Effect of Intermediate Airway Management on Ventilation Parameters in Simulated Pediatric Out-of-Hospital Cardiac Arrest: Protocol for a Multicenter, Randomized, Crossover Trial

Most pediatric out-of-hospital cardiac arrests (OHCAs) are caused by hypoxia, which is generally consecutive to respiratory failure. To restore oxygenation, prehospital providers usually first use basic airway management techniques, i.e., bag-valve-mask (BVM) devices. These devices present several d...

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Bibliographic Details
Published in:Children (Basel) 2023-01, Vol.10 (1), p.148
Main Authors: Stuby, Loric, Mühlemann, Elisa, Jampen, Laurent, Thurre, David, Siebert, Johan N, Suppan, Laurent
Format: Article
Language:English
Subjects:
Airway management
Cardiac arrest
cardiopulmonary resuscitation
Clinical medicine
Emergency medical care
emergency medical services
Emergency services
i-gel
Intubation
laryngeal masks
out-of-hospital cardiac arrest
Oxygen therapy
Paramedics
Pediatrics
Respiratory failure
Study Protocol
Teams
Ventilators
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Summary:Most pediatric out-of-hospital cardiac arrests (OHCAs) are caused by hypoxia, which is generally consecutive to respiratory failure. To restore oxygenation, prehospital providers usually first use basic airway management techniques, i.e., bag-valve-mask (BVM) devices. These devices present several drawbacks, most of which could be avoided using supraglottic airway devices. These intermediate airway management (IAM) devices also present significant advantages over tracheal intubation: they are associated with higher success and lower complication rates in the prehospital setting. There are, however, few data regarding the effect of early IAM in pediatric OHCA. This paper details the protocol of a trial designed to evaluate the impact of this airway management strategy on ventilation parameters through a simulated, multicenter, randomized, crossover trial. The hypothesis underlying this study protocol is that early IAM without prior BVM ventilations could improve the ventilation parameters in comparison with the standard approach, which consists in BVM ventilations only.
ISSN:2227-9067
2227-9067
DOI:10.3390/children10010148