title: [Successful airway management using i-gel in 7 patients undergoing awake craniotomy].
abstract: In order to secure airway during awake craniotomy, we used i-gel to perform positive-pressure ventilation in 7 patients for their anesthetic management. During removal of a tumor around the motor speech center, anesthetic management including asleep-awake-asleep technique was applied for speech testing. The technique, insertion and re-insertion of i-gel, was needed and it was easy in all the patients. During positive-pressure ventilation, peak pressure, tidal volume both for inspiration and expiration, and endtidal-CO2 were not markedly altered. Leakage around i-gel, and its differences between inspiration and expiration were negligible, while the tidal volume was adequate. We conclude that i-gel is useful for anesthetic management for awake craniotomy procedure for both securing airway and ventilation.
authors.forename: Katsuaki
authors.initials: K
authors.lastname: Matsunami
authors.forename: Michiyoshi
authors.initials: M
authors.lastname: Sanuki
authors.forename: Masakazu
authors.initials: M
authors.lastname: Yasuuji
authors.forename: Ryuichi
authors.initials: R
authors.lastname: Nakanuno
authors.forename: Takahiro
authors.initials: T
authors.lastname: Kato
authors.forename: Masashi
authors.initials: M
authors.lastname: Kawamoto
mesh_terms: D003243:Consciousness; D003399:Craniotomy / Q000379:methods*; D005260:Female; D005782:Gels; D006801:Humans; D008297:Male; D008875:Middle Aged; D011175:Positive-Pressure Respiration / Q000295:instrumentation* / Q000379:methods
chemical_list: D005782:Gels