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The Resus Room

Intubation or supraglottic airway in cardiac arrest; AIRWAYS-2

The Resus Room

Simon Laing

Science, Emergencymedicine, Medicine, Health & Fitness, Em, Ae

4.8678 Ratings

🗓️ 28 August 2018

⏱️ 56 minutes

🧾️ Download transcript

Summary

So we're back from our summer hiatus with a real treat. The long awaited AIRWAYS-2 paper has just been released and we've been lucky enough to speak with the lead author, Professor Jonathan Benger, about the paper and discuss what the findings mean for cardiac arrest management.

AIRWAYS-2 looks at the initial advanced airway management strategy for paramedics attending out of hospital cardiac arrests, essentially whether or not the aim should be to place a supraglottic airway device or an endotracheal tube when advancing from simple airway techniques. The study was a huge undertaking with many speculating over how the results would change practice, including discussion of how it may affect paramedic's practice of intubation, all of which we cover in the podcast.

Before you listen to the podcast make sure you have a look at the paper yourself, have a listen to PHEMCAST's previous episode which covers the study design and have a look at the infographics on the website which summarise the primary outcome and secondary analysis and which we refer to in the interview with Professor Benger.

In the podcast we refer to Jabre's paper which can be found below and we also covered in May's papers podcast. Have a listen to the interview and let us know any thoughts or feedback you have, we're sure this one will create a lot of discussion!

Simon, Rob & James

References & Further Reading

Effect of a Strategy of a Supraglottic Airway Device vs Tracheal Intubation During Out-of-Hospital Cardiac Arrest on Functional Outcome. The AIRWAYS-2 Randomized Clinical Trial. Benger J. JAMA. 2018

PHEMCAST; the LMA

Effect of Bag-Mask Ventilation vs Endotracheal Intubation During Cardiopulmonary Resuscitation on Neurological Outcome After Out-of-Hospital Cardiorespiratory Arrest: A Randomised Clinical Trial. Jabre P. JAMA. 2018

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Transcript

Click on a timestamp to play from that location

0:00.0

Welcome to the Recess Room podcast.

0:03.9

Five, four, three, two, one, fire.

0:13.0

So hi, and welcome back to the Recess Room podcast. I'm Simon Lang.

0:18.0

I'm Rob Fenwick. And I'm James Yates.

0:20.2

And we're back after the summer with what looks to be a fantastic paper.

0:26.1

The long-awaited Airways to Paper.

0:29.6

Ooh.

0:30.9

We came back from a holiday a week early just to cover this because it is a beauty and it promises to potentially be a game changer.

0:38.0

Yeah, this is long awaited and very exciting for the pre-hospital community.

0:43.1

So come on, let's get on with it.

0:45.2

I'm excited.

0:46.6

Well, just before we do that, a huge thanks once again to our sponsors,

0:50.1

Abrak for supporting the show.

0:52.5

We're going to have a look at our website and the hyperlink

0:54.4

through to the fantastic work they do with advanced clinical practitioners. Before you listen

0:59.2

to this though, we'd highly recommend you're going to have a listen to the Femcast podcast from a few

1:03.7

years ago which caught John Benjert whilst the trial was still up and running and talked a bit

1:08.7

about the study design and the thoughts behind

1:11.3

this piece of research. And obviously it goes without saying, click on the hyperlink and go and

1:16.1

have a look at the paper yourself and come up with your own thoughts. So, let's go through the paper.

1:25.4

So published in JAMA, the lead author is Jonathan Bunger, and the title of the paper,

1:32.2

Effect of a Strategy of a Superglotic Airway Device versus Tricil Intubation during Outer of Hospital,

...

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