Competence in the use of supraglottic airways by Australian surf lifesavers for cardiac arrest ventilation in a manikin

Abstract

Lifesavers using the PM and BVM perform ventilation for cardiopulmonary resuscitation well. There appears to be a limited role for supraglottic airway devices because of limitations in terms of time to first effective ventilation and reliability. Clinical validation of manikin data with live resuscitation performance is required.

<p>Comparing Surf Lifeguards and Nurse Anesthetists’ Use of the i-gel Supraglottic Airway Device – An Observational Simulation Study</p>

“…They found that the use of SGAs was not superior compared with the pocket mask and bag-valve-mask and it was recommended that the pocket mask and bagvalve-mask should continue to be used as ventilation devices in drowning resuscitation by lifeguards. 8 However, SGA may result in shorter (or no) interruptions in chest compressions and less aspiration during resuscitation, although this needs to be confirmed in a clinical study among surf lifeguards.…”

“…6,7 Potential advantages of using SGA compared with mask ventilation may be shorter interruptions in chest compressions and reduced risk of gastric regurgitation. [8][9][10] In Denmark, SGAs are used by nurse anesthetists independently of physician anesthesiologists as a standard airway management device during anesthesia. In this setting, nurse anesthetists' use of SGAs is considered as gold standard.…”