Paramedic tracheal intubation using the intubating laryngeal mask airway

Prehospital Emergency Care : Official Journal of the National Association of EMS Physicians and the National Association of State EMS Directors
Michael J McCallNoel Dalwood

Abstract

Tracheal intubation through the intubating laryngeal mask airway (ILMA) has been evaluated, in controlled settings, as an acceptable alternative to laryngoscopic intubation. Our observational study was designed to examine the success rate of tracheal intubation using the ILMA in the prehospital setting after mannequin-based training. We examined all oral tracheal intubations performed by the Tasmanian Ambulance Service (TAS) from April 2005 to April 2006. TAS paramedics are occasional intubators, as defined in the study by Reeves et al.,(8) on average performing two intubations per paramedic per year. Fifty-eight paramedics received training in tracheal intubation through the ILMA. The primary outcome measure was tracheal intubation success. Our hypothesis was that paramedics would be able to successfully perform out-of-hospital tracheal intubation using the ILMA with minimal training. During the study period, 106 patients had out-of-hospital tracheal intubation performed by ambulance paramedics. Comparisons were made between the intubations with the ILMA and by laryngoscopy. The overall intubation success rate was 91% with the laryngoscope and 92% with the ILMA. The success rate for the first attempt at intubation was higher w...Continue Reading

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Citations

Sep 3, 2010·Prehospital Emergency Care : Official Journal of the National Association of EMS Physicians and the National Association of State EMS Directors·Michael W HubbleRandall W Benner
May 29, 2010·Prehospital Emergency Care : Official Journal of the National Association of EMS Physicians and the National Association of State EMS Directors·Michael W HubbleMichael E Richards
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
May 8, 2015·Journal of Emergencies, Trauma, and Shock·Abdullah Alanazi
Sep 3, 2013·Emergency Medicine Journal : EMJ·Nick Castle, Sageshin Naguran
Jul 8, 2008·Air Medical Journal·R J FrasconeJosh Salzman
Jul 25, 2018·Telemedicine Journal and E-health : the Official Journal of the American Telemedicine Association·M Antoinette HodgeNatalie Silove
Apr 27, 2010·Anesthesia and Analgesia·Susannah Sherlock
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

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