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i-gel Leak Troubleshooting — FRCA Final MCQ

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ModerateAirway Managementi-gel Leak TroubleshootingFRCA Final

A size 4 i-gel has audible leak at PIP >20 cmH2O. Good capnography. First action?

Educational content. Not a substitute for clinical judgement or local policy.

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Correct answer: E — Apply jaw thrust to improve seal

i-gel has no inflatable cuff — relies on anatomical fit. First-line for leak: jaw thrust/slight extension and ensure adequate depth (light anaesthesia increases laryngeal tone). Size 4 correct for 60-90 kg. If positioning fails, upsize to 5.

Reference: Intersurgical – 2024 – i-gel user guide