Effectiveness of Supraglottic Devices for Airway Management in Emergency Medicine: A Systematic Review of Randomized Control Trials

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Mohammed Rasheed Almutairi, Abdullah Atiyah Althagafi, Faisali Muthyib Almuawi, Bejad shuayl Almutairi, Abdulaziz Ali B Al Ghanim, Yasser Abdullah Almugati

Abstract

Objectives: To evaluate the effectiveness of Supraglottic devices (SGAs) compared to other airway management methods. Methods: A detailed computerized search of relevant databases was conducted to identify studies that met the inclusion criteria. The search encompassed PubMed, SCOPUS, Science Direct, Cochrane Library, and Web of Science to find pertinent research. Results: Our analysis included six studies with a total of 13,681 patients: 7106 in the SAG group and 6682 in the comparison group. Females comprised less than half of the participants, totaling 5853 (42.8%). Clinical parameters were better in the SAG group, the success rate ranged from 68% to 100%, while ranged from 55.9% to 96% in the EI group. EI also recorded higher complication rates of 7.2% than the SAG group 1.7%. Regarding time to successful placement, SAG took less time than EI for example 8.5 seconds compared to 24.5 seconds.  The results indicate that SGAs generally outperform EI in terms of first-pass success and overall airway placement time. Conclusion: This systematic review highlights the potential advantages of SGAs over EI, particularly in terms of first-pass success and reduced airway placement time, which can be crucial during resuscitation. While SGAs have demonstrated promising results, especially in improving short-term outcomes, further randomized controlled trials are needed to evaluate their long-term effectiveness and safety compared to EI.

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