Impact of the Over-the-Head Position with a Supraglottic Airway Device on Chest Compression Depth and Rate: A Post Hoc Analysis of a Randomized Controlled Trial

There is considerable controversy regarding the optimal airway management strategy in the case of out-of-hospital cardiac arrest. Registry-based studies yield contradicting results and the actual impact of using supraglottic devices on survival and neurological outcomes remains unknown. In a recent...

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Bibliographic Details
Published in:Healthcare (Basel) 2022-04, Vol.10 (4), p.718
Main Authors: Stuby, Loric, Suppan, Laurent, Jampen, Laurent, Thurre, David
Format: Article
Language:English
Subjects:
airway
Airway management
Brief Report
Cardiac arrest
Clinical trials
Datasets
emergency medical services
Funding
Hypotheses
i-gel
Informed consent
paramedics
supraglottic airway device
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Summary:There is considerable controversy regarding the optimal airway management strategy in the case of out-of-hospital cardiac arrest. Registry-based studies yield contradicting results and the actual impact of using supraglottic devices on survival and neurological outcomes remains unknown. In a recent simulation study, the use of an i-gel device was associated with significantly shallower chest compressions. It was hypothesized that these shallower compressions could be linked to the provision of chest compressions in an over-the-head position, to the cumbersome airway management apparatus, and to a shallower i-gel insertion depth in the manikin. To test this hypothesis, we carried out a post hoc analysis, which is described in this report. Briefly, no association was found between the over-the-head position and compression depth.
ISSN:2227-9032
2227-9032
DOI:10.3390/healthcare10040718