A comparison of the King-LT to endotracheal intubation and Combitube in a simulated difficult airway

Prehospital Emergency Care : Official Journal of the National Association of EMS Physicians and the National Association of State EMS Directors
Christopher S RussiMichael J Hartley

Abstract

Prehospital endotracheal intubation (ETI) is a complex skill to maintain proficiency. Several airway adjuncts are available for prehospital providers. A recent alternative is the King Laryngeal Tube (LT) approved for use by the FDA in 2003. The aim of this study was to determine if the King-LT offers improved placement success and times over the Combitube (ETC) and endotracheal tube (ETT) in a simulated difficult airway. Sixty-nine prehospital providers (EMT-Bs and EMT-Ps) were timed in a series of trauma scenarios involving the placement of an ETT, ETC, and LT in a difficult airway simulator. Primary outcome measures were placement time (seconds) and success for each device. Successful placement in the manikin was defined by adequate placement depth, inflation of device cuffs, the presence of breath sounds, and the absence of epigastric sounds. EMT-P mean placement times were 91.3 seconds (76.6-106.0) for ETT, 53.7 seconds (48.3-59.1) for ETC, and 27.0 seconds (24.3-29.7) for LT. EMT-B mean placement times were 46.4 seconds (37.5-55.3) for ETC and 22.5 seconds (19.0-26.0) for LT. Subgroup analysis was completed and compared in groups that either checked or did not check device balloons prior to insertion. EMT-Ps successfully p...Continue Reading

References

Oct 1, 1993·Annals of Emergency Medicine·T StaudingerM Frass
Aug 1, 1993·Annals of Emergency Medicine·G L Atherton, J C Johnson
Mar 10, 1998·Academic Emergency Medicine : Official Journal of the Society for Academic Emergency Medicine·E BoudreauxP J Brantley
Jan 1, 1997·Prehospital Emergency Care : Official Journal of the National Association of EMS Physicians and the National Association of State EMS Directors·C J Rumball, D MacDonald
Apr 27, 2000·Prehospital Emergency Care : Official Journal of the National Association of EMS Physicians and the National Association of State EMS Directors·H V GenzwuerkerB Kuhnert-Frey
Oct 25, 2000·Prehospital Emergency Care : Official Journal of the National Association of EMS Physicians and the National Association of State EMS Directors·M OchsJ Buchanan
Jan 6, 2001·Annals of Emergency Medicine·S H Katz, J L Falk
Jan 22, 2002·Resuscitation·Daniel P Lefrançois, Daniel G Dufour
Jul 25, 2003·Prehospital Emergency Care : Official Journal of the National Association of EMS Physicians and the National Association of State EMS Directors·John H BurtonJoanne E Lebrun
Oct 29, 2003·Annals of Emergency Medicine·Daniel P DavisDavid B Hoyt
Nov 25, 2003·Annals of Emergency Medicine·James V DunfordDavid B Hoyt
Dec 24, 2003·Prehospital Emergency Care : Official Journal of the National Association of EMS Physicians and the National Association of State EMS Directors·Chris RumballCurt Smecher
Mar 3, 2004·Emergency Medicine·Vicki M VertongenPeter Herbison
Mar 17, 2004·Anaesthesia·T Asai, S Kawachi
Jul 23, 2005·Prehospital Emergency Care : Official Journal of the National Association of EMS Physicians and the National Association of State EMS Directors·Henry E WangDonald M Yealy
Aug 13, 2005·Critical Care Medicine·Henry E WangJudith R Lave
Dec 3, 2005·Resuscitation·Jerry P NolanUNKNOWN European Resuscitation Council
May 23, 2006·Annals of Emergency Medicine·Henry E Wang, Donald M Yealy

