An update on out-of-hospital airway management practices in the United States

Diggs, Leigh Ann; Yusuf, Juita‐Elena; Leo, Gianluca De

doi:10.1016/j.resuscitation.2014.02.032

Cited by 66 publications

(57 citation statements)

References 26 publications

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“…The use of the LMA is now an essential addition to advanced airway training courses, and familiarity with insertion techniques can be life-saving. [438][439][440][441][442] The LMA can also serve as a bridge to secure airway management in children with anatomic airway abnormalities. 443,444 Practitioners are encouraged to gain experience with these techniques as they become incorporated into PALS courses.…”

Section: Adjuncts To Airway Management and Resuscitationmentioning

confidence: 99%

Guidelines for Monitoring and Management of Pediatric Patients Before, During, and After Sedation for Diagnostic and Therapeutic Procedures: Update 2016

Coté¹,

Wilson²

2016

Pediatrics

251

199

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The safe sedation of children for procedures requires a systematic approach that includes the following: no administration of sedating medication without the safety net of medical/dental supervision, careful presedation evaluation for underlying medical or surgical conditions that would place the child at increased risk from sedating medications, appropriate fasting for elective procedures and a balance between the depth of sedation and risk for those who are unable to fast because of the urgent nature of the procedure, a focused airway examination for large (kissing) tonsils or anatomic airway abnormalities that might increase the potential for airway obstruction, a clear understanding of the medication's pharmacokinetic and pharmacodynamic effects and drug interactions, appropriate training and skills in airway management to allow rescue of the patient, age-and size-appropriate equipment for airway management and venous access, appropriate medications and reversal agents, suffi cient numbers of staff to both carry out the procedure and monitor the patient, appropriate physiologic monitoring during and after the procedure, a properly equipped and staffed recovery area, recovery to the presedation level of consciousness before discharge from medical/dental supervision, and appropriate discharge instructions. This report was developed through a collaborative effort of the

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Section: Adjuncts To Airway Management and Resuscitationmentioning

confidence: 99%

Guidelines for Monitoring and Management of Pediatric Patients Before, During, and After Sedation for Diagnostic and Therapeutic Procedures: Update 2016

Coté¹,

Wilson²

2016

Pediatrics

251

199

View full text Add to dashboard Cite

show abstract

“…Analysis of paramedic airway management in the USA indicated an overall ETI success rate of 85.3%, with a rapid sequence induction (RSI) ETI success rate of 93.1% [12]. Recent published data from Washington paramedics EMS demonstrated an ETI success rate of 99% after one or more attempts with the ability to use RSI medication, but this study was limited to patients older than 12 years of age [13].…”

Section: Discussionmentioning

confidence: 99%

“…The airway access success rate in our ESA group was 96.7%, and this result is comparable to the success rates reported in the meta-analysis by Hubble et al, which described a physician prehospital ESA success rate of 97.1% compared with approximately 90% among non-physicians EMS [16][17][18]. Diggs et al recently presented different data comparing the results of American paramedic surgical airway management in 2008 and 2012, in which ESA success rates for combined open and needle-guided techniques dropped from 87.1 to 34.3% with an increase in incidence (from 70 to 1332) [12]. For reasons related to time saving and efficiency, our HEMS exclusively uses the open surgical technique and no needle-guided methods.…”

Section: Discussionmentioning

confidence: 99%

Indications and results of emergency surgical airways performed by a physician-staffed helicopter emergency service

Peters¹,

Bruijstens²,

Ploeg³

et al. 2015

Injury

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“…After one attempt of an advanced airway procedure, the odds of success at subsequent attempts are dramatically reduced. A recent study characterized out-of-hospital airway management practices in the United States using the largest aggregate of EMS data collected to date, National Emergency Medical Services Information System (NEMSIS) and found a much higher ETI success rate of 85.3 percent [1].…”

Section: Discussionmentioning

confidence: 99%