Evaluation of airway management associated hands-off time during cardiopulmonary resuscitation: A randomised manikin follow-up study

Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine

Volumn 21, Issue 1, 2013, Pages

  Gruber, Christina ^a   Nabecker, Sabine ^a   Wohlfarth, Philipp ^a   Ruetzler, Anita ^b   Roth, Dominik ^a   Kimberger, Oliver ^a   Fischer, Henrik ^a   Frass, Michael ^a   Ruetzler, Kurt ^a,c  

^a MEDICAL UNIVERSITY OF VIENNA   (Austria)

^b Social Medical Center East   (Austria)

^c UNIVERSITY HOSPITAL ZURICH   (Switzerland)

Author keywords

Anaesthesia; CPR; Emergency airway management; Emergency medical technicians; Endotracheal intubation; Hands off time; Supraglottic airways

Indexed keywords

ADULT; ARTICLE; AUDIOVISUAL AID; AUDIOVISUAL EQUIPMENT; CONFIDENCE INTERVAL; CONTROLLED CLINICAL TRIAL; CONTROLLED STUDY; EDUCATION; EQUIPMENT; EXTUBATION; FEMALE; FOLLOW UP; HUMAN; MALE; METHODOLOGY; RANDOMIZED CONTROLLED TRIAL; RESCUE PERSONNEL; RESPIRATION CONTROL; RESUSCITATION; STANDARD;

ADULT; AIRWAY EXTUBATION; AIRWAY MANAGEMENT; AUDIOVISUAL AIDS; CARDIOPULMONARY RESUSCITATION; CONFIDENCE INTERVALS; EMERGENCY MEDICAL TECHNICIANS; FEMALE; FOLLOW-UP STUDIES; HUMANS; MALE; MANIKINS; YOUNG ADULT;

EID: 84874163968     PISSN: None     EISSN: 17577241     Source Type: Journal    
DOI: 10.1186/1757-7241-21-10     Document Type: Article

References (38)

