Ambu® AuraGain™ laryngeal mask as a method of airway management of patient entrapped in vehicle

We read the article by Evrin et al. [ ] investigating the use of Ambu® AuraGain™ laryngeal mask by firefighters with a great interest. Undoubtedly, it is vitally important to keep looking for new methods of maintaining airway patency and to educate both medical and emergency services personnel in this aspect of medicine [ ]. One group, from the emergency services personnel, which was examined by Evrin et al. [ ] are lifeguards, however, firefighters are another professional group that operates within emergency situations. Oftentimes firefighters or policemen arrive at the scene before the emergency medical team does. Additionally, where there is a possibility of danger at the scene of the event the only group that is able to operate in these conditions is firefighters-paramedics since they are equipped with specialized equipment, including the airway protection gear. In a situation where the patient is stuck in a vehicle and the access to the patient is limited, therefore intubation of the tracheal tube is difficult or even impossible to perform [ , , ], the supraglottic airway devices may be the only real alternative allowing for airway patency maintenance [ , , ]. It should be underlined that in trauma patients the main cause of cardiac arrest are airway obstruction and progressive hypoxia. We currently are able to use the third generation of many supraglottic devices. One of these devices is Ambu® AuraGain™ laryngeal mask, which is 3rd generation laryngeal mask, satisfying 3 fundamental airway management needs by integrating gastric access and intubation capability in an anatomically curved single-use device.