Choose the correct size for insertion. Grasp the lubricated i-Gel firmly along the integral bite block. Position the device so that the i-Gel cuff outlet is facing towards the chin of the patient.
The patient should be in the “sniffing the morning air” position with head extended and neck flexed. The chin should be gently pressed down before proceeding to insert the i-Gel.
Introduce the leading soft tip into the mouth of the patient in a direction towards the hard palate.
Glide the device downwards and backwards along the hard palate with a continuous but gentle push until a definitive resistance is felt.
WARNING: Do not apply excessive force on the device during insertion. It is not necessary to insert fingers or thumbs into the patient’s mouth during the process of inserting the device. If there is early resistance during insertion, a “jaw thrust”, insertion with deep rotation, or triple maneuver is recommended.
At this point the tip of the airway should be located into the upper esophageal opening and the cuff should be located against the laryngeal framework. The incisors should be resting on the integral bite block.
WARNING: In order to avoid the possibility of the device moving up out of position prior to being secured in place, it is essential that as soon as insertion has been successfully completed, the i-Gel is help in the correct position until and whilst the device is secured in place.
I-Gel should be taped down from maxilla to maxilla.