Challenges, Innovations, and Training in Airway Management During Cardiopulmonary Resuscitation: A Narrative Review.

Emergency airway management is a crucial procedure performed to secure the airway and ensure effective ventilation during respiratory distress or airway obstruction. In the context of cardiopulmonary resuscitation (CPR), this process is complicated by factors such as anatomical challenges, environmental conditions, and the urgency of the situation. Recent advancements in airway management devices, including videolaryngoscopes and supraglottic devices (SGDs), have proven beneficial in managing these challenges. SGDs, such as the laryngeal mask airway (LMA) and i-gel®, provide an effective alternative when tracheal intubation is difficult or when continuous chest compressions are required. Furthermore, simulation-based education plays a critical role in training healthcare providers to handle complex airway scenarios during CPR. This review discusses the challenges of tracheal intubation during CPR, the usefulness of various devices including videolaryngoscopes and gum-elastic bougies (GEB), and the role of simulation training in improving outcomes. Ensuring proficiency in airway management techniques through hands-on practice and advanced simulation is essential for improving both survival rates and neurological outcomes in emergency settings.