Comparison of the Combitube™ with an endotracheal tube during pre-hospital cardiopulmonary resuscitation

Part 8: Adult Advanced Cardiovascular Life Support

“…44 In several controlled clinical trials involving both inhospital and out-of-hospital resuscitation of adults, providers with all levels of experience were able to insert the esophageal-tracheal tube and deliver ventilation comparable to that achieved with endotracheal intubation. 35,[45][46][47][48] In a retrospective study no difference in outcome was observed in patients treated with the esophageal-tracheal tube compared with those treated with endotracheal intubation. 38 The esophageal-tracheal tube is reported to provide successful ventilation during CPR in 62% to 100% of patients.…”

“…38 The esophageal-tracheal tube is reported to provide successful ventilation during CPR in 62% to 100% of patients. 35,[45][46][47][48][49] For healthcare professionals trained in its use, the esophagealtracheal tube is an acceptable alternative to both bag-mask ventilation (Class IIa, LOE C) or endotracheal intubation (Class IIa, LOE A) for airway management in cardiac arrest.…”

Part 8: Advanced Life Support

“…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 ).…”

Comparison of Arterial Blood Gases of Laryngeal Mask Airway and Bag-Valve-Mask Ventilation in Out-of-Hospital Cardiac Arrests

“…quency or time of replacement), 3,4,8,[10][11][12][13][14][15][16][17][18][19][20]26 (2) 11 The present study demonstrated the current status of LMA and BVM with regard to ABG in cases of out-of-hospital cardiac arrest. Although there are a few reports comparing blood gas data during CPR with LMA and BVM, this is the first to show the data of "out-of hospital" cardiac arrests with "VF/VT" on initial ECG at the scene as classified by the Utstein template.…”