ETI vs. SGA: The Verdict Is In

This study had several important limitations. The EMS agencies that participated in this trial have many years of experience in OHCA research, including additional training on CPR quality performance. As previously noted, due to limitations in funding, we couldn’t assess the influence of CPR quality. We studied a relatively limited number of out-of-hospital and in-hospital adverse events. It also wasn’t possible to blind EMS providers to treatment assignment. Although randomization was uneven in two sites, the overall characteristics of the study groups were similar. We observed a lower than expected ETI success rate; the potential for different outcomes with a higher ETI success rate remains a possibility. Many EMS agencies have recently switched to an alternative SGA, the i-gel. A similar trial called “The Airways-2 Randomized Clinical Trial” in the United Kingdom compared i-gel with intubation in OHCA.9  Their findings suggest that there are no significant differences at hospital discharge or 30 days after arrest for all trial patients.15 The Bottom Line PART found that initial airway management with the King LT was associated with significantly better clinical outcomes than initial ETI in adult OHCA. The authors recommend that EMS providers review the full results of the study, published in the Journal of the American Medical Assocation, with their medical director and strongly consider a strategy of initial King LT when treating adult OHCA.14...
Source: JEMS Special Topics - Category: Emergency Medicine Authors: Tags: Airway & Respiratory Exclusive Articles Source Type: news

Related Links:

CONCLUSIONS: Upper airway obstruction at induction of anesthesia is common in patients with Crouzon and Pfeiffer syndrome. These patients are likely to present some difficulties with perioperative airway management, especially bag-valve-mask ventilation, but rarely endotracheal intubation.PMID:34623012 | DOI:10.1111/pan.14310
Source: Paediatric Anaesthesia - Category: Anesthesiology Authors: Source Type: research
Rationale: Airway management of patients in a lateral decubitus position (LDP), who cannot lie supine is challenging for anesthesiologists. In a previous study, laryngeal mask airway (LMA) was found to be superior to conventional endotracheal intubation in LDP. Patient Concerns: A 38-year-old man diagnosed with type I neurofibromatosis presented with pain caused by a large hematoma (28 × 8 cm) located in the left upper back. On arrival at the operating theater, he was in a right LDP because of the aggravation of pain in the supine position. Diagnoses: Laryngoscopy-guided endotracheal intubation was expe...
Source: Medicine - Category: Internal Medicine Tags: Research Article: Clinical Case Report Source Type: research
ConclusionThe LMA Supreme took the least amount of time and was the easiest to be inserted. Extraglottic airway devices may be beneficial alternative airway management devices to be considered by paramedics in the entrapped patient. Endotracheal intubation using the Macintosh laryngoscope was performed competently by participating paramedics. The Airtraq enabled superior laryngoscopy but resulted in poorer first-pass success rate.
Source: International Journal of Emergency Medicine - Category: Emergency Medicine Source Type: research
Background: We compared the effectiveness and safety of endotracheal intubation using the GlideScope (GS) video laryngoscope, CTrach laryngeal mask airway (LMA), or Shikani optical stylet rigid laryngoscope (SOS) during elective cervical surgery. Methods: Forty-five patients undergoing elective cervical surgery were randomly and equally assigned to endotracheal intubation via GS, LMA, or SOS airway management. Results: Endotracheal intubation was successfully completed in all patients. The mean intubation times of the groups differed significantly (P 
Source: Medicine - Category: Internal Medicine Tags: Research Article: Clinical Trial/Experimental Study Source Type: research
BackgroundThe novel Totaltrack combines a supraglottic airway device with video laryngoscopic tracheal intubation. The intubation laryngeal mask Fastrach is an established device without visual control of intubation. We hypothesized that supraglottic ventilation success with Totaltrack would be similar to Fastrach, but intubation would be performed faster due to visual control of the procedure. MethodsFifty‐five anaesthesiologists were randomized into one of two study arms: Fastrach Totaltrack. After a standardized introduction, six consecutive attempts of supraglottic ventilation and intubation attempts with each of one...
Source: Acta Anaesthesiologica Scandinavica - Category: Anesthesiology Authors: Tags: Original Article Source Type: research
Authors: Tian Y, Wu XY, Li L, Ma L, Li YF Abstract INTRODUCTION: The laryngeal mask airway (LMA)-Supreme is a disposable double-lumen laryngeal mask airway that is widely used in clinical practice. However, its use in obese children has not been evaluated. The aim of this study was to determine whether the LMA-Supreme could perform equally as well as endotracheal intubation in obese children having a minor surgical procedure. MATERIAL AND METHODS: After ethical board approval, 100 obese male children receiving non-emergent appendectomy for chronic appendicitis or surgery to correct concealed penis were randomly...
Source: Archives of Medical Science - Category: Journals (General) Tags: Arch Med Sci Source Type: research
Conclusion The ILM (Fastrach) is a satisfactory alternative to the currently used methods of airway management in cervical spine injuries and reduces movement of the cervical spine.
Source: Egyptian Journal of Anaesthesia - Category: Anesthesiology Source Type: research
SIMPLE, TIMELY, SAFELY? LARYNGEAL MASK AND PEDIATRIC AIRWAY. Acta Clin Croat. 2016 Mar;55 Suppl 1:55-61 Authors: Karišik M Abstract Laryngeal mask airway (LMA) was a useful, powerful airway management device for routine pediatric airway management, pediatric difficult airway, and in pediatric emergency situations. Over years, various designs, induction and insertion techniques have been described. LMA provides ease of placement and removal as compared with endotracheal intubation, less traumatism for the respiratory tract, better tolerability by patients, improved hemodynamic stability during em...
Source: Acta Clinica Croatica - Category: Journals (General) Tags: Acta Clin Croat Source Type: research
Conclusion: GVL and I-LMA provide better airway management than Macintosh DL in both normal and difficult airway scenarios.
Source: Indian Journal of Anaesthesia - Category: Anesthesiology Authors: Source Type: research
This study required group 1 to perform direct laryngoscopy in their first clinical opportunity in the operating room; group 2 was required to observe a minimum of 3 video laryngoscopic (GlideScope, Verathon Inc) intubations performed by the clinical preceptor before the students' first attempt using direct laryngoscopy. Other modalities used to secure the airway in this study included the GlideScope and a laryngeal mask airway. Results of the data analysis revealed there was no significant difference between groups for success of direct laryngoscopy (group 1, 54%; group 2, 58%; P = .45). PMID: 26742334 [PubMed - in process]
Source: AANA Journal - Category: Anesthesiology Authors: Tags: AANA J Source Type: research
More News: Airway Management | Belgium Health | Brain | Cardiology | Children | Clinical Trials | Endotracheal Intubation | Eyes | France Health | Funding | Heart | Hospitals | International Medicine & Public Health | Laryngeal Mask Airway | Laryngoscopy | Neurology | Pediatrics | Respiratory Medicine | Sports Medicine | Study | Training | UK Health | Universities & Medical Training | USA Health | Websites