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

Abstract

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.

Securing the airway patency by firefighters with the use of CombiTube. A pilot data

“…Securing the airways patency in prehospital conditions may be a challenge for paramedics [1]. The endotracheal intubation still remains the golden standard, however, the use of it is limited by the necessity of having experienced medical personnel [2][3][4]. When performing the rescuing procedures by firefighters-paramedics the use of supraglottic airway devices (SADs) is a more appropriate method.…”