A randomised crossover comparison of manikin ventilation through Soft Seal®, i-gel™ and AuraOnce™ supraglottic airway devices by surf lifeguards

K Adelborg; R H Al-Mashhadi; L H Nielsen; C Dalgas; Martin Bødtker Mortensen; B Løfgren

doi:10.1111/anae.12545

A randomised crossover comparison of manikin ventilation through Soft Seal®, i-gel™ and AuraOnce™ supraglottic airway devices by surf lifeguards

K Adelborg, R H Al-Mashhadi, L H Nielsen, C Dalgas, Martin Bødtker Mortensen, B Løfgren

Publikation: Bidrag til tidsskrift/Konferencebidrag i tidsskrift /Bidrag til avis › Tidsskriftartikel › Forskning › peer review

12 Citationer (Scopus)

Abstract

Forty surf lifeguards attempted to ventilate a manikin through one out of three supraglottic airways inserted in random order: the Portex® Soft Seal®; the Intersurgical® i-gel™; and the Ambu® AuraOnce™. We recorded the time to ventilate and the proportion of inflations that were successful, without and then with concurrent chest compressions. The mean (SD) time to ventilate with the Soft Seal, i-gel and AuraOnce was 35.2 (7.2)s, 15.6 (3.3)s and 35.1 (8.5) s, respectively, p < 0.0001. Concurrent chest compression prolonged the time to ventilate by 5.0 (1.3-8.1)%, p = 0.0072. The rate of successful ventilations through the Soft Seal (100%) was more than through the AuraOnce (92%), p < 0.0001, neither of which was different from the i-gel (97%). The mean (SD) tidal volumes through the Soft Seal, i-gel and AuraOnce were 0.65 (0.14) l, 0.50 (0.16) l and 0.39 (0.19) l, respectively. Most lifeguards (85%) preferred the i-gel. Ventilation through supraglottic airway devices may be considered for resuscitation by surf lifeguards.

Originalsprog	Engelsk
Tidsskrift	Anaesthesia
Vol/bind	69
Nummer	4
Sider (fra-til)	343-7
Antal sider	5
ISSN	0003-2409
DOI	https://doi.org/10.1111/anae.12545
Status	Udgivet - apr. 2014

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10.1111/anae.12545

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title = "A randomised crossover comparison of manikin ventilation through Soft Seal{\textregistered}, i-gel{\texttrademark} and AuraOnce{\texttrademark} supraglottic airway devices by surf lifeguards",

abstract = "Forty surf lifeguards attempted to ventilate a manikin through one out of three supraglottic airways inserted in random order: the Portex{\textregistered} Soft Seal{\textregistered}; the Intersurgical{\textregistered} i-gel{\texttrademark}; and the Ambu{\textregistered} AuraOnce{\texttrademark}. We recorded the time to ventilate and the proportion of inflations that were successful, without and then with concurrent chest compressions. The mean (SD) time to ventilate with the Soft Seal, i-gel and AuraOnce was 35.2 (7.2)s, 15.6 (3.3)s and 35.1 (8.5) s, respectively, p < 0.0001. Concurrent chest compression prolonged the time to ventilate by 5.0 (1.3-8.1)%, p = 0.0072. The rate of successful ventilations through the Soft Seal (100%) was more than through the AuraOnce (92%), p < 0.0001, neither of which was different from the i-gel (97%). The mean (SD) tidal volumes through the Soft Seal, i-gel and AuraOnce were 0.65 (0.14) l, 0.50 (0.16) l and 0.39 (0.19) l, respectively. Most lifeguards (85%) preferred the i-gel. Ventilation through supraglottic airway devices may be considered for resuscitation by surf lifeguards.",

keywords = "Adult, Airway Management, Algorithms, Certification, Cross-Over Studies, Denmark, Drowning, Educational Status, Female, First Aid, Humans, Life Support Care, Linear Models, Male, Manikins, Respiration, Artificial, Young Adult",

author = "K Adelborg and Al-Mashhadi, {R H} and Nielsen, {L H} and C Dalgas and Mortensen, {Martin B{\o}dtker} and B L{\o}fgren",

note = "{\textcopyright} 2014 The Association of Anaesthetists of Great Britain and Ireland.",

year = "2014",

month = apr,

doi = "10.1111/anae.12545",

language = "English",

volume = "69",

pages = "343--7",

journal = "Anaesthesia",

issn = "0003-2409",

publisher = "Wiley-Blackwell Publishing Ltd",

number = "4",

}

A randomised crossover comparison of manikin ventilation through Soft Seal®, i-gel™ and AuraOnce™ supraglottic airway devices by surf lifeguards. / Adelborg, K; Al-Mashhadi, R H; Nielsen, L H et al.
I: Anaesthesia, Bind 69, Nr. 4, 04.2014, s. 343-7.

