Comparison Of The I-Gel Supraglottic And King Laryngotracheal Airways In A Simulated Tactical Environment

March, Juan A.; Tassey, Theresa E; Resurreccion, Noel B; Portela, Roberto C.; Taylor, Stephen

doi:10.1080/10903127.2017.1399183

Cited by 7 publications

(5 citation statements)

References 9 publications

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“…Research published in 2018 showed that the average time for placement by paramedic students in a “simulated tactical environment” on high-fidelity manikins was 39.7 seconds with the King LTS-D versus 14.4 seconds with the i-gel [ 15 ]. The most recent ACLS guidelines emphasize the importance of high-quality chest compressions and limited interruptions [ 2 , 12 ].…”

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Comparing the First-Pass Success Rate of the King LTS-D and the i-gel Airway Devices in Out-of-Hospital Cardiac Arrest

Price¹,

Laurie²,

Plant³

et al. 2022

Cureus

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Objectives: Significant heterogeneity exists internationally in the airway devices used in the pre-hospital setting during cardiac arrest. This study evaluated the first-pass success (FPS) rate of two supraglottic airways (SGAs) used by paramedics during out-of-hospital cardiac arrest: the King LTS-D and the i-gel. Methods: By examining 2,680 patient care records compiled by Ambulance New Brunswick between 2015 and 2020, we evaluated the FPS rate of the two SGAs using a 2x2 Pearson chi-square test for association, and a Mann-Whitney U test, to determine whether there were significant differences in FPS rates.Results: Our study demonstrated a statistically significant association between airway devices and FPS favoring the i-gel with an FPS of 90.6% compared to a 76.6% FPS with the King LTS-D; X 2 (1) = 96.01, p < 0.001. The odds of successfully inserting the airway on the first attempt were 2.94 times higher if paramedics used the i-gel than if they used the King LTS-D with a 95% CI [2.32, 3.60]. Mann-Whitney's U test for SGA differences favored the i-gel in fewer attempts for successful insertion (z = -4.357, p < 0.001, d = 0.15).Conclusions: Among patients in New Brunswick with out-of-hospital cardiac arrest, paramedics had a higher FPS rate with the i-gel compared to the King LTS-D. Our study also found a statistically significant difference between the King LTS-D and i-gel, favoring the i-gel in fewer attempts. Our findings suggest that the i-gel provides a more consistent FPS rate compared to the King LTS-D within our study populations; however, further research is necessary to determine the clinical implications of this. While multiple attempts at tracheal intubation are associated with negative clinical outcomes, no such evidence exists for SGAs.

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Section: Discussionmentioning

confidence: 99%

“…While there is some limited data available comparing the two devices, there is minimal research about ease of use and FPS rate [ 15 ]. With current resuscitation guidelines emphasizing high-quality CPR with limited interruptions, it is important to identify the device that offers the most straightforward and reliable application.…”

Section: Introductionmentioning

confidence: 99%

Comparing the First-Pass Success Rate of the King LTS-D and the i-gel Airway Devices in Out-of-Hospital Cardiac Arrest

Price¹,

Laurie²,

Plant³

et al. 2022

Cureus

View full text Add to dashboard Cite

show abstract

“…This use of bag-valve-mask or pocket mask ventilation can be compared to other EMS where www.journals.viamedica.pl EMT`s use i-gel or other types of supraglottic devices [23]. Studies show how staff at basic EMT level successfully places various models of supraglottic devices [23,24]. But there is always a risk in using a supraglottic device since failure in securing the airway is associated with a prolonged hands-off chest time during the CPR [25].…”

