Comparison of blind intubation through the I-gel and ILMA Fastrach by nurses during cardiopulmonary resuscitation: A manikin study
Sampanis, Michail A.
Papadopoulos, Georgios S.
Chalkias, Athanasios F.
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Objectives: To investigate whether nursing staff can successfully use the I-gel and the intubating laryngeal mask Fastrach (ILMA) during cardiopulmonary resuscitation. Background: Although tracheal intubation is considered to be the optimal method for securing the airway during cardiopulmonary resuscitation, laryngoscopy requires a high level of skill. Methods: Forty five nurses inserted the I-gel and the ILMA in a manikin, with continuous and without chest compressions. Results: Mean intubation times for the ILMA and I-gel without chest compressions were 20.60±3.27 and 18.40±3.26s, respectively (p<0.0005). ILMA proved more successful than the I-gel regardless of compressions. Continuation of compressions caused a prolongation in intubation times for both the I-gel (p<0.0005) and the ILMA (p<0.0005). Conclusion: In this mannequin study, nursing staff can successfully intubate using the I-gel and the ILMA as conduits with comparable success rates, regardless of whether chest compressions are interrupted or not.