A Comparison of Three Different Supraglottic Airway Devices in Neonatal Airway Training during Resuscitation Simulation

Markus Ritzka

doi:10.23937/2377-4630/3/2/1044

Abstract

The aim of this study was to compare the success rates for insertion using the laryngeal mask, laryngeal tube, and I-gel supraglottic airway devices in a neonatal airway manikin during a resuscitation simulation course.

Highlights

While simulations are appropriate for practicing the use and the training of a supraglottic airway device, the results of the present study must not be applied to corresponding situations in real humans without further investigation
For experienced personnel endotracheal intubation is the first choice for establishing airway control during neonatal resuscitation, the American Heart Association and the European Resuscitation Council Guidelines endorse the use of supraglottic airway devices (SAD) for neonates, infants, and children [1,2]
Each participant performed insertion attempts with each supraglottic airway device on the neonatal manikin in random order according to the protocol

Summary

Introduction

For experienced personnel endotracheal intubation is the first choice for establishing airway control during neonatal resuscitation, the American Heart Association and the European Resuscitation Council Guidelines endorse the use of supraglottic airway devices (SAD) for neonates, infants, and children [1,2]. In addition to the classical laryngeal mask (LMA), several other devices like the laryngeal tube (LTS) or I-gel have been investigated for use with children and infants. The LTS airway consists of a dual tube with a distal and a proximal cuff. While the LTS has shown to be effective in adult airway management, clinical and manikin studies in children demonstrate different results [3,4]. The I-gel mask has been successfully used in manikin studies and in clinical studies in children [5,6]

Methods

Results

Discussion

Conclusion