Emergency airway management by paramedics: comparison between standard endotracheal intubation, laryngeal mask airway, and I-gel

Charalampos Leventis, Athanasios Chalkias, Michail A Sampanis, Xanthipi Foulidou, Theodoros Xanthos
European Journal of Emergency Medicine: Official Journal of the European Society for Emergency Medicine 2014, 21 (5): 371-3
The aim of this study was to investigate whether briefly trained paramedics would be able to successfully intubate by endotracheal intubation (ETI) and using the laryngeal mask airway (LMA) and the I-gel in a manikin model. After the completion of a questionnaire, a brief educational session, and presentation of ETI, LMA, and I-gel, 72 paramedics were randomly allocated to intubate an adult manikin. The success rate for I-gel was higher than that for LMA (P<0.001) and ETI (P<0.001), and the insertion time for I-gel was significantly shorter than that for LMA (P<0.001) or during ETI (P<0.001). There was a statistically significant association between the experience level of paramedics and insertion time only for the LMA (P=0.012). In addition, the mean insertion time values were significantly affected by the accuracy of the answers to the theoretical questions (P<0.05 for all questions). Paramedics should lay greater emphasis on airway management using supraglottic devices, especially I-gel because of its shorter time of insertion.

Full Text Links

Find Full Text Links for this Article


You are not logged in. Sign Up or Log In to join the discussion.

Related Papers

Remove bar
Read by QxMD icon Read

Save your favorite articles in one place with a free QxMD account.


Search Tips

Use Boolean operators: AND/OR

diabetic AND foot
diabetes OR diabetic

Exclude a word using the 'minus' sign

Virchow -triad

Use Parentheses

water AND (cup OR glass)

Add an asterisk (*) at end of a word to include word stems

Neuro* will search for Neurology, Neuroscientist, Neurological, and so on

Use quotes to search for an exact phrase

"primary prevention of cancer"
(heart or cardiac or cardio*) AND arrest -"American Heart Association"