Prehospital endotracheal tube airway or esophageal gastric tube airway: a critical comparison.
This study compares two similar groups of patients in cardiopulmonary arrest with ventricular fibrillation (VF). In the survival study group of 296 patients, 148 patients received an endotracheal tube airway (ETA) and 148 patients received an esophageal gastric tube airway (EGTA), the improved version of the esophageal obturator airway (EOA). Survival rates, both short term (ETA = 35.8%, EGTA = 39.1%) and long term (ETA = 11.5%, EGTA = 16.2%), and neurological sequelae of survivors showed no statistically significant difference between the two groups (P greater than .05). In addition, we found that success and complication rates of intubation were similar. Training time was longer for the ETA. We conclude that both airways have a place in the prehospital setting.
D000368:Aged; D004630:Emergencies / Q000401:mortality / Q000628:therapy*; D004634:Emergency Medical Technicians / Q000193:education; D005260:Female; D006323:Heart Arrest / Q000401:mortality / Q000628:therapy*; D006801:Humans; D007318:Inservice Training; D007440:Intubation / Q000009:adverse effects / Q000295:instrumentation*; D008297:Male; D008499:Medical Records; D008875:Middle Aged; D012151:Resuscitation / Q000295:instrumentation; D014132:Trachea; D014839:Vomiting / Q000209:etiology