JAMA August 2018 PMID 30167699

Effect of a Strategy of Initial Laryngeal Tube Insertion vs Endotracheal Intubation on 72-Hour Survival in Adults With Out-of-Hospital Cardiac Arrest: A Randomized Clinical Trial.

Henry E Wang, Robert H Schmicker, Mohamud R Daya, Shannon W Stephens, Ahamed H Idris, Jestin N Carlson, M Riccardo Colella, Heather Herren, Matthew Hansen, Neal J Richmond, Juan Carlos J Puyana, Tom P Aufderheide, Randal E Gray, Pamela C Gray, Mike Verkest

Mentions

33
Peak: 7 in Feb 2019
across 5 sources since Aug 2018

Extended reach

23,258
potential audience

Total likes

22

Video views

1,167

Mentions per month

Aug 2018 – Nov 2025

Where it's discussed

  • News11 articles
  • X / Twitter10 posts
  • Blogs8 articles
  • YouTube2 videos
  • Facebook2 posts

AI synopsis

What people are saying

The discussions reveal a high level of interest and agreement with the study, often emphasizing that the use of laryngeal tubes could better improve 72-hour survival rates, as seen in phrases like 'may be the better option' and 'focus should be on minimizing interruptions.' The tone suggests a professional enthusiasm for the potential change in EMS airway management protocols, though some comments point out the need for further validation, such as referencing data invalidity concerns.

AgreementModerate agreement

Most discussions support the study’s findings that laryngeal tube insertion may be preferable to intubation in certain emergency situations.

InterestHigh interest

Participants show strong interest, engaging with specific details about survival rates and clinical implications.

EngagementModerate engagement

Comments often reference methodology and practical impacts, indicating a moderate level of deep engagement with the research.

ImpactModerate impact

The discussion highlights the potential influence of the study on emergency medical practices, though some posts call for further analysis.

Abstract in brief

  • The study compared two methods of airway management—initial laryngeal tube (LT) insertion and endotracheal intubation (ETI)—in adults experiencing out-of-hospital cardiac arrest to see which improved 72-hour survival rates.
  • The results showed that patients initially treated with LT had higher success rates and better survival outcomes, including a 72-hour survival rate of 18.3% versus 15.4% with ETI, and higher rates of return of spontaneous circulation and hospital survival.
  • Overall, the findings suggest that using the laryngeal tube as the first airway strategy during emergency resuscitation may lead to better short-term survival and neurological outcomes compared to traditional ETI.]

Top posts

Most liked on X and Bluesky
EM Ottawa
@emergmedottawa · X

Does the choice between Laryngeal Tube Insertion vs Endotracheal Intubation have an effect on OHCA patient 72-Hour Survival? This study via @JAMA_current suggests Laryngeal Tube Insertion may be the better option. Should this be the EMS airway of choice? https://t.co/3jA7VsZHWd https://t.co/UwJKsUmY9n

Feb 19, 2019 · 3 likes · 5 shares · 6,600 followers View post →
Frederik Baron ⚕
@FrederikBaron · X

@beifahrer_to_be @Luca_Uenlue @eppler_fabian @medizinfreiburg @CRM_saves_lives @AbelsManuel @cliffreid Wang et al, 2018 72 hour survival after OHCA w SGA vs ETI 51% fps in ETI invalidates the data though, would need further analysis of fps groups. https://t.co/CvjCTypSmX

Aug 16, 2024 · 3 likes · 692 followers View post →
Garrick Mok
@garrick_mok · X

https://t.co/7xuU28JxVR LMA > ETT for OHCA upon transport with EMS. Focus should be on minimizing interruptions on good quality cpr rather than ETT if good oxygenation achievable.

Feb 19, 2019 · 2 likes · 1,050 followers View post →
青島周一
@syuichiao89 · X

Effect of a Strategy of Initial Laryngeal Tube Insertion vs Endotracheal Intubation on 72-Hour Survival in Adults With Out-of-Hospital Cardiac Arre... - PubMed - NCBI https://t.co/C6Nhh7aOsI

Jan 20, 2019 · 8,604 followers View post →
Ohio State Emergency Medicine Residency
@OhioStateEMRes · X

Great discussion regarding an article comparing laryngeal tube insertion vs endotracheal tube intubation in patients with out of hospital cardiac arrest with the first author, Dr. Henry Wang! #EMS #JournalClub #EmergencyMedicine https://t.co/c1qAPpNwXg

Mar 24, 2021 · 1,873 followers View post →
drmalinowski
@drmalinowski · X

RT @emergmedottawa: Does the choice between Laryngeal Tube Insertion vs Endotracheal Intubation have an effect on OHCA patient 72-Hour Surv…

Feb 19, 2019 · 5 shares · 1,490 followers View post →

All mentions

Frederik Baron ⚕
@FrederikBaron · X

@beifahrer_to_be @Luca_Uenlue @eppler_fabian @medizinfreiburg @CRM_saves_lives @AbelsManuel @cliffreid Wang et al, 2018 72 hour survival after OHCA w SGA vs ETI 51% fps in ETI invalidates the data though, would need further analysis of fps groups. https://t.co/CvjCTypSmX

Aug 16, 2024 · 3 likes · 692 followers View post →
Ohio State Emergency Medicine Residency
@OhioStateEMRes · X

Great discussion regarding an article comparing laryngeal tube insertion vs endotracheal tube intubation in patients with out of hospital cardiac arrest with the first author, Dr. Henry Wang! #EMS #JournalClub #EmergencyMedicine https://t.co/c1qAPpNwXg

Mar 24, 2021 · 1,873 followers View post →
Richard Hoang
@LumpyPoetMD · X

RT @emergmedottawa: Does the choice between Laryngeal Tube Insertion vs Endotracheal Intubation have an effect on OHCA patient 72-Hour Surv…

Feb 27, 2019 · 5 shares · 246 followers View post →
EM Cases Course
@EMCCTEAM · X

RT @emergmedottawa: Does the choice between Laryngeal Tube Insertion vs Endotracheal Intubation have an effect on OHCA patient 72-Hour Surv…

Feb 21, 2019 · 5 shares · 646 followers View post →
العبدلي . ⚡️
@khaledksa123 · X

RT @emergmedottawa: Does the choice between Laryngeal Tube Insertion vs Endotracheal Intubation have an effect on OHCA patient 72-Hour Surv…

Feb 19, 2019 · 5 shares · 234 followers View post →
Garrick Mok
@garrick_mok · X

https://t.co/7xuU28JxVR LMA > ETT for OHCA upon transport with EMS. Focus should be on minimizing interruptions on good quality cpr rather than ETT if good oxygenation achievable.

Feb 19, 2019 · 2 likes · 1,050 followers View post →
drmalinowski
@drmalinowski · X

RT @emergmedottawa: Does the choice between Laryngeal Tube Insertion vs Endotracheal Intubation have an effect on OHCA patient 72-Hour Surv…

Feb 19, 2019 · 5 shares · 1,490 followers View post →
عبدالعزيز عمر بن عوده السعوي
@azizomar2200 · X

RT @emergmedottawa: Does the choice between Laryngeal Tube Insertion vs Endotracheal Intubation have an effect on OHCA patient 72-Hour Surv…

Feb 19, 2019 · 5 shares · 386 followers View post →
EM Ottawa
@emergmedottawa · X

Does the choice between Laryngeal Tube Insertion vs Endotracheal Intubation have an effect on OHCA patient 72-Hour Survival? This study via @JAMA_current suggests Laryngeal Tube Insertion may be the better option. Should this be the EMS airway of choice? https://t.co/3jA7VsZHWd https://t.co/UwJKsUmY9n

Feb 19, 2019 · 3 likes · 5 shares · 6,600 followers View post →
青島周一
@syuichiao89 · X

Effect of a Strategy of Initial Laryngeal Tube Insertion vs Endotracheal Intubation on 72-Hour Survival in Adults With Out-of-Hospital Cardiac Arre... - PubMed - NCBI https://t.co/C6Nhh7aOsI

Jan 20, 2019 · 8,604 followers View post →
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