Utility of Newly-developed Airway Devices to Airway Management during Cardiopulmonary Resuscitation: Application of New Tracheal Intubation and Supraglottic Devices, and Simulation Training

Abstract

  According to the Guidelines for Resuscitation 2010, all rescuers should minimize interruption of chest compressions (CC) during cardiopulmonary resuscitation (CPR), in order to maximize coronary and cerebral perfusion pressures. Ideally, tracheal intubation during CPR should be performed without interrupting CC. Impaired visibility of the glottis and passage through the glottis was considered to be the cause of difficulty performing tracheal intubation during CC. Various video or optical laryngoscopes have become clinically available and overcome these difficulties. Utility of non-sightline videolaryngoscopes for airway management during CC has been reported. From the viewpoint of ventilation during CC, various supraglottic devices such as laryngeal mask or laryngeal tube have been developed. Intubation with a supraglottic device may be useful for ventilation and subsequent intubation during CC. Furthermore, simulation training for not only advanced cardiac life support but also difficult and emergent airway management is important for anesthesiologists.