Cardiac arrest & resuscitation

A retrospective comparison of the King Laryngeal Tube and iGel supraglottic airway devices: A study for the Cardiac Arrest Registry to Enhance Survival (CARES) surveillance group

ResuscitationPublished Retrospective cohort study

Main finding · Neurologically favorable survivalResult — go to the resultAdjusted odds ratio 1.45 CI 1.33–1.58

Authors' conclusion

This study adds to the body of literature suggesting that use of the iGel during OHCA resuscitation is associated with better outcomes than use of the King LT.

Study context

Population
Non-traumatic out-of-hospital cardiac arrest (OHCA) with attempted EMS resuscitation, CARES registry, 2013–2021
Exposure
iGel vs King LT
Outcome
Survival with Cerebral Performance Category (CPC) score 1 or 2
Follow-up
At discharge
Methodological detailsregistry-based, two-level mixed effects multivariable logistic regression
  • Registry-based
  • Two-level mixed effects multivariable logistic regression

Main finding

Neurologically favorable survival

Adjusted odds ratio

1.45

CI 1.33–1.58

iGel vs King LT
aOR 1.45 (CI 1.33–1.58)

As reported in the abstract

Observational data: associations, not effects.

Secondary outcomes

OutcomeEstimate
Survival to hospital admission1.07 (CI 1.02–1.12)
Survival to hospital discharge1.35 (CI 1.26–1.46)

Original publication

A retrospective comparison of the King Laryngeal Tube and iGel supraglottic airway devices: A study for the CARES surveillance group. Resuscitation. Published 28 April 2023. doi:10.1016/j.resuscitation.2023.109812

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