Publikation: Bidrag til tidsskrift/Konferencebidrag i tidsskrift /Bidrag til avis › Tidsskriftartikel › Forskning › peer review

TY - JOUR

T1 - A randomised crossover comparison of manikin ventilation through Soft Seal®, i-gel™ and AuraOnce™ supraglottic airway devices by surf lifeguards

AU - Adelborg, K

AU - Al-Mashhadi, R H

AU - Nielsen, L H

AU - Dalgas, C

AU - Mortensen, Martin Bødtker

AU - Løfgren, B

PY - 2014/4

Y1 - 2014/4

N2 - Forty surf lifeguards attempted to ventilate a manikin through one out of three supraglottic airways inserted in random order: the Portex® Soft Seal®; the Intersurgical® i-gel™; and the Ambu® AuraOnce™. We recorded the time to ventilate and the proportion of inflations that were successful, without and then with concurrent chest compressions. The mean (SD) time to ventilate with the Soft Seal, i-gel and AuraOnce was 35.2 (7.2)s, 15.6 (3.3)s and 35.1 (8.5) s, respectively, p < 0.0001. Concurrent chest compression prolonged the time to ventilate by 5.0 (1.3-8.1)%, p = 0.0072. The rate of successful ventilations through the Soft Seal (100%) was more than through the AuraOnce (92%), p < 0.0001, neither of which was different from the i-gel (97%). The mean (SD) tidal volumes through the Soft Seal, i-gel and AuraOnce were 0.65 (0.14) l, 0.50 (0.16) l and 0.39 (0.19) l, respectively. Most lifeguards (85%) preferred the i-gel. Ventilation through supraglottic airway devices may be considered for resuscitation by surf lifeguards.

AB - Forty surf lifeguards attempted to ventilate a manikin through one out of three supraglottic airways inserted in random order: the Portex® Soft Seal®; the Intersurgical® i-gel™; and the Ambu® AuraOnce™. We recorded the time to ventilate and the proportion of inflations that were successful, without and then with concurrent chest compressions. The mean (SD) time to ventilate with the Soft Seal, i-gel and AuraOnce was 35.2 (7.2)s, 15.6 (3.3)s and 35.1 (8.5) s, respectively, p < 0.0001. Concurrent chest compression prolonged the time to ventilate by 5.0 (1.3-8.1)%, p = 0.0072. The rate of successful ventilations through the Soft Seal (100%) was more than through the AuraOnce (92%), p < 0.0001, neither of which was different from the i-gel (97%). The mean (SD) tidal volumes through the Soft Seal, i-gel and AuraOnce were 0.65 (0.14) l, 0.50 (0.16) l and 0.39 (0.19) l, respectively. Most lifeguards (85%) preferred the i-gel. Ventilation through supraglottic airway devices may be considered for resuscitation by surf lifeguards.

KW - Adult

KW - Airway Management

KW - Algorithms

KW - Certification

KW - Cross-Over Studies

KW - Denmark

KW - Drowning

KW - Educational Status

KW - Female

KW - First Aid

KW - Humans

KW - Life Support Care

KW - Linear Models

KW - Male

KW - Manikins

KW - Respiration, Artificial

KW - Young Adult

U2 - 10.1111/anae.12545

DO - 10.1111/anae.12545

M3 - Journal article

C2 - 24506226

SN - 0003-2409

VL - 69

SP - 343

EP - 347

JO - Anaesthesia

JF - Anaesthesia

IS - 4

ER -

A randomised crossover comparison of manikin ventilation through Soft Seal®, i-gel™ and AuraOnce™ supraglottic airway devices by surf lifeguards

Abstract

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