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

Resuscitation

Volumn 82, Issue 5, 2011, Pages 593-597

  Ruetzler, Kurt ^a   Roessler, Bernhard ^a   Potura, Lukasz ^a   Priemayr, Anita ^b   Robak, Oliver ^b   Schuster, Ernst ^a   Frass, Michael ^a  

^a MEDICAL UNIVERSITY OF VIENNA   (Austria)

^b SMZ Ost ^*  (Austria)

Author keywords

Emergency airway management; Paramedics; Skill retention; Supraglottic airways

Indexed keywords

ADULT; ARTICLE; CLINICAL ARTICLE; CONTROLLED STUDY; ENDOTRACHEAL INTUBATION; ENDOTRACHEAL TUBE; FEMALE; HUMAN; INTUBATION; LARYNGEAL MASK; LARYNX TUBE; MALE; PARAMEDICAL EDUCATION; PARAMEDICAL PERSONNEL; PATIENT SAFETY; PRIORITY JOURNAL; SKILL; TUBE;

ADULT; ALLIED HEALTH PERSONNEL; CARDIOPULMONARY RESUSCITATION; FEMALE; HUMANS; INTUBATION, INTRATRACHEAL; LARYNGEAL MASKS; MALE; MANIKINS; PROFESSIONAL COMPETENCE; RETENTION (PSYCHOLOGY); RETROSPECTIVE STUDIES; TASK PERFORMANCE AND ANALYSIS;

EID: 79955077206     PISSN: 03009572     EISSN: None     Source Type: Journal    
DOI: 10.1016/j.resuscitation.2011.01.008     Document Type: Article

References (46)

1. Winchell R.J., Hoyt D.B. Endotracheal intubation in the field improves survival in patients with severe head injury. Trauma Research and Education Foundation of San Diego. Arch Surg 1997, 132:592-597.
2. Garner A., Rashford S., Lee A., Bartolacci R. Addition of physicians to paramedic helicopter services decreases blunt trauma mortality. Aust N Z J Surg 1999, 69:697-701.
3. Sanson G., Di Bartolomeo S., Nardi G., et al. Road traffic accidents with vehicular entrapment: incidence of major injuries and need for advanced life support. Eur J Emerg Med 1999, 6:285-291.
4. Nolan J.D. Prehospital and resuscitative airway care: should the gold standard be reassessed?. Curr Opin Crit Care 2001, 7:413-421.
5. Fakhry S.M., Scanlon J.M., Robinson L., et al. Prehospital rapid sequence intubation for head trauma: conditions for a successful program. J Trauma 2006, 60:997-1001.
6. Sise M.J., Shackford S.R., Sise C.B., et al. Early intubation in the management of trauma patients: indications and outcomes in 1,000 consecutive patients. J Trauma 2009, 66:32-39. [discussion 9-40].
7. Nolan J.P., Deakin C.D., Soar J., Bottiger B.W., Smith G. European Resuscitation Council guidelines for resuscitation 2005. Section 4. Adult advanced life support. Resuscitation 2005, 67:S39-S86.
8. Wang H.E., Simeone S.J., Weaver M.D., Callaway C.W. Interruptions in cardiopulmonary resuscitation from paramedic endotracheal intubation. Ann Emerg Med 2009, 54:645-652. e1.
9. Nolan J. European Resuscitation Council guidelines for resuscitation 2005. Section 1. Introduction. Resuscitation 2005, 67:S3-S6.
10. Bein B., Carstensen S., Gleim M., et al. A comparison of the proseal laryngeal mask airway, the laryngeal tube S and the oesophageal-tracheal combitube during routine surgical procedures. Eur J Anaesthesiol 2005, 22:341-346.
11. Bollig G., Lovhaug S.W., Sagen O., Svendsen M.V., Steen P.A., Wik L. Airway management by paramedics using endotracheal intubation with a laryngoscope versus the oesophageal tracheal Combitube and EasyTube on manikins: a randomised experimental trial. Resuscitation 2006, 71:107-111.
12. Rabitsch W., Schellongowski P., Staudinger T., et al. Comparison of a conventional tracheal airway with the Combitube in an urban emergency medical services system run by physicians. Resuscitation 2003, 57:27-32.
13. Mulcaster J.T., Mills J., Hung O.R., et al. Laryngoscopic intubation: learning and performance. Anesthesiology 2003, 98:23-27.
14. Wang H.E., Seitz S.R., Hostler D., Yealy D.M. Defining the learning curve for paramedic student endotracheal intubation. Prehosp Emerg Care 2005, 9:156-162.
15. Bickenbach J., Schalte G., Beckers S., Fries M., Derwall M., Rossaint R. The intuitive use of laryngeal airway tools by first year medical students. BMC Emerg Med 2009, 9:18.
16. Konrad C., Schupfer G., Wietlisbach M., Gerber H. Learning manual skills in anesthesiology: is there a recommended number of cases for anesthetic procedures?. Anesth Analg 1998, 86:635-639.
17. Garza A.G., Gratton M.C., Coontz D., Noble E., Ma O.J. Effect of paramedic experience on orotracheal intubation success rates. J Emerg Med 2003, 25:251-256.
18. Deakin C.D., King P., Thompson F. Prehospital advanced airway management by ambulance technicians and paramedics: is clinical practice sufficient to maintain skills?. Emerg Med J 2009, 26:888-891.
19. Caplan R.A., Posner K.L., Ward R.J., Cheney F.W. Adverse respiratory events in anesthesia: a closed claims analysis. Anesthesiology 1990, 72:828-833.
20. Paal P., Herff H., Mitterlechner T., et al. Anaesthesia in prehospital emergencies and in the emergency room. Resuscitation 2010, 81:148-154.
21. American Society of Anesthesiologists Task Force Practice guidelines for management of the difficult airway: an updated report by the American Society of Anesthesiologists Task Force on Management of the Difficult Airway. Anesthesiology 2003, 98:1269-1277.
22. Henderson J., Popat M., Latto P., Pearce A. Difficult airway society guidelines. Anaesthesia 2004, 59:1242-1243. [author reply 7].
23. MacDowall J. The assessment and treatment of the acutely ill patient-the role of the patient simulator as a teaching tool in the undergraduate programme. Med Teach 2006, 28:326-329.
24. Hesselfeldt R., Kristensen M.S., Rasmussen L.S. Evaluation of the airway of the SimMan full-scale patient simulator. Acta Anaesthesiol Scand 2005, 49:1339-1345.
25. Wahlen B.M., Roewer N., Lange M., Kranke P. Tracheal intubation and alternative airway management devices used by healthcare professionals with different level of pre-existing skills: a manikin study. Anaesthesia 2009, 64:549-554.
26. Katz S.H., Falk J.L. Misplaced endotracheal tubes by paramedics in an urban emergency medical services system. Ann Emerg Med 2001, 37:32-37.
27. Gausche M., Lewis R.J., Stratton S.J., et al. Effect of out-of-hospital pediatric endotracheal intubation on survival and neurological outcome: a controlled clinical trial. JAMA 2000, 283:783-790.
28. Timmermann A., Russo S.G., Eich C., et al. The out-of-hospital esophageal and endobronchial intubations performed by emergency physicians. Anesth Analg 2007, 104:619-623.
29. Fullerton J.N., Roberts K.J., Wyse M. Can experienced paramedics perform tracheal intubation at cardiac arrests? Five years experience of a regional air ambulance service in the UK. Resuscitation 2009, 80:1342-1345.
30. Stone B.J., Chantler P.J., Baskett P.J. The incidence of regurgitation during cardiopulmonary resuscitation: a comparison between the bag valve mask and laryngeal mask airway. Resuscitation 1998, 38:3-6.
31. Cook T.M., Hommers C. New airways for resuscitation?. Resuscitation 2006, 69:371-387.
32. Castle N., Owen R., Hann M., Naidoo R., Reeves D. Assessment of the speed and ease of insertion of three supraglottic airway devices by paramedics: a manikin study. Emerg Med J 2010, 27:860-863.
33. Wiese C.H., Bahr J., Popov A.F., Hinz J.M., Graf B.M. Influence of airway management strategy on " no-flow-time" in a standardized single rescuer manikin scenario (a comparison between LTS-D and I-gel). Resuscitation 2009, 80:100-103.
34. Wharton N.M., Gibbison B., Gabbott D.A., Haslam G.M., Muchatuta N., Cook T.M. I-gel insertion by novices in manikins and patients. Anaesthesia 2008, 63:991-995.
35. Cook T.M., Lee G., Nolan J.P. The ProSeal laryngeal mask airway: a review of the literature. Can J Anaesth 2005, 52:739-760.
36. Heuer J.F., Barwing J., Eich C., Quintel M., Crozier T.A., Roessler M. Initial ventilation through laryngeal tube instead of face mask in out-of-hospital cardiopulmonary arrest is effective and safe. Eur J Emerg Med 2010, 17:10-15.
37. Russi C.S., Hartley M.J., Buresh C.T. A pilot study of the King LT supralaryngeal airway use in a rural Iowa EMS system. Int J Emerg Med 2008, 1:135-138.
38. Russi C.S., Miller L., Hartley M.J. A comparison of the King-LT to endotracheal intubation and Combitube in a simulated difficult airway. Prehosp Emerg Care 2008, 12:35-41.
39. Tumpach E.A., Lutes M., Ford D., Lerner E.B. The King LT versus the Combitube: flight crew performance and preference. Prehosp Emerg Care 2009, 13:324-328.
40. Lefrancois D.P., Dufour D.G. Use of the esophageal tracheal combitube by basic emergency medical technicians. Resuscitation 2002, 52:77-83.
41. Trabold B., Schmidt C., Schneider B., Akyol D., Gutsche M. Application of three airway devices during emergency medical training by health care providers-a manikin study. Am J Emerg Med 2008, 26:783-788.
42. Hoyle J.D., Jones J.S., Deibel M., Lock D.T., Reischman D. Comparative study of airway management techniques with restricted access to patient airway. Prehosp Emerg Care 2007, 11:330-336.
43. Chenaitia H., Soulleihet V., Massa H., et al. The Easytube for airway management in prehospital emergency medicine. Resuscitation 2010, 81:1516-1520.
44. Davis D.P., Valentine C., Ochs M., Vilke G.M., Hoyt D.B. The Combitube as a salvage airway device for paramedic rapid sequence intubation. Ann Emerg Med 2003, 42:697-704.
45. Thierbach A.R., Piepho T., Maybauer M. The EasyTube for airway management in emergencies. Prehosp Emerg Care 2005, 9:445-448.
46. Pepe P.E., Zachariah B.S., Chandra N.C. Invasive airway techniques in resuscitation. Ann Emerg Med 1993, 22:393-403.