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A Comparison of Four Newer Supraglottic Airway Devices for Airway Management of Entrapped Trauma Patients with
Dawid Aleksandrowicz1, Tomasz Gaszyński2
1Department of Anaesthetics, Intensive Care Medicine and Pain Therapy, Mazovian Specialist Hospital, University of Radom, 26-600 Radom, Poland.
Background:
Airway management forms the most important component of pre-hospital trauma patients' care. In such a setting, the definitive airways may be difficult to establish. This study aimed to evaluate four newer supraglottic airway devices in a simulated condition of an entrapped trauma patient with restricted access.
Methods:
An intubation manikin with a cervical collar on was placed on the driver's seat of a passenger car, which was positioned on its left side. The access to the manikin was only allowed from the front. The insertion to successful ventilation (Tiv) time was recorded. First-pass success and the ease of use were also evaluated.
Results:
The AuraGain device required the shortest median Tiv at 7.5 s (Interquartile Range, IQR 4) vs. 9.5 s (IQR 11), p < 0.001. The AuraGain achieved the highest first-pass success-90%. The Baska mask was the most user-friendly, achieving a mean score of 8.6.
Conclusions:
The AuraGain outperformed other studied devices concerning the Tiv as well as the first-pass success. The Baska mask was the easiest to use.
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