Comparison of air-Q® and Soft Seal® laryngeal mask for airway management by novice doctors during infant chest compression: A manikin study

Komasawa, Nobuyasu; Ueki, Ryusuke; Yamamoto, N.; Atagi, Kazuaki; Nishi, Shinichi; Kaminoh, Yoshiroh; Tashiro, Chikara

doi:10.1016/j.resuscitation.2011.08.025

Cited by 25 publications

(14 citation statements)

References 24 publications

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“…Many studies regarding the performance of various types of supraglottic airway devices have been conducted in manikins . These studies are easy to perform and patients' consent is not required.…”

mentioning

confidence: 99%

Transfer of airway skills from manikin training to patient: success of ventilation with facemask or LMA-Supreme^TMby medical students

Russo¹,

Bollinger

Strack

et al. 2013

Anaesthesia

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SummaryDuring emergency care, the ability to ventilate the patient's lungs is a crucial skill. Supraglottic airway devices have an established role in emergency care, and manikin trials have shown that placement is easy even for inexperienced users. However, there is current discussion as to what extent these results can be transferred to patients. We studied the transfer of skills learnt on a manikin to the clinical situation in novice medical students during their anaesthesia rotation. They were required to ventilate the lungs of a manikin using a facemask and then position a supraglottic airway device (LMA-Supreme TM ) and ventilate the lungs. This process was then repeated on anaesthetised patients, with standard ventilator settings to assess adequacy of ventilation. Sixty-three students participated in the manikin study. The success rate for ventilating the lungs was 100% for both devices, but the mean (SD) time to achieve successful ventilation was 27.8 (24.4) s with the facemask compared with 38.6 (22.0) s with the LMA-Supreme (p = 0.008). Fifty-one of the students progressed to the second part of the study. In anaesthetised patients, the success rate for ventilating the lungs was lower for the facemask, 27/41 (66%) compared with the LMA-Supreme 37/41 (90%, p = 0.006). For 26 students who succeeded with both devices, the tidal volume was lower using the facemask, 431 (192) ml compared with the LMA-Supreme 751 (221) ml (p = 0.001), but the time to successful ventilation did not differ, 60.0 (26.2) s vs 57.3 (26.6) s (p = 0.71). We conclude that the results obtained in manikin studies cannot be transferred directly to the clinical situation and that guidelines should take this into account. Based on our findings, a supraglottic airway device may be preferable to a facemask as the first choice for inexperienced emergency caregivers.

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confidence: 99%

Transfer of airway skills from manikin training to patient: success of ventilation with facemask or LMA-Supreme^TMby medical students

Russo¹,

Bollinger

Strack

et al. 2013

Anaesthesia

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“…Okutani and Ogawa [10] reported bending the ProSeal by 90°with the intubating stylet inserted into the esophageal drain tube. With these techniques, the ProSeal resembles the intubation laryngeal mask airway or anatomyshaped SGD such as the air-Q and LMA-Supreme [19,20], enabling definite and easy insertion.…”

Section: Discussionmentioning

confidence: 99%

LMA-ProSeal insertion by novice doctors as affected by a 90° bend created by an intubating stylet: a randomized clinical trial

Ishio

Komasawa

Miyazaki

et al. 2016

Journal of Clinical Anesthesia

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“…The air-Q design allows not only for subsequent tracheal intubation with a cuffed tracheal tube but also easy and definite observation of the trachea [3]. In this case, the air-Q was modified by cutting the shaft by approximately 2 cm.…”

Section: Discussionmentioning

confidence: 99%

Application of a modified intubating laryngeal mask for pediatric lung biopsies

Matsunami

Komasawa

Minami

2015

Journal of Clinical Anesthesia

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Comparison of air-Q® and Soft Seal® laryngeal mask for airway management by novice doctors during infant chest compression: A manikin study

Cited by 25 publications

References 24 publications

Transfer of airway skills from manikin training to patient: success of ventilation with facemask or LMA-Supreme^TMby medical students

Transfer of airway skills from manikin training to patient: success of ventilation with facemask or LMA-Supreme^TMby medical students

LMA-ProSeal insertion by novice doctors as affected by a 90° bend created by an intubating stylet: a randomized clinical trial

Application of a modified intubating laryngeal mask for pediatric lung biopsies

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Comparison of air-Q® and Soft Seal® laryngeal mask for airway management by novice doctors during infant chest compression: A manikin study

Cited by 25 publications

References 24 publications

Transfer of airway skills from manikin training to patient: success of ventilation with facemask or LMA-SupremeTMby medical students

Transfer of airway skills from manikin training to patient: success of ventilation with facemask or LMA-SupremeTMby medical students

LMA-ProSeal insertion by novice doctors as affected by a 90° bend created by an intubating stylet: a randomized clinical trial

Application of a modified intubating laryngeal mask for pediatric lung biopsies

Contact Info

Product

Resources

About

Transfer of airway skills from manikin training to patient: success of ventilation with facemask or LMA-Supreme^TMby medical students

Transfer of airway skills from manikin training to patient: success of ventilation with facemask or LMA-Supreme^TMby medical students