title: Simulation analysis of three intubating supraglottic devices during infant chest compression.
abstract: Current guidelines for pediatric cardiopulmonary resuscitation suggest that supraglottic devices are alternatives for tracheal intubation with minimal interruption of chest compression. We examined the utility of three intubating supraglottic devices, air-Q® (air-Q), Ambu® aura-i (aura-i), and i-gel® (i-gel), utilizing manikin simulation. Twenty-two novice physicians performed securing of airway on an infant manikin with the three devices. We measured the rate of success on ventilation and the insertion time with or without chest compression. Successful ventilation rate did not significantly decrease with chest compression in the three devices (without chest compression: air-Q, 21/22; aura-i, 20/22; i-gel, 20/22, during chest compression: air-Q, 20/22; aura-i, 20/22; i-gel, 18/22). The insertion time with air-Q and aura-i did not extend significantly for chest compression. In contrast, the insertion time with i-gel was significantly extended in chest compression (P < 0.05). Air-Q and aura-i are more useful for airway management during chest compression than i-gel.
authors.affiliation: Division of Intensive Care Unit, Hyogo College of Medicine, Hyogo, Japan.
authors.forename: Hanako
authors.initials: H
authors.lastname: Kohama
authors.forename: Nobuyasu
authors.initials: N
authors.lastname: Komasawa
authors.forename: Ryusuke
authors.initials: R
authors.lastname: Ueki
authors.forename: Yoshiroh
authors.initials: Y
authors.lastname: Kaminoh
authors.forename: Shin-ichi
authors.initials: S
authors.lastname: Nishi
mesh_terms: D058109:Airway Management / Q000379:methods*; D003198:Computer Simulation; D004503:Education, Medical, Graduate / Q000379:methods*; D004867:Equipment Design; D006801:Humans; D007223:Infant; D007442:Intubation, Intratracheal / Q000295:instrumentation*; D008348:Manikins; D013909:Thorax
keywords: chest compression; infant; intubating supraglottic device; manikin