Using a laryngeal tube during cardiac arrest reduces "no flow time" in a manikin study: a comparison between laryngeal tube and endotracheal tube

Wiese, C.H.R.; Bartels, U.; Bergmann, A.; Bergmann, Ingo; Bahr, J.; Graf, Bernhard M.

doi:10.1007/s00508-008-0953-1

Cited by 22 publications

(13 citation statements)

References 28 publications

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“…104 One study compared survival in cardiac arrests managed with a laryngeal mask airway with an historical control group of cardiac arrests managed with a tracheal tube and found that ROSC was significantly higher in the study period (61% versus 36%) (LOE 3). 105 Eight manikin studies with simulated cardiac arrest (LOE 5) 89,90,96,[112][113][114][115][116] and 8 manikin studies without simulated cardiac arrest showed that successful insertion rates and/or time to insertion or to ventilation for a variety of supraglottic airway devices were as good, or better than, for the tracheal tube (LOE 5). [117][118][119][120][121][122][123][124] Nine studies documented that when a supraglottic airway device is used as a rescue airway after failed tracheal intubation, most patients can be ventilated successfully with the supraglottic airway device (LOE 2 98,99,103 ; LOE 3 [125][126][127][128] ; LOE 5 107,129 ).…”

Section: Consensus On Sciencementioning

confidence: 99%

“…108,117 Three manikin studies comparing a supraglottic airway device with the tracheal tube during ongoing chest compressions demonstrated decreased time to intubation with the supraglottic airway device, as well as reduced no flow time (LOE 5). 96,112,115 One nonrandomized manikin study found that chest compressions caused only a minor increase in time to tracheal intubation but not to supraglottic airway device insertion (LOE 5). 114 …”

Section: Consensus On Sciencementioning

confidence: 99%

See 1 more Smart Citation

Part 8: Advanced Life Support

Morrison¹,

Deakin²,

Morley³

et al. 2010

Circulation

411

169

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Section: Consensus On Sciencementioning

confidence: 99%

Section: Consensus On Sciencementioning

confidence: 99%

Part 8: Advanced Life Support

Morrison¹,

Deakin²,

Morley³

et al. 2010

Circulation

411

169

View full text Add to dashboard Cite

“…Some publications have described the influence of the use of a LT on NFT in manikin studies [33][34][35].Any decrease in NFT, ideally with improved ventilation, might improve survival after cardiac arrest. The objective of this manikin study was to compare the effects of the use of a LT and BMV for ventilation on NFT in a simulated, prospective, randomized tworescuer BLS model.…”

Section: Introductionmentioning

confidence: 99%

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

Schröder

Bucher

Meyer

2015

Med Klin Intensivmed Notfmed

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“…2 Several studies reported that SADs are effective and can be successfully used to maintain the airway, while one study could not find any difference regarding success rate or duration of insertion. [3][4][5] Although endotracheal tube (ETT) insertion was found to be associated with higher survival rate and neurological outcome, the incidence of unrecognized oesophageal or endobronchial intubation is frequent and is associated with a high mortality rate. [6][7][8] Airway management is a controversial issue in pre-hospital cardiopulmonary resuscitation (CPR).…”

Section: Comparison Of Classical Laryngeal Mask I Gel and Tracheal Imentioning

confidence: 99%

Comparison of Classical Laryngeal Mask, I Gel and Tracheal Intubation for Limited Experienced UsersDuring Uninterrupted Chest Compressions

Saraçoğlu¹,

Topçu²,

Etı³

2016

Turkiye Klinikleri J Anest Reanim

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A AB BS S TTR RA AC CT T O Ob bj je ec ct ti iv ve e: : Airway management is more difficult and time-consuming in emergencies as compared to elective procedures. The optimal method for airway management during cardiac arrest is unknown. We aimed to determine the most appropriate airway device in cardiopulmonary resuscitation for the medical staff with limited experience in airway management. M Ma at te er ri ia al l a an nd d M Me et th ho od ds s: : The 5th year medical students with limited prior experience, were invited to participate in this study. Students used three airway devices (classical laryngeal mask, I-gel or endotracheal tube) first on a normal manikin then repeated the same procedures on a cardiopulmonary resuscitation manikin during chest compressions. The duration of successful attempts, success rate, number of attempts, tidal volumes and airway pressures were recorded. R Re es su ul lt ts s: : Time required for providing airway was significantly longer with endotracheal tube compared to classical laryngeal mask and I-gel during cardiopulmonary resuscitation with or without chest compressions (p<0.001 and p<0.001). Tidal volume values following the classical laryngeal mask insertion were significantly lower than the values recorded after endotracheal tube and I-gel insertion (p<0.001 and p<0.001). The airway pressure values on the anesthesia device were significantly higher after endotracheal tube insertion (p<0.001). I-gel had significantly higher success rate in providing airway on first attempt compared to classical laryngeal mask (86.9% versus 69.5%) (p=0.021). During chest compressions, the success rate in securing airway on the first attempt was the highest for I-gel (94.2%) (p=0.0034). C Co on nc cl lu us si io on n: : Because novice users are not skilled personnel in advanced airway management the use of supraglottic airway devices may be an alternative for laryngoscopy and intubation during cardiopulmonary resuscitation. K Ke ey y W Wo or rd ds s: : Intubation, intratracheal; cardiopulmonary resuscitation; airway management Ö ÖZ ZE ET T A Am ma aç ç: : Havayolu yönetimi elektif işlemlerle karşılaştırıldığında acil durumlarda daha zor ve zaman alıcıdır. Kardiyak arrest sırasında havayolu yönetimi için optimal yöntem bilinmemektedir. Havayolu yönetimi konusunda kısıtlı deneyimi olan tıbbi personel için kardiyopulmoner resusitasyonda en uygun havayolu aygıtını belirlemeyi amaçladık. G Ge er re eç ç v ve e Y Yö ön nt te em ml le er r: : Kısıtlı deneyimi bulunan 5. sınıf tıp fakültesi öğrencileri bu çalışmaya davet edildi. Öğrenciler üç havayolu aygıtını (klasik laringeal maske, I-gel ya da endotrakeal tüp) önce normal bir mankende ardından bir kardiyopulmoner resusitasyon mankeninde göğüs kompresyonları sırasında kullandılar. Başarılı girişim süresi, başarı oranı, girişim sayısı, tidal volümler ve havayolu basınçları kaydedildi. B Bu ul lg gu ul la ar r: : Kardiyopulmoner resusitasyon sırasında göğüs kompresyonları varlığında ya da yokluğunda endotrakeal tüple havayolu sağlamak için gereken...

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Using a laryngeal tube during cardiac arrest reduces "no flow time" in a manikin study: a comparison between laryngeal tube and endotracheal tube

Abstract: With regard to the guidelines of the European Resuscitation Council, we are convinced that during cardiac arrest supraglottic airway devices should be used by emergency personnel unfamiliar with endotracheal intubation.

Cited by 22 publications

References 28 publications

Part 8: Advanced Life Support

Part 8: Advanced Life Support

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

Comparison of Classical Laryngeal Mask, I Gel and Tracheal Intubation for Limited Experienced UsersDuring Uninterrupted Chest Compressions

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