❮ Previous
Next ❯

Citations

Apr 23, 2009·International Journal of Emergency Medicine·Christopher S RussiChristopher T Buresh
Apr 1, 2014·Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine·Anna AbelssonLillemor Lindwall
Jun 6, 2009·Prehospital Emergency Care : Official Journal of the National Association of EMS Physicians and the National Association of State EMS Directors·Elizabeth A TumpachE Brooke Lerner
Sep 5, 2009·Prehospital Emergency Care : Official Journal of the National Association of EMS Physicians and the National Association of State EMS Directors·Ralph J FrasconeJoshua G Salzman
Dec 4, 2012·Emergency Medicine Clinics of North America·Eric HawkinsJane H Brice
Aug 22, 2009·Annals of Emergency Medicine·Joshua B GaitherChristopher B Colwell
Dec 9, 2008·Emergency Medicine Clinics of North America·Catherine A Marco, Alan P Marco
Mar 10, 2016·Prehospital Emergency Care : Official Journal of the National Association of EMS Physicians and the National Association of State EMS Directors·Andrew B MartinJeffrey S Lubin
Apr 9, 2016·Prehospital Emergency Care : Official Journal of the National Association of EMS Physicians and the National Association of State EMS Directors·Michael T HiltonChristian Martin-Gill
Mar 5, 2013·Air Medical Journal·Ralph J FrasconeJoshua G Salzman
Jan 11, 2012·Prehospital Emergency Care : Official Journal of the National Association of EMS Physicians and the National Association of State EMS Directors·Michael S MitchellHenry E Wang
Jul 1, 2010·Prehospital Emergency Care : Official Journal of the National Association of EMS Physicians and the National Association of State EMS Directors·Matthew J LarsenJoe Suyama
Jan 12, 2013·Prehospital Emergency Care : Official Journal of the National Association of EMS Physicians and the National Association of State EMS Directors·Jan L JensenAlix Carter
Sep 14, 2013·Prehospital Emergency Care : Official Journal of the National Association of EMS Physicians and the National Association of State EMS Directors·Daniel G Ostermayer, Marianne Gausche-Hill
Dec 3, 2014·Resuscitation·Christian Martin-GillFrancis X Guyette
Feb 9, 2018·Journal of Athletic Training·Thomas G BowmanMonica R Lininger
Jun 22, 2017·Emergency Radiology·Daniel B GreenJonathan St George
May 19, 2020·The Western Journal of Emergency Medicine·Benjamin J SandefurRobert F Reardon
Mar 18, 2017·American Journal of Respiratory and Critical Care Medicine·Andrew KeenanManeesh Bhargava
Apr 13, 2011·Prehospital Emergency Care : Official Journal of the National Association of EMS Physicians and the National Association of State EMS Directors·Seth C Ritter, Francis X Guyette
Aug 4, 2012·Pediatric Emergency Care·Donald V ByarsAmy M Perkins
Oct 31, 2015·Canadian Journal of Anaesthesia = Journal Canadien D'anesthésie·Arun SubramanianDaniel A Diedrich
Oct 22, 2020·Trauma Surgery & Acute Care Open·Carlos V R BrownMatthew Martin

❮ Previous
Next ❯

Related Concepts

Trending Feeds

COVID-19

Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.

Blastomycosis

Blastomycosis fungal infections spread through inhaling Blastomyces dermatitidis spores. Discover the latest research on blastomycosis fungal infections here.

Nuclear Pore Complex in ALS/FTD

Alterations in nucleocytoplasmic transport, controlled by the nuclear pore complex, may be involved in the pathomechanism underlying multiple neurodegenerative diseases including Amyotrophic Lateral Sclerosis and Frontotemporal Dementia. Here is the latest research on the nuclear pore complex in ALS and FTD.

Applications of Molecular Barcoding

The concept of molecular barcoding is that each original DNA or RNA molecule is attached to a unique sequence barcode. Sequence reads having different barcodes represent different original molecules, while sequence reads having the same barcode are results of PCR duplication from one original molecule. Discover the latest research on molecular barcoding here.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Evolution of Pluripotency

Pluripotency refers to the ability of a cell to develop into three primary germ cell layers of the embryo. This feed focuses on the mechanisms that underlie the evolution of pluripotency. Here is the latest research.

Position Effect Variegation

Position Effect Variagation occurs when a gene is inactivated due to its positioning near heterochromatic regions within a chromosome. Discover the latest research on Position Effect Variagation here.

STING Receptor Agonists

Stimulator of IFN genes (STING) are a group of transmembrane proteins that are involved in the induction of type I interferon that is important in the innate immune response. The stimulation of STING has been an active area of research in the treatment of cancer and infectious diseases. Here is the latest research on STING receptor agonists.

Microbicide

Microbicides are products that can be applied to vaginal or rectal mucosal surfaces with the goal of preventing, or at least significantly reducing, the transmission of sexually transmitted infections. Here is the latest research on microbicides.