Paramedic Tracheal Intubation Using the Intubating Laryngeal Mask Airway

McCall, Michael; Reeves, Mark; Skinner, M. W.; Ginifer, Corinne; Myles, Paul S.; Dalwood, Noel

doi:10.1080/10903120701709803

Cited by 21 publications

(10 citation statements)

References 20 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Earlier studies on the use of i-LMA in prehospital care showed comparable [3] or superior results compared with DL [4][5][6]. Its unique advantages, such as blind intubation and the possibility of ventilation between intubation attempts, favor its use in prehospital care.…”

Section: Discussionmentioning

confidence: 92%

Comparison of GlideScope video laryngoscope and intubating laryngeal mask airway with direct laryngoscopy for endotracheal intubation

Çınar¹,

Cevik²,

Yıldırım³

et al. 2011

European Journal of Emergency Medicine

View full text Add to dashboard Cite

The aim of this study was to determine whether GlideScope video laryngoscope (GVL) and intubating laryngeal mask airway (i-LMA) improve the intubation success rate and could be easily learned and performed by paramedic students when compared with the direct laryngoscopic (DL) method. The study was designed as a prospective randomized crossover trial that included 121 paramedic students. All participants were asked to intubate each Ambu Airway Management Trainer manikins after the lecture and demonstration. Successful intubation was defined as the passage of the tube through the vocal cord within 60 s. At the end of the study, a questionnaire survey was given to all participants about their preferences, and they were requested to define each method on an easy-difficult scale. Successful intubation was achieved by 95 students (78.5%) with DL, 112 students (92.6%) with i-LMA, and 111 students (91.7%) with GVL. Mean time of intubation was 25.06±14 s for DL, 22.32±12 s for i-LMA, and 22.63±10 s for GVL. Success rates of i-LMA and GVL were significantly higher compared with DL (P=0.005 and P=0.006, respectively). No significant difference was determined between i-LMA and GVL in terms of successful intubation (P>0.05). This study showed that GVL and i-LMA provided better intubation success rates and were easier for paramedic students when compared with the classic DL method.

show abstract

Section: Discussionmentioning

confidence: 92%

Comparison of GlideScope video laryngoscope and intubating laryngeal mask airway with direct laryngoscopy for endotracheal intubation

Çınar¹,

Cevik²,

Yıldırım³

et al. 2011

European Journal of Emergency Medicine

View full text Add to dashboard Cite

show abstract

“…However, it also functions as a rescue airway device in its own right. Although the iLMA has been included in guidelines for the management of the difficult airway by the American Society of Anesthesiologists [3] and is used widely within hospitals, there are a limited number of reports of its use in the prehospital environment [4–7], despite a range of features that make it highly suitable for this setting (Table 2). …”

Section: Discussionmentioning

confidence: 99%

“…Both manikin and human studies have shown that iLMA insertion and subsequent ventilation using the device can be achieved readily by nonphysicians as well as by those with minimal training [14–18], suggesting that it could be a suitable airway for use by paramedics. Early studies suggested that a learning curve of approximately twenty cases existed for proficiency in tracheal intubation via the iLMA [19].…”

Section: Discussionmentioning

confidence: 99%

Prehospital Use of the Intubating Laryngeal Mask Airway in Patients with Severe Polytrauma: A Case Series

Mason¹

2009

Case Reports in Medicine

View full text Add to dashboard Cite

A case series of five patients is described demonstrating the utility of the intubating laryngeal mask airway in the prehospital setting, both as a primary airway rescue device and as a bridge to tracheal intubation. All patients were hypoxaemic, had sustained severe polytrauma and were trapped in their vehicles following road traffic collisions. A probability of survival study showed better-than-predicted outcomes for the group as a whole.

show abstract

“…The literature reports demonstrate that the medical personnel working at various levels of care manage endotracheal intubation differently, particularly in cases of difficult intubation [8][9][10]. The most common complication of intubation is undiagnosed intubation of the oesophagus.…”

Section: Discussionmentioning

confidence: 99%

Porównanie warunków intubacji dotchawiczej pod kontrolą laryngoskopii bezpośredniej i z wykorzystaniem S.A.L.T. podczas resuscytacji krążeniowo-oddechowej. Badanie randomizowane, wykorzystujące model manekina

Kurowski¹,

Szarpak

Zaśko³

et al. 2015

Anaesthesiol Intensive Ther

View full text Add to dashboard Cite

Background: Airway control is a potentially lifesaving procedure, but intubation by direct laryngoscopy may be difficult. The aim of this study was to assess the success rate of tracheal intubation using the Macintosh laryngoscope and Supraglottic Airway Laryngopharyngeal Tube (S.A.L.T) device. Methods: This is a randomised cross-over study involving 120 paramedics utilising the Macintosh laryngoscope and S.A.L.T. during simulated cardiopulmonary resuscitation (CPR) on a manikin. We compared times to successful intubation and intubation success rates for intubation using Macintosh and S.A.L.T. performed by paramedics, during CPR with and without chest compression. Results: Mean intubation times for conventional laryngoscopic intubation and S.A.L.T. without chest compressions were 31.52 ± 7.23 s and 17.97 ± 5.33 s, respectively (P < 0.001). Conclusions: Intubation via the S.A.L.T. was more successful than conventional laryngoscopic intubation, regardless of whether chest compressions were interrupted or not.

show abstract

Paramedic Tracheal Intubation Using the Intubating Laryngeal Mask Airway

Abstract: Intubation via the ILMA was as successful as conventional laryngoscopic intubation, requiring fewer attempts, although this was not statistically significant.

Cited by 21 publications

References 20 publications

Comparison of GlideScope video laryngoscope and intubating laryngeal mask airway with direct laryngoscopy for endotracheal intubation

Comparison of GlideScope video laryngoscope and intubating laryngeal mask airway with direct laryngoscopy for endotracheal intubation

Prehospital Use of the Intubating Laryngeal Mask Airway in Patients with Severe Polytrauma: A Case Series

Porównanie warunków intubacji dotchawiczej pod kontrolą laryngoskopii bezpośredniej i z wykorzystaniem S.A.L.T. podczas resuscytacji krążeniowo-oddechowej. Badanie randomizowane, wykorzystujące model manekina

Contact Info

Product

Resources

About