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Study Protocol

Effect on Chest Compression Fraction of Continuous Manual Compressions with Asynchronous Ventilations Using an i-gel® versus 30:2 Approach during Simulated Out-of-Hospital Cardiac Arrest: Protocol for a Manikin Multicenter Randomized Controlled Trial

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Genève TEAM Ambulances, Emergency Medical Services, CH-1201 Geneva, Switzerland
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ESAMB—École Supérieure de Soins Ambulanciers, College of Higher Education in Ambulance Care, CH-1231 Conches, Switzerland
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Compagnie d’Ambulances de l’Hôpital du Valais, Emergency Medical Services, CH-1920 Martigny, Switzerland
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SPSL—Service de Protection et Sauvetage Lausanne, Emergency Medical Services, CH-1005 Lausanne, Switzerland
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ES ASUR, Vocational Training College for Registered Paramedics and Emergency Care, CH-1052 Le Mont-sur-Lausanne, Switzerland
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Ambulance Riviera, Association Sécurité Riviera, Emergency Medical Services, CH-1814 La Tour-de-Peilz, Switzerland
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Division of Emergency Medicine, Department of Anesthesiology, Clinical Pharmacology, Intensive Care and Emergency Medicine, University of Geneva Hospitals and Faculty of Medicine, CH-1211 Geneva, Switzerland
*
Author to whom correspondence should be addressed.
Academic Editor: Tim Kilner
Healthcare 2021, 9(3), 354; https://doi.org/10.3390/healthcare9030354
Received: 23 February 2021 / Revised: 16 March 2021 / Accepted: 17 March 2021 / Published: 20 March 2021
(This article belongs to the Special Issue Urgent and Acute Prehospital Care)
The optimal airway management strategy during cardiopulmonary resuscitation is uncertain. In the case of out-of-hospital cardiac arrest, a high chest compression fraction is paramount to obtain the return of spontaneous circulation and improve survival and neurological outcomes. To improve this fraction, providing continuous chest compressions should be more effective than using the conventional 30:2 ratio. Airway management should, however, be adapted, since face-mask ventilation can hardly be carried out while continuous compressions are administered. The early insertion of a supraglottic device could therefore improve the chest compression fraction by allowing ventilation while maintaining compressions. This is a protocol for a multicenter, parallel, randomized simulation study. Depending on randomization, each team made up of paramedics and emergency medical technicians will manage the 10-min scenario according either to the standard approach (30 compressions with two face-mask ventilations) or to the experimental approach (continuous manual compressions with early insertion of an i-gel® supraglottic device to deliver asynchronous ventilations). The primary outcome will be the chest compression fraction during the first two minutes of cardiopulmonary resuscitation. Secondary outcomes will be chest compression fraction (per cycle and overall), compressions and ventilations quality, time to first shock and to first ventilation, user satisfaction, and providers’ self-assessed cognitive load. View Full-Text
Keywords: emergency medical services; paramedics; airway; supraglottic airway device; cardiac arrest; i-gel®; CPR; prehospital; resuscitation; chest compression fraction emergency medical services; paramedics; airway; supraglottic airway device; cardiac arrest; i-gel®; CPR; prehospital; resuscitation; chest compression fraction
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MDPI and ACS Style

Stuby, L.; Jampen, L.; Sierro, J.; Paus, E.; Spichiger, T.; Suppan, L.; Thurre, D. Effect on Chest Compression Fraction of Continuous Manual Compressions with Asynchronous Ventilations Using an i-gel® versus 30:2 Approach during Simulated Out-of-Hospital Cardiac Arrest: Protocol for a Manikin Multicenter Randomized Controlled Trial. Healthcare 2021, 9, 354. https://doi.org/10.3390/healthcare9030354

AMA Style

Stuby L, Jampen L, Sierro J, Paus E, Spichiger T, Suppan L, Thurre D. Effect on Chest Compression Fraction of Continuous Manual Compressions with Asynchronous Ventilations Using an i-gel® versus 30:2 Approach during Simulated Out-of-Hospital Cardiac Arrest: Protocol for a Manikin Multicenter Randomized Controlled Trial. Healthcare. 2021; 9(3):354. https://doi.org/10.3390/healthcare9030354

Chicago/Turabian Style

Stuby, Loric, Laurent Jampen, Julien Sierro, Erik Paus, Thierry Spichiger, Laurent Suppan, and David Thurre. 2021. "Effect on Chest Compression Fraction of Continuous Manual Compressions with Asynchronous Ventilations Using an i-gel® versus 30:2 Approach during Simulated Out-of-Hospital Cardiac Arrest: Protocol for a Manikin Multicenter Randomized Controlled Trial" Healthcare 9, no. 3: 354. https://doi.org/10.3390/healthcare9030354

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