[Shift of the i-gel position after chest compression: comparison of fixation methods using Durapore tape, Multipore tape, or a fixation strap].

Background: The i-gel (Intersurgical, Wokingham, U.K.) is a newly developed, non-inflatable supraglottic device characterized by its soft, gel-like, and transparent mask made of thermoplastic elastomer. Although i-gel can be useful in emergency airway management during chest compression, the instability after insertion remains a problem.
Methods: We investigated the effectiveness of three fixation methods using a manikin and automated chest compressor.
Results: After 5-minute chest compression, i-gel without fixation was shifted by 0.56 +/- 0.17 cm, which was greater than with Durapore tape (0.28 +/- 0.08 cm), Multipore tape (0.26 +/- 0.05 cm), or a fixation strap (0.04 +/- 0.05 cm). The shift of the position was smaller with strap fixation compared to Durapore or Multipore tape fixation.
Conclusions: A fixation strap may be useful in stabilizing the inserted position of i-gel during cardiopulmonary resuscitation.