Section: Ventilationmentioning

confidence: 99%

Prehospital CPR training performed with visual feedback

Abelsson

Lundberg

2018

Disaster Emerg Med J

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INTRODUCTION:Swedish firefighters are a part of the emergency medical services. Therefore, they perform prehospital cardiopulmonary resuscitation (CPR) on a regular basis. Training becomes crucial for maintaining the CPR skills and increasing the patients' chances of survival. Training with visual feedback is for Swedish firefighters a new way of training CPR. The aim of this study was to evaluate firefighters' perception of a CPR manikin with visual feedback. METHOD:This study had a qualitative approach. Data were collected by interviews with 16 firefighters after performing CPR on a manikin with visual feedback. The data were analyzed with a manifest content analysis. RESULTS:Visual feedback makes it easy to identify and maintain correct compression rate. There is a need for identifying too deep compressions. Uncertainty regarding the closeness to the stomach arises when using the whole hand during compressions instead of just the wrist. To accomplish an open airway requires a bit of adjustment of the manikins' head. DISCUSSION:To train and learn CPR is feasible with visual feedback. The firefighters can maintaing a correct compression rate and correct compression depth during the sessions. Ventilating a patient with bag-valvemask or pocket mask may require training with visual feedback to guarantee the firefighters being able to secure an open airway of the patient. All these skills are essential and improve the chance of survival for the patients. KEY WORDS: firefighter, emergency medical service, CPR, manikin, visual feedbackDisaster Emerg Med J 2018; 3(2): 41-45

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“…Recent evidence suggests that lowfidelity simulators excel at task familiarization and early skill development, occupying a vital role in the early learning of technical medical tasks [19]. For this reason, mannequins have been used in airway management education for over 50 years [20][21][22][23][24][25]. While these traditional models exist to allow medical learners practice in direct laryngoscopy, they do not quantify forces applied and may reinforce poor habits.…”

Section: Introductionmentioning

confidence: 99%

Quantifying Intubation Forces on Incisors and Tongue Base Across Exposure Difficulty and Experience in a Simulator

Malka¹,

Moore²,

Cook³

et al. 2023

Cureus

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Objective: Laryngoscopy simulators quantifying forces on critical structures in progressively challenging airways and operator expertise are lacking. We aimed to quantify laryngoscopy forces across expertise and exposure difficulty. Study design: Prospective observational study Setting: Tertiary care medical center Methods: Force gauges were affixed to a difficult airway mannequin to quantify teeth and tongue forces across increasingly challenging airway exposure. Medical students ( n =10), residents ( n =11), and otolaryngology staff ( n =10) performed direct laryngoscopy using a Miller size 3 laryngoscope with 1) normal neck/jaw mobility, 2) restricted neck extension, 3) restricted jaw opening, and 4) restricted neck/jaw mobility. Incisor and tongue pounds of force (lbf) were continuously measured. Results: As the difficulty setting increased, forces exerted by the students, residents, and staff on the incisors and tongue base increased (p=0.01). Between normal and maximally restricted settings, force delivered to the incisors increased by 6.95 lbf (standard error (SE) 1.29), 5.93 lbf (SE 0.98), and 5.94 lbf (SE 0.70) for the students, residents, and staff, respectively. At the tongue base, force increased by 0.37 lbf (SE 0.18), 0.46 lbf (SE 0.14), and 0.73 lbf (SE 0.15) for the students, residents, and staff, respectively. Esophageal intubations occurred in 50% of the students, 23% of the residents, and 45% of the otolaryngology staff at maximal difficulty, with none at the easiest setting (p=0.33). Compared to the residents, the staff applied significantly increased pressure on the tongue base during laryngoscopy (p=0.02). Conclusion: Forces exerted on the incisors and tongue base varied across exposure difficulty and expertise levels, suggesting that they may be useful markers for training and competence assessment.

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Comparison Of The I-Gel Supraglottic And King Laryngotracheal Airways In A Simulated Tactical Environment

Abstract: In a simulated tactical environment placement of the IGA for airway management was faster than with the KA, but there was no difference in regard to exposure. Additionally, all the participants preferred using the IGA device over the KA.

Cited by 7 publications

References 9 publications

Comparing the First-Pass Success Rate of the King LTS-D and the i-gel Airway Devices in Out-of-Hospital Cardiac Arrest

Comparing the First-Pass Success Rate of the King LTS-D and the i-gel Airway Devices in Out-of-Hospital Cardiac Arrest

Prehospital CPR training performed with visual feedback

Quantifying Intubation Forces on Incisors and Tongue Base Across Exposure Difficulty and Experience in a Simulator

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