A prospective observational study comparing two supraglottic airway devices in out-of-hospital cardiac arrest

Abstract Background Airway management in patients with out of hospital cardiac arrest (OHCA) is important and several methods are used. The establishment a supraglottic airway device (SAD) common technique used during OHCA. Two types SAD routinely Norway; the Kings LTS-D™ I-gel®. aim this study was to compare clinical performance these two devices terms difficulty, number attempts before successful insertion overall success rate insertion. Methods All adult OHCA, whom ambulance personnel over one-year period services Central Norway, were included. After event, questionnaire completed responsible for interviewed. Primary outcomes until insertion, by either same or different personnel, difficulty graded easy, medium hard. Secondary reported complications inserting SAD’s. Results hundred fifty included, 191 received I-gel 59 LTS-D. Overall significantly higher (86%) compared LTS-D (75%, p = 0.043). rates placements when using LTS-D, there significant increased risk that unsuccessful (risk ratio 1.8, 0.04). assessed be easy insert 80% patients, as opposed which 51% patients. Conclusions lower group