Paramedic use of endotracheal tube introducers for the difficult airway

Prehospital Emergency Care : Official Journal of the National Association of EMS Physicians and the National Association of State EMS Directors
D H LeLawrence H Brown

Abstract

To evaluate the ability of paramedics to learn and apply the skill of introducer-aided oral intubation in the setting of the simulated "difficult airway." The authors hypothesized that, following a brief introduction to the device, intubation success rates would not differ for traditional and introducer-aided intubations of an immobilized airway mannequin. During a paramedic recertification class, experienced paramedics were given a brief didactic introduction to the "bougie-like" Flex Guide endotracheal tube introducer (ETTI). The participants were then asked to intubate adult mannequins immobilized in the head-neutral position, with and without the ETTI. "Successful placement" was defined as completion of the procedure within 30 seconds and endotracheal tube position confirmed by the investigator with direct visualization. For both traditional and ETTI intubations, 34 (97%) of the 35 paramedics successfully intubated within 30 seconds. The two unsuccessful intubation attempts were recognized by the paramedic as esophageal intubations, and correct tube placement was obtained within an additional 30 seconds. In this study, use of the ETTI was mastered by the participants after only a brief didactic introduction to the device, w...Continue Reading

Citations

Apr 1, 2014·Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine·Anna AbelssonLillemor Lindwall
Nov 12, 2010·Prehospital Emergency Care : Official Journal of the National Association of EMS Physicians and the National Association of State EMS Directors·Matthew J MessaDouglas L Dunham
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 WangDavid Hostler
Aug 2, 2021·European Journal of Trauma and Emergency Surgery : Official Publication of the European Trauma Society·Jaden Tollman, Zubair Ahmed

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