Performance and skill retention of intubation by paramedics using seven different airway devices—A manikin study

A comparison of ProSeal laryngeal mask airway, I-gel and endotracheal tube insertion by novices in a simulated difficult airway scenario

“…In contrast, insertion using SAD such as the LMA, PLMA, or I-gel was faster and performed with greater success than ETI in manikins by inexperienced practitioners [9,14]. Moreover, novice interns achieved successful insertion in 29 of the 30 cases in actual patients [15].…”

“…During the initial training session, inexperienced operators successfully performed ETI in 78% of cases using a trainer manikin with a normal airway, while 3 months later the success rate was 58% [9]. ETI is particularly difficult to perform in a difficult airway such as a cervical spine injury.…”

“…Second, this study was performed using a manikin rather than a real patient, and thus our results may not correlate with clinical practice. However, we chose to use a manikin (SimMan TM , Laerdal Medical, Stavanger, Norway) because it can be used for SAD insertion training and provide a difficult airway scenario with a realistic anatomy [9,20]. For real patients, more than 85% of novices have successfully inserted SADs after only limited manikin training [20].…”

Effect of the laryngeal tube on the no-flow-time in a simulated two rescuer basic life support setting with inexperienced users

“…In manikin studies, the use of a LT seems to be easy; untrained bystanders [23], medical students [24], first responders [25,26], emergency medicine technicians [27,28], paramedics [29,30], firefighters [31], and nurses [32] have been shown to have appropriate skill retention for LT use.…”

Prehospital Airway Management

“…The frequency with which any provider performs advanced airway management is critical for maintaining skill competency. 2,3 Some systems have reported very low rates of intubation, especially for pediatric patients. [4][5][6] How can competency be maintained when providers intubate three or four times per year?…”