• Evaluation of chest compression effect on airway management with air-Q(®), aura-i (®), i-gel (®), and Fastrack (®) intubating supraglottic devices by novice physicians: a randomized crossover simulation study

    by Alan Batt. Last modified: 09/04/14

    airwaymngt

     

     
    Komasawa N1, Ueki R, Kaminoh Y, Nishi SI. Evaluation of chest compression effect on airway management with air-Q®, aura-i ®, i-gel ®, and Fastrack ® intubating supraglottic devices by novice physicians: a randomized crossover simulation study. J Anesth. 2014 Feb 22. PMID: 24563178.

    Abstract

    Purpose

    In the 2010 American Heart Association guidelines, supraglottic devices (SGDs) such as the laryngeal mask are proposed as alternatives to tracheal intubation for cardiopulmonary resuscitation. Some SGDs can also serve as a means for tracheal intubation after successful ventilation. The purpose of this study was to evaluate the effect of chest compression on airway management with four intubating SGDs, aura-i(®) (aura-i), air-Q(®) (air-Q), i-gel(®) (i-gel), and Fastrack(®) (Fastrack), during cardiopulmonary resuscitation using a manikin.

    Methods

    Twenty novice physicians inserted the four intubating SGDs into a manikin with or without chest compression. Insertion time and successful ventilation rate were measured. For cases of successful ventilation, blind tracheal intubation via the intubating SGD was performed with chest compression and success or failure within 30 s was recorded.

    Results

    Chest compression did not decrease the ventilation success rate of the four intubating SGDs (without chest compression (success/total): air-Q, 19/20; aura-i, 19/20; i-gel, 18/20; Fastrack, 19/20; with chest compression: air-Q, 19/20; aura-i, 19/20; i-gel, 16/20; Fastrack, 18/20). Insertion time was significantly lengthened by chest compression in the i-gel trial (P < 0.05), but not with the other three devices. The blind intubation success rate with chest compression was the highest in the air-Q trial (air-Q, 15/19; aura-i, 14/19; i-gel, 12/16; Fastrack, 10/18).

    Conclusions

    This simulation study revealed the utility of intubating SGDs for airway management during chest compression.

    References

     
    1.

    Komasawa N1, Ueki R, Kaminoh Y, Nishi SI. Evaluation of chest compression effect on airway management with air-Q®, aura-i ®, i-gel ®, and Fastrack ® intubating supraglottic devices by novice physicians: a randomized crossover simulation study. J Anesth. 2014 Feb 22. PMID: 24563178.

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    Alan Batt

    Alan Batt

    Paramedic, educator, researcher
    Alan is a critical care paramedic, paramedic educator and prehospital researcher, currently working around the world as an educator and researcher. He has previously worked and studied across Europe, North America and the Middle East. He holds a Graduate Certificate in Intensive Care Paramedic Studies, and an MSc in Critical Care. His main interests are in care of the elderly, end-of-life care, patient safety, professionalism (including role and identity), and paramedic education.

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