key: cord-0830731-fusddwcz
authors: Somri, Mostafa; Gaitini, Luis; Gat, Marina; Sonallah, Mhfod; Paz, Alona; Gómez-Ríos, Manuel Ángel
title: Cardiopulmonary Resuscitation during the COVID-19 pandemic. Do supraglottic airways protect against aerosol-generation?
date: 2020-10-24
journal: Resuscitation
DOI: 10.1016/j.resuscitation.2020.10.013
sha: 8c3d61d0970311fc3e710afb994d64029316efce
doc_id: 830731
cord_uid: fusddwcz

nan

Efficiency Particle Arresting (HEPA) filter, the resulting closed-circuit carries a lower risk of aerosolization than any other method. 2 Alternatively, the supraglottic airway devices (SADs) are easy to insert without interrupting chest compressions and constitute effective rescue techniques. 3 Second-generation SADs present an improved oropharyngeal seal which enables positive airway pressure ventilation at a higher level. 2, 4 However, these devices could not be effective in preventing the generation of aerosols. The aim of this evaluation was to compare the amount of aerosols generated by different second-generation SADs during cardiopulmonary resuscitation on a highfidelity simulation model. A cuffed ETT with a HEPA filter is an effective barrier (Fig. 1 ). However, all tested second-generation SADs showed a considerable aerosol leakage through the mouth and nose of the simulator (Fig. 2) . The findings are similar to those of Ott M and al. 5 These findings emphasize the relevance of using physical barriers around the airway J o u r n a l P r e -p r o o f and adequate personal protective equipment to ensure the safety of health care providers in situations in which the use of these devices is unavoidable.

The authors declare no conflicts of interest.

J o u r n a l P r e -p r o o f 

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Interim Guidance for Basic and Advanced Life Support in Adults, Children, and Neonates With Suspected or Confirmed COVID-19: From the Emergency Cardiovascular Care Committee and Get With The Guidelines-Resuscitation Adult and Pediatric Task Forces of the

Difficult Airway Society 2015 guidelines for management of unanticipated difficult intubation in adults

Consensus guidelines for managing the airway in patients with COVID-19: Guidelines from the Difficult Airway Society, the Association of Anaesthetists the Intensive Care Society, the Faculty of Intensive Care Medicine and the Royal College of Anaesthetists

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