1. Travers AH, Rea TD, Bobrow BJ, Edelson DP, Berg RA, Sayre MR, et al. Part 4: CPR overview: 2010 American Heart Association Guidelines for Cardiopulmonary Resuscitation and Emergency Cardiovascular Care. Circulation 2010, 122(18 Suppl 3):S676-684.
2. Deakin CD, Nolan JP, Soar J, Sunde K, Koster RW, Smith GB, et al. European Resuscitation Council Guidelines for Resuscitation 2010 Section 4. Adult advanced life support. Resuscitation 2010, 81(10):1305-1352. 10.1016/j.resuscitation.2010.08.017, 20956049.
3. Neumar RW, Otto CW, Link MS, Kronick SL, Shuster M, Callaway CW, et al. Part 8: adult advanced cardiovascular life support: 2010 American Heart Association Guidelines for Cardiopulmonary Resuscitation and Emergency Cardiovascular Care. Circulation 2010, 122(18 Suppl 3):S729-767.
4. Bobrow BJ, Clark LL, Ewy GA, Chikani V, Sanders AB, Berg RA, et al. Minimally interrupted cardiac resuscitation by emergency medical services for out-of-hospital cardiac arrest. JAMA 2008, 299(10):1158-1165. 10.1001/jama.299.10.1158, 18334691.
5. Mulcaster JT, Mills J, Hung OR, MacQuarrie K, Law JA, Pytka S, et al. Laryngoscopic intubation: learning and performance. Anesthesiology 2003, 98(1):23-27. 10.1097/00000542-200301000-00007, 12502974.
6. Wang HE, Seitz SR, Hostler D, Yealy DM. Defining the learning curve for paramedic student endotracheal intubation. Prehosp Emerg Care 2005, 9(2):156-162. 10.1080/10903120590924645, 16036839.
7. Bradley JS, Billows GL, Olinger ML, Boha SP, Cordell WH, Nelson DR. Prehospital oral endotracheal intubation by rural basic emergency medical technicians. Ann Emerg Med 1998, 32(1):26-32. 10.1016/S0196-0644(98)70095-2, 9656945.
8. Mort TC. Emergency tracheal intubation: complications associated with repeated laryngoscopic attempts. Anesth Analg 2004, 99(2):607-613. table of contents.
9. Cone DC. Are alternative airway devices beneficial in out-of-hospital cardiac arrest?. Resuscitation 2012, 83(3):275-276. 10.1016/j.resuscitation.2011.12.024, 22210503.
10. Wang HE. Emergency airway management: The need to refine - And redefine - The "state of the art". Resuscitation 2012, 83(4):405-406. 10.1016/j.resuscitation.2011.12.030, 22245517.
11. Berlac P, Hyldmo PK, Kongstad P, Kurola J, Nakstad AR, Sandberg M. Pre-hospital airway management: guidelines from a task force from the Scandinavian Society for Anaesthesiology and Intensive Care Medicine. Acta Anaesthesiol Scand 2008, 52(7):897-907. 10.1111/j.1399-6576.2008.01673.x, 18702752.
12. Ruetzler K, Gruber C, Nabecker S, Wohlfarth P, Priemayr A, Frass M, et al. Hands-off time during insertion of six airway devices during cardiopulmonary resuscitation: a randomised manikin trial. Resuscitation 2011, 82(8):1060-1063. 10.1016/j.resuscitation.2011.03.027, 21514986.
13. Goliasch G, Ruetzler A, Fischer H, Frass M, Sessler DI, Ruetzler K. Evaluation of advanced airway management in absolutely inexperienced hands: a randomized manikin trial. Eur J Emerg Med 2012, in press.
14. Ruetzler K, Roessler B, Potura L, Priemayr A, Robak O, Schuster E, et al. Performance and skill retention of intubation by paramedics using seven different airway devices-a manikin study. Resuscitation 2011, 82(5):593-597. 10.1016/j.resuscitation.2011.01.008, 21353364.
15. Frass M. [Securing the airway in emergencies]. Wien Klin Wochenschr 2008, 120(7-8):191-196.
16. Ludbrook J. On making multiple comparisons in clinical and experimental pharmacology and physiology. Clin Exp Pharmacol Physiol 1991, 18(6):379-392. 10.1111/j.1440-1681.1991.tb01468.x, 1914240.
17. Frascone RJ, Russi C, Lick C, Conterato M, Wewerka SS, Griffith KR, et al. Comparison of prehospital insertion success rates and time to insertion between standard endotracheal intubation and a supraglottic airway. Resuscitation 2011, 82(12):1529-1536. 10.1016/j.resuscitation.2011.07.009, 21763247.
18. Nicholl J, Hughes S, Dixon S, Turner J, Yates D. The costs and benefits of paramedic skills in pre-hospital trauma care. Health Technol Assess 1998, 2(17):i-iv. 1-72.
19. Sayre MR, Sakles JC, Mistler AF, Evans JL, Kramer AT, Pancioli AM. Field trial of endotracheal intubation by basic EMTs. Ann Emerg Med 1998, 31(2):228-233. 10.1016/S0196-0644(98)70312-9, 9472186.
20. Edelson DP, Abella BS, Kramer-Johansen J, Wik L, Myklebust H, Barry AM, et al. Effects of compression depth and pre-shock pauses predict defibrillation failure during cardiac arrest. Resuscitation 2006, 71(2):137-145. 10.1016/j.resuscitation.2006.04.008, 16982127.
21. Lankimaki S, Alahuhta S, Kurola J. Feasibility of a laryngeal tube for airway management during cardiac arrest by first responders. Resuscitation 2012, in press.
22. Schalk R, Byhahn C, Fausel F, Egner A, Oberndorfer D, Walcher F, et al. Out-of-hospital airway management by paramedics and emergency