gel SAD device

Once proper placement is verified, the i-gel SAD does not need to be secured

The i-gel SAD should be manually held in place at all times by EMS personnel following placement

Utilize an OPA to assist with securing the device

Utilize a commercial securing device specifically designed for the i-gel SAD, or secure using tape from “maxilla to maxilla

2 / 10

A properly placed i-gel SAD provides complete airway protection from aspiration

True

False

3 / 10

Air leaking excessively from the gastric channel following i-gel SAD placement means:

The device is correctly placed, excessive air leakage from the gastric channel is normal with the use of this device, EMS personnel should continue ventilating the patient and secure the device

The device is probably placed correctly and the air leakage is likely due to patient anatomy, EMS personnel should continue ventilating the patient and secure the device if lung sounds are present

Use of the device is not appropriate for this particular patient, remove the device and utilize an alternate advanced airway for this patient

Either an incorrectly sized device was utilized or the device is incorrectly placed, if the excessive air leakage cannot be eliminated by re-positioning within 10 seconds the device must be removed and re-inserted (following additional pre-oxygenation and confirmation that you have selected the correctly sized device for the patient)

4 / 10

Choose the most appropriate statement regarding placement confirmation of the i-gel SAD:

Additional device placement confirmation is not necessary if ventilations are easy and free flowing

Chest rise/fall and presence of lung sounds are the only verification steps necessary to confirm proper device placement

Colorimetric ETCO2 device color change is the only technique required to confirm proper placement

Chest rise/fall, presence of lung sounds, absence of epigastric sounds and ETCO2 device color change/waveform must be utilized to confirm proper placement

5 / 10

After inserting the i-gel SAD, you should:

Give your partner a high-five

Ensure the patient’s teeth are on the horizontal line at the middle of the integral bite-block

Inflate the cuff prior to ventilating the patient

Begin ventilating and slowly withdraw the airway until ventilation is easy and free flowing at which point you may cease traction on the airway

6 / 10

Which of the following patients is considered most appropriate for placement of an i-gel SAD

An unconscious patient with no gag reflex

A CHF patient who is complaining of difficulty breathing

post cardiac arrest patient who now has spontaneous respiration and a gag reflex

patient who has been identified as having a stroke

7 / 10

Which of the following IS NOT a contraindication for utilization of an i-gel SAD:

Active gag reflex

Caustic ingestion or extensive airway burns

Conscious patient

Unresponsive patient

8 / 10

Authorized EMT personnel are allowed to utilize an i-gel SAD on pediatric patients (< 12 years old) in need of an advanced airway

True

False

9 / 10

What size/color i-gel SAD would be appropriate for an adult patient weighing 55 kg?

Size 2/black

Size 3/yellow

Size 4/Green

10 / 10

What size/color i-gel SAD would be appropriate for an adult patient weighing 100 kg?

Size 3/yellow

Size 4/green

Size 5/orange

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