Research Analysis: Key takeaways from PART and Airways-2 Trials

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JAMA recently published two randomized control trial airway studies comparing endotracheal intubation (ETI) with either a laryngeal tube (LT) or supraglottic airway (SGA) device intubation during out of hospital cardiac arrest (OHCA).  While each study came to a slightly different conclusion, both provide fodder for the ongoing debate around advanced airway management during a cardiac arrest in the prehospital setting.

SUMMARY OF THE PART TRIAL

The first study, the PART Trial, was conducted from December 2015 to November 2017 by sites across North America in the Resuscitation Outcomes Consortium.  It was a multicenter cluster-crossover randomized trial, meaning that entire sites were randomized to either ETI or LT for 3-5 month blocks and then switched to the alternative airway management type at least once during the study period.

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