Ambu® AuraGain™ laryngeal mask as a method of airway management of patient entrapped in vehicle

• Published in: The American journal of emergency medicine Vol. 37; no. 1; pp. 171 - 172
• Main Authors: Wieczorek, Wojciech, Gawel, Wladyslaw B., Kaminska, Halla
• Format: Journal Article
• Language: English
• Published: United States Elsevier Inc 01.01.2019; Elsevier Limited
• Subjects: Airway management; Ambulance services; Emergency medical care; Emergency services; Firefighters; Immobilization; In car entertainment; Intubation; Respiratory tract; Spine; Spine (cervical); Statistical analysis; Torso; Norway
• ISSN: 0735-6757; 1532-8171
• DOI: 10.1016/j.ajem.2018.05.068

After viewing a standardized instructional video from the device manufacturers, they received individualized hands-on training on the normal airway manikin AT Kelly Torso (Laerdal, Stavanger, Norway), until they stated they were comfortable with the device. After practical training, each participant was instructed to insert the laryngeal mask, attach a bag valve mask and attempt to ventilate the lungs of manikin with two scenarios- Scenario A: manual stabilization of the cervical spine performed by an independent instructor from the back seat; Scenario B - immobilization of the cervical spine with a cervical collar. Median airway time in Scenario A was 17.5 s (IQR, 14–20) vs. 18 s (IQR, 14–21) for scenario B. However, this difference was not statistically significant (p = .219). [...]participants at the end of the study rated the difficulty of using device in both scenarios on a visual analog scale (VAS) from 0 (extremely easy) to 100 points (extremely difficult).