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Major complications after scheduled craniotomy: A justification for systematic postoperative intensive care admission?

There are no established criteria for the insertion depth of i-gel in children because of the substantial variation in the oropharyngeal–laryngeal arch in the young. Insertion of the i-gel until some resistance was felt (Position A) resulted in better fibre-optic views along with higher leak pressures. Also, the leak pressure of the i-gel in Position A was comparable with pressure values reported previously. These results suggest that the secure fixation at Position A is probably better for insertion of the paediatric #2 i-gel although the difference in insertion depth between Position A and Position B was small (2 cm). One may argue that ventilation from the supraglottic airway device is possible despite the poor fibre-optic view obtained. The significance of a better fibre-optic view of the larynx, and also higher leak pressure, in terms of the optimum insertion depth for the use of i-gel therefore, is still unclear.