Cardiac arrest & resuscitation

Comparison of laryngeal tube evo with tracheal intubation during intra-arrest-ventilation using biphasic positive pressure ventilation - a prospective randomized controlled body donor study

Crit CarePublished Randomised crossover study

Primary result · Expiratory tidal volume (VTe)Result — go to the resultDifference −295.7 ± 8 ml 95% CI −339.2 to −252.2

Authors' conclusion

In this body donor model of biphasic-positive-airway-pressure-ventilation during mechanical cardiopulmonary resuscitation, TI provided higher VTe and lower leakage than LT®evo did. LT®evo ventilation frequently failed to achieve tidal volumes above the estimated dead space.

Study context

Population
Thiel-embalmed human body donors under mechanical CPR with biphasic positive airway pressure ventilationcrossover
Participants
5 participants
Comparison
LT®evo vs TI
Primary endpoint
Expiratory tidal volume (VTe)
Methodological detailsprospective, Thiel-embalmed human body donors
  • Prospective
  • Thiel-embalmed human body donors

Primary result

As reported in the abstract

Difference

−295.7 ± 8 ml

95% CI −339.2 to −252.2

P < 0.0001

Secondary outcomes

OutcomeDifference (ml/kg) (95% CI)P value
VTe per kg ideal body weight (VTe/kgIBW)−5.0 (−5.7 to −4.2)P < 0.0001
OutcomeDifference (mbar) (95% CI)P value
Peak pressure (PPeak)−19.0 (−23.1 to −14.9)P < 0.0001
Mean pressure (PMean)−2 (−3.2 to −0.8)P = 0.001
OutcomeDifference (ml) (95% CI)P value
Delta tidal volume (ΔVT)296.0 (252.5–339.4)P < 0.0001
OutcomeDifference (%) (95% CI)P value
Leakage volume (VLeak)52.7 (41.6–63.7)P < 0.0001

Successful ventilation (VTe/kgIBW > 2 ml/kg)

Original publication

Comparison of laryngeal tube evo with tracheal intubation during intra-arrest-ventilation using biphasic positive pressure ventilation - a prospective randomized controlled body donor study. Crit Care. Published 28 March 2026. doi:10.1186/s13054-026-05902-4

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