Secure the i-Gel® in a central position with the securing strap, or a tape-tie in smaller sizes.
The i-gel® forms a seal in the airway; this is referred to as a non-inflating cuff.
It may take a few minutes to form a good seal - be mindful of ventilation pressure and timing of ventilation with chest compression if there is cuff leak). Adopting a 30:2 strategy may mitigate cuff leak in the first instance.
Effective ventilations (i.e.: adequate chest rise and fall) cannot be achieved (some air leakage can be expected)
GCS of the patient increases with a return of gag reflex or patient attempts to remove
i-Gel is faulty.
Regurgitation occurs and is anticipated to be compromising
Removal of i-Gel
Remove securing tape/strap.
Suction if required.
If patient is conscious, instruct them to take a deep breath and cough as device removed
Remove the device gently by following the anatomical landmarks.