Randomised comparison of the effectiveness of the laryngeal mask airway supreme, i-gel and current practice in the
initial airway management of prehospital cardiac arrest (REVIVE-Airways): A feasibility study research protocol

Benger, Jonathan; Voss, Sarah; Coates, David; Greenwood, Rosemary; Nolan, Jerry; Rawstorne, Steven; Rhys, Megan; Thomas, Matthew

Abstract

Introduction: Effective cardiopulmonary resuscitation
with appropriate airway management improves outcomes following out-of-hospital cardiac arrest (OHCA). Historically, tracheal intubation has been accepted as the optimal form of OHCA airway management in the UK. The Joint Royal Colleges Ambulance Liaison Committee recently concluded that newer supraglottic airway devices (SADs) are safe and effective devices for hospital procedures and that their use in OHCA should be investigated. This study will
address an identified gap in current knowledge by
assessing whether it is feasible to use a cluster
randomised design to compare SADs with current
practice, and also to each other, during OHCA.
Methods and analysis: The primary objective of this
study is to assess the feasibility of a cluster randomised
trial to compare the ventilation success of two newer
SADs: the i-gel and the laryngeal mask airway supreme
to usual practice during the initial airway management of
OHCA. The secondary objectives are to collect data on
ventilation success, further airway interventions required,
loss of a previously established airway during transport,
airway management on arrival at hospital (or termination
of the resuscitation attempt), initial resuscitation success,survival to intensive care admission, survival to hospital discharge and patient outcome at 3 months. Ambulance paramedics will be randomly allocated to one of the three methods of airway management. Adults in medical OHCA attended by a trial paramedic will be eligible for the study.
Ethics and dissemination: Approval for the study has
been obtained from a National Health Service Research
Ethics Committee with authority to review proposals for
trials of a medical device in incapacitated adults. The
results will be made publicly available on an open access
website, and we will publish the findings in appropriate
journals and present them at national and international
conferences relevant to the subject field.
Trial registration: ISRCTN: 18528625.

• Journal Article Type: Article
• Publication Date: Jan 1, 2013
• Journal: BMJ Open
• Publisher: BMJ Publishing Group
• Peer Reviewed: Peer Reviewed
• DOI: https://doi.org/10.1136/bmjopen-2012-002467.
• Public URL: https://uwe-repository.worktribe.com/output/936783