Conclusions
The present study shows that the COVID-19-adapted guidelines using ETI led to a prolongation of the no-flow time, which markedly worsened the overall quality of resuscitation. These effects can be attenuated using an SAD. Although the influence of airway management on the outcome of resuscitation and the transmission of Sars-CoV-2 is critically discussed, the use of a modified LMA with a shower cap seems to be suitable to ensure optimal resuscitation quality and to reduced aerosol exposure at the same time.