Mar 1, 2011

Performance and skill retention of intubation by paramedics using seven different airway devices--a manikin study

Resuscitation
Kurt RuetzlerMichael Frass

Abstract

Endotracheal intubation (ETI) is the most widespread method for emergency airway management. Several studies reported that ETI requires considerable skill and experience and if performed incorrectly, may result in serious adverse events. Unrecognized tube misplacement or oesophageal intubation is associated with high prehospital morbidity. This study investigates the usability of supraglottic airway devices compared to ETI and the skill retention of 41 previously inexperienced paramedics following training using a manikin model. 41 paramedics participated in this study. None had prior experience in airway management, apart from bag-valve ventilation. After a standardised audio-visual lecture lasting 45min, the paramedics participated in a practical demonstration using the advanced patient simulator SimMan(®) (Laerdal Medical, Stavanger, Norway). Afterwards, paramedics were instructed to perform airway-management using seven different techniques to secure the airway (ETI, Laryngeal mask unique [LMA], Proseal, Laryngeal tube disposable [LT-D(®)], I-Gel(®), Combitube(®), and EasyTube(®)) following a randomized sequence. Participants underwent reassessment after 3 months without any further training or practice in airway-management...Continue Reading

  • References45
  • Citations32

Citations

Mentioned in this Paper

Morbidity Aspects
Population Program Specialists
Basic Cardiac Life Support
Entire Esophagus
Supraglottic
Manikins
Critical Incident Technique
Adverse Event
Pulmonary Aspiration
Intubation, Intratracheal

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