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. 2019 Dec 16;1(1):24–29. doi: 10.1002/emp2.12003

Table 1.

Characteristics of the Pragmatic Airway Resuscitation Trial (PART), the AIRWAYS‐2 trial, and the Cardiac Arrest Airway Management (CAAM) trial

Characteristic PART AIRWAYS‐2 CAAM
Setting United States United Kingdom France, Belgium
Patients Adult (≥18 years) OHCA requiring BVM or advanced airway management All adult (≥18 years) OHCA All adult (≥18 years) OHCA
Comparisons Laryngeal tube versus endotracheal intubation i‐gel versus endotracheal intubation Bag‐valve‐mask ventilation versus endotracheal intubation
Practitioners Paramedics, select emergency medical technicians Paramedics Physicians, nurses, paramedics
Total enrollment 3004 9296 2043
Design Superiority Superiority Non‐inferiority
Method of randomization Cluster randomization with cross‐over. Randomization units defined by EMS agencies Cluster randomization without cross‐over. Randomized by individual paramedic Randomization by patient—assignment determined by sealed opaque envelopes
Primary outcome 72‐hour survival Hospital survival with favorable functional status 28‐day survival with favorable neurologic status
Patients not receiving any of study interventions ∼12%a ∼18%b ∼0.7%c
Primary finding LT superior to ETI (72‐hour survival LT 18.3% versus ETI 15.4%, difference 2.9% (95% CI: 0.2–5.6), P = 0.04 No difference between i‐gel and ETI (hospital survival with favorable functional outcome i‐gel 6.4% versus ETI 6.8%, OR 0.92% (95% CI: 0.77–1.09), P = 0.33) Inconclusive (28‐day survival with favorable neurologic status BVM 4.3% versus ETI 4.2%, difference 0.11% (one‐sided 97.5% CI: −1.64 to 0), non‐inferiority P = 0.11)
Important secondary findings

Shorter EMS‐to‐airway time in LT than TI. Low airway insertion success rate in the ETI arm (51.6%).

Allocation imbalance in select randomization clusters.

Differential use of advanced airway management between groups.

Superior initial ventilation success with i‐gel.

No difference in regurgitation and aspiration between randomization groups.

BVM associated with more difficult ventilation and higher aspiration.
a

Patients who did not receive ETI or LT.

b

Patients who did not receive ETI or i‐gel.

c

Patients who did not receive ETI or BVM.