The i-gel (Intersurgical Ltd, Wokingham, UK) is a relatively new, single-use supraglottic airway device for use during general anesthesia. The main components of this device are a noninflatable gel-like cuff that is claimed to achieve a perfect fit to the pharyngeal and laryngeal structure and a thick airway tube with a gastric drain tube orifice.1 We often use the i-gel during dental procedures and minor oral surgery. However, its thick airway tube occasionally interferes with surgical access. We describe a modified i-gel airway for use during oral surgeries.
Our idea was to use a reinforced tracheal tube, also called a coiled-wire reinforced tracheal tube, along with the i-gel airway to avoid interference with the surgical field. A size number 4 i-gel airway was cut to an airway tube length of 5.5 cm (Figure 1A). A reinforced tracheal tube (inner diameter 7.5 mm, outer diameter 10.2 mm, Rüsch,...
