EMT-led laryngeal tube vs. face-mask ventilation during cardiopulmonary resuscitation - a multicenter prospective randomized trial

Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine
Anna FialaPeter Paal

Abstract

Laryngeal tube (LT) application by rescue personnel as an alternate airway during the early stages of out-of-hospital cardiac arrest (OHCA) is still subject of debate. We evaluated ease of handling and efficacy of ventilation administered by emergency medical technicians (EMTs) using LT and bag-valve-mask (BVM) during cardiopulmonary resuscitation of patients with OHCA. An open prospective randomized multicenter study was conducted at six emergency medical services centers over 18 months. Patients in OHCA initially resuscitated by EMTs were enrolled. Ease of handling (LT insertion, tight seal) and efficacy of ventilation (chest rises visibly, no air leak) with LT and BVM were subjectively assessed by EMTs during pre-study training and by the attending emergency physician on the scene. Outcome and frequency of complications were compared. Of 97 eligible patients, 78 were enrolled. During pre-study training EMTs rated efficacy of ventilation with LT higher than with BVM (66.7% vs. 36.2%, p = 0.022), but efficacy of on-site ventilation did not differ between the two groups (71.4% vs. 58.5%, p = 0.686). Frequency of complications (11.4% vs. 19.5%, p = 0.961) did not differ between the two groups. EMTs preferred LT ventilation to BV...Continue Reading

Associated Clinical Trials

References

Sep 28, 2002·Anesthesia and Analgesia·Hartmut OckerVolker Dörges
Mar 14, 2007·The American Journal of Emergency Medicine·Christopher S RussiHans R House
Mar 5, 2010·European Journal of Emergency Medicine : Official Journal of the European Society for Emergency Medicine·Jan Florian HeuerMarkus Roessler
Oct 25, 2011·International Journal of Surgery·Kenneth F SchulzUNKNOWN CONSORT Group
Dec 12, 2012·Circulation·Taku IwamiUNKNOWN Japanese Circulation Society Resuscitation Science Study (JCS-ReSS) Group
Dec 20, 2012·Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine·Geir A SundeJon-Kenneth Heltne
Dec 3, 2014·Resuscitation·Christian Martin-GillFrancis X Guyette
May 11, 2015·The American Journal of Emergency Medicine·Dominik RothWolfgang Schreiber

❮ Previous
Next ❯

Citations

May 19, 2020·The Western Journal of Emergency Medicine·Danielle HartJames Miner
Mar 29, 2020·Academic Emergency Medicine : Official Journal of the Society for Academic Emergency Medicine·Joshua R LuptonMatt Hansen
Oct 2, 2020·Journal of the American College of Emergency Physicians Open·Matthew R NethMohamud R Daya
Dec 11, 2020·Minerva anestesiologica·Jochen HinkelbeinEdoardo DE Robertis
Jun 12, 2021·Prehospital Emergency Care : Official Journal of the National Association of EMS Physicians and the National Association of State EMS Directors·Nancy CarneyMohamud Daya
Jan 11, 2022·Prehospital Emergency Care : Official Journal of the National Association of EMS Physicians and the National Association of State EMS Directors·Maia DorsettTom Grawey
Jan 11, 2022·Prehospital Emergency Care : Official Journal of the National Association of EMS Physicians and the National Association of State EMS Directors·John W LyngAllen Yee

❮ Previous
Next ❯

Software Mentioned

Corpuls3

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.