Comparison of prehospital insertion success rates and time to insertion between standard endotracheal intubation and a supraglottic airway

Frascone, Ralph J.; Russi, Christopher S.; Lick, Charles; Conterato, Marc; Wewerka, Sandi S.; Griffith, Kent R.; Myers, Lucas A.; Conners, Jennifer; Salzman, Joshua G.

doi:10.1016/j.resuscitation.2011.07.009

Cited by 43 publications

(26 citation statements)

References 32 publications

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“…Most previous work concentrated on the comparison of the LT with endotracheal intubation or as one of multiple alternatives for highly trained professionals [14,23]. A recent manikin study by Jensel et al [24] showed a higher rate of chest compression fraction (ie, time of CPR during which chest compressions are performed) but a longer time to first ventilation for the LT compared to BVM when used by primary care paramedics.…”

Section: Discussionmentioning

confidence: 99%

Safety and Feasibility of the Laryngeal Tube When Used by EMTs During Out-of-Hospital Cardiac Arrest

Roth

Hafner

Aufmesser

et al. 2015

The American Journal of Emergency Medicine

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Section: Discussionmentioning

confidence: 99%

Safety and Feasibility of the Laryngeal Tube When Used by EMTs During Out-of-Hospital Cardiac Arrest

Roth

Hafner

Aufmesser

et al. 2015

The American Journal of Emergency Medicine

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“…7-10,20-22 Frascone et al previously reported a higher unsuccessful first-pass rate of 32% by ground paramedics and 24% by an air medical critical care service. 8,9 Both of these studies involved specific training on use of the King LTS-D as part of the study protocol and reported limited previous experience in using the LT airway. On the other hand, Schalk et al reported a 19% unsuccessful first attempt placement rate for the King LT in a European EMS system by a combination of paramedics and physicians.…”

Section: Discussionmentioning

confidence: 99%

“…[1][2][3] Supraglottic airway devices (SGAs) have received widespread acceptance and use in the in-hospital and prehospital settings, both as a rescue device after unsuccessful orotracheal intubation and as a primary airway device. [4][5][6][7][8][9][10][11] SGAs have been used widely in out-ofhospital cardiac arrest, and also as part of rapid sequence airway placement. 4,9,[12][13][14] ଝ A Spanish translated version of the abstract of this article appears as Appendix in the final online version at http://dx.doi.org/10.1016/j.resuscitation.2014.…”

Section: Introductionmentioning

confidence: 99%

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Risk factors for unsuccessful prehospital laryngeal tube placement

et al. 2015

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“…2 Several studies reported that SADs are effective and can be successfully used to maintain the airway, while one study could not find any difference regarding success rate or duration of insertion. [3][4][5] Although endotracheal tube (ETT) insertion was found to be associated with higher survival rate and neurological outcome, the incidence of unrecognized oesophageal or endobronchial intubation is frequent and is associated with a high mortality rate. [6][7][8] Airway management is a controversial issue in pre-hospital cardiopulmonary resuscitation (CPR).…”

Section: Comparison Of Classical Laryngeal Mask I Gel and Tracheal Imentioning

confidence: 99%

Comparison of Classical Laryngeal Mask, I Gel and Tracheal Intubation for Limited Experienced UsersDuring Uninterrupted Chest Compressions

Saraçoğlu¹,

Topçu²,

Etı³

2016

Turkiye Klinikleri J Anest Reanim

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A AB BS S TTR RA AC CT T O Ob bj je ec ct ti iv ve e: : Airway management is more difficult and time-consuming in emergencies as compared to elective procedures. The optimal method for airway management during cardiac arrest is unknown. We aimed to determine the most appropriate airway device in cardiopulmonary resuscitation for the medical staff with limited experience in airway management. M Ma at te er ri ia al l a an nd d M Me et th ho od ds s: : The 5th year medical students with limited prior experience, were invited to participate in this study. Students used three airway devices (classical laryngeal mask, I-gel or endotracheal tube) first on a normal manikin then repeated the same procedures on a cardiopulmonary resuscitation manikin during chest compressions. The duration of successful attempts, success rate, number of attempts, tidal volumes and airway pressures were recorded. R Re es su ul lt ts s: : Time required for providing airway was significantly longer with endotracheal tube compared to classical laryngeal mask and I-gel during cardiopulmonary resuscitation with or without chest compressions (p<0.001 and p<0.001). Tidal volume values following the classical laryngeal mask insertion were significantly lower than the values recorded after endotracheal tube and I-gel insertion (p<0.001 and p<0.001). The airway pressure values on the anesthesia device were significantly higher after endotracheal tube insertion (p<0.001). I-gel had significantly higher success rate in providing airway on first attempt compared to classical laryngeal mask (86.9% versus 69.5%) (p=0.021). During chest compressions, the success rate in securing airway on the first attempt was the highest for I-gel (94.2%) (p=0.0034). C Co on nc cl lu us si io on n: : Because novice users are not skilled personnel in advanced airway management the use of supraglottic airway devices may be an alternative for laryngoscopy and intubation during cardiopulmonary resuscitation. K Ke ey y W Wo or rd ds s: : Intubation, intratracheal; cardiopulmonary resuscitation; airway management Ö ÖZ ZE ET T A Am ma aç ç: : Havayolu yönetimi elektif işlemlerle karşılaştırıldığında acil durumlarda daha zor ve zaman alıcıdır. Kardiyak arrest sırasında havayolu yönetimi için optimal yöntem bilinmemektedir. Havayolu yönetimi konusunda kısıtlı deneyimi olan tıbbi personel için kardiyopulmoner resusitasyonda en uygun havayolu aygıtını belirlemeyi amaçladık. G Ge er re eç ç v ve e Y Yö ön nt te em ml le er r: : Kısıtlı deneyimi bulunan 5. sınıf tıp fakültesi öğrencileri bu çalışmaya davet edildi. Öğrenciler üç havayolu aygıtını (klasik laringeal maske, I-gel ya da endotrakeal tüp) önce normal bir mankende ardından bir kardiyopulmoner resusitasyon mankeninde göğüs kompresyonları sırasında kullandılar. Başarılı girişim süresi, başarı oranı, girişim sayısı, tidal volümler ve havayolu basınçları kaydedildi. B Bu ul lg gu ul la ar r: : Kardiyopulmoner resusitasyon sırasında göğüs kompresyonları varlığında ya da yokluğunda endotrakeal tüple havayolu sağlamak için gereken...

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Comparison of prehospital insertion success rates and time to insertion between standard endotracheal intubation and a supraglottic airway

Cited by 43 publications

References 32 publications

Safety and Feasibility of the Laryngeal Tube When Used by EMTs During Out-of-Hospital Cardiac Arrest

Safety and Feasibility of the Laryngeal Tube When Used by EMTs During Out-of-Hospital Cardiac Arrest

Risk factors for unsuccessful prehospital laryngeal tube placement

Comparison of Classical Laryngeal Mask, I Gel and Tracheal Intubation for Limited Experienced UsersDuring Uninterrupted Chest Compressions

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