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

Research output: Contribution to journal/Conference contribution in journal/Contribution to newspaperJournal articleResearchpeer-review

12 Citations (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.

Original languageEnglish
JournalAnaesthesia
Volume69
Issue4
Pages (from-to)343-7
Number of pages5
ISSN0003-2409
DOIs
Publication statusPublished - Apr 2014

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

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