Preventing unrecognised oesophageal intubation: a consensus guideline from the Project for Universal Management of Airways and international airway societies*

Chrimes, N.; Higgs, A.; Hagberg, Carin A.; Baker, Paul; Cooper, Richard M.; Greif, Robert; Kovács, George; Law, J. Adam; Marshall, Stuart; Myatra, Sheila Nainan; O’Sullivan, E.; Rosenblatt, William H.; Ross, C. H.; Sakles, John C.; Sorbello, Massimiliano; Cook, Tim

doi:10.1111/anae.15817

Cited by 109 publications

(122 citation statements)

References 138 publications

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“…Sowohl im Rahmen einer Reanimation als auch einer Notfallnarkose kann eine vermeidbare ösophageale Intubation, unabhängig von Fachdisziplinen, auftreten und in hypoxischen Hirnschäden sowie Tod enden. Aus diesem Grund haben Chrimes et al eine neue Leitlinie zur Vermeidung der unerkannten ösophagealen Intubation herausgegeben [15].…”

Section: Vermeidung Einer Unerkannten öSophagealen Intubationunclassified

Aktuelle Ergebnisse notfallmedizinischer Forschung – Teil 1

Metelmann¹,

Katzenschlager²,

Popp³

2022

Notfallmedizin up2date

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Section: Vermeidung Einer Unerkannten öSophagealen Intubationunclassified

Aktuelle Ergebnisse notfallmedizinischer Forschung – Teil 1

Metelmann¹,

Katzenschlager²,

Popp³

2022

Notfallmedizin up2date

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“…with the use of jaw thrust); Patel and Nouraei extended the safe apnoea times of 25 patients with difficult airways to a median time of 14 min [3]. Second, the extended safe apnoea period allows time to perform the 'valid alternative techniques' to exclude oesophageal intubation: repeat laryngoscopy, as well as obtaining and utilising flexible bronchoscopy, airway ultrasound and the oesophageal detector device [1]. Third, the tracheal tube (even if in the oesophagus), separates the respiratory and gastric tracts, decreasing the risk of aspiration.…”

Section: Puma Guidelines For Preventing Unrecognised Oesophageal Intu...mentioning

confidence: 99%

PUMA guidelines for preventing unrecognised oesophageal intubation: don't forget the oxygen

Joynes

Wong

2022

Anaesthesia

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2. Sturrock JC, Ward PA. Videolaryngoscopy: less 'looking round the corner'. . .more seeing what is in plain view. Anaesthesia 2022; 77: 1455. 3. US Food and Drug Administration. Medtronic Recalls NIM CONTACT Reinforced EMG Endotracheal Tube and the NIM Standard Reinforced EMG Endotracheal Tube for Risk of Airway Obstruction. 2022. https://www.fda.gov/medical-devices/ medical-device-recalls/medtronic-recalls-nim-contactreinforced-emg-endotracheal-tube-and-nim-standardreinforced-emg (accessed 02/11/2022).

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“…Getting a clinician with sufficient intubation experience on the scene within an acceptable time is often a challenge and sometimes not possible, such as in remote and military settings. There are several risks when tracheal intubation is performed by personnel with limited experience, including oropharyngeal injury, significant interruption of chest compressions, and incorrect tube placement with consecutive hypoxia [ 10 , 11 , 12 ].…”

Section: Introductionmentioning

confidence: 99%

Tracheal Intubation during Advanced Life Support Using Direct Laryngoscopy versus Glidescope® Videolaryngoscopy by Clinicians with Limited Intubation Experience: A Systematic Review and Meta-Analysis

Schuppen

Wojciechowicz

Hollmann

et al. 2022

JCM

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The use of the Glidescope® videolaryngoscope might improve tracheal intubation performance in clinicians with limited intubation experience, especially during cardiopulmonary resuscitation (CPR). The objective of this systematic review and meta-analysis is to compare direct laryngoscopy to Glidescope® videolaryngoscopy by these clinicians. PubMed/Medline and Embase were searched from their inception to 7 July 2020 for randomized controlled trials, including simulation studies. Studies on adult patients or adult-sized manikins were included when direct laryngoscopy was compared to Glidescope® videolaryngoscopy by clinicians with limited experience in tracheal intubation (<10 intubations per year). The primary outcome was the intubation first-pass success rate. Secondary outcomes were time to successful intubation and chest compression interruption duration during intubation. The risk of bias was assessed with the Cochrane risk of bias tool. Certainty of evidence was assessed using the Grading of Recommendations Assessment, Development and Evaluation (GRADE). We included 4 clinical trials with 525 patients and 20 manikin trials with 2547 intubations. Meta-analyses favored Glidescope® videolaryngoscopy over direct laryngoscopy regarding first-pass success (clinical trials: risk ratio [RR] = 1.61; 95% confidence interval [CI]: 1.16–2.23; manikin trials: RR = 1.17; 95% CI: 1.09–1.25). Clinical trials showed a shorter time to achieve successful intubation when using the Glidescope® (mean difference = 17.04 s; 95% CI: 8.51–25.57 s). Chest compression interruption duration was decreased when using the Glidescope® videolaryngoscope. The certainty of evidence ranged from very low to moderate. When clinicians with limited intubation experience have to perform tracheal intubation during advanced life support, the use of the Glidescope® videolaryngoscope improves intubation and CPR performance compared to direct laryngoscopy.

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Preventing unrecognised oesophageal intubation: a consensus guideline from the Project for Universal Management of Airways and international airway societies*

Abstract: Re-use of this article is permitted in accordance with the Creative Commons Deed, Attribution 2.5, which does not permit commercial exploitation.

Cited by 109 publications

References 138 publications

Aktuelle Ergebnisse notfallmedizinischer Forschung – Teil 1

Aktuelle Ergebnisse notfallmedizinischer Forschung – Teil 1

PUMA guidelines for preventing unrecognised oesophageal intubation: don't forget the oxygen

Tracheal Intubation during Advanced Life Support Using Direct Laryngoscopy versus Glidescope® Videolaryngoscopy by Clinicians with Limited Intubation Experience: A Systematic Review and Meta-Analysis

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