Evaluation of the New Singularity(TM) Air versus Ambu(®) Aura Gain(TM): A Randomized, Crossover Mannequin Study

Background: This randomised crossover mannequin study aimed to compare the insertion time for the newly developed Singularity(TM) Air and the Ambu(®) AuraGain(TM). The Singularity(TM) Air includes a bendable tube in order to allow optimal passform. Methods: Fifty anaesthetists with a minimum of 100 supraglottic airway device insertions were recruited and randomly assigned to start either with the Singularity(TM) Air or with the Ambu(®) AuraGain(TM). Participants watched a tutorial video the day before the assessment and received a standardized introduction immediately before the assessment. The primary outcome was the time for successful insertion. Secondary parameters were the overall insertion success rate, the numbers of insertion attempts (maximum three), the glottic view through a flexible bronchoscope, and the success rate for gastric tube insertion. Results: Fifty participants were eventually recruited and randomly assigned to insert both devices according to the randomization. The insertion time was 24 s for Singularity(TM) Air as compared to 20 s for Ambu(®) AuraGain(TM) (p < 0.001). Overall insertion rate was 92% for the Singularity(TM) Air as compared to 100% for the Ambu(®) AuraGain(TM) (p could not be derived as one variable is a constant). The primary insertion success rate was better for the Ambu(®) AuraGain(TM) than for the Singularity(TM) Air (94% versus 68%; p: 0.002, respectively). Conclusion: The time for successful insertion and the insertion success rate for the newly developed Singularity(TM) Air is inferior to that for the Ambu(®) AuraGain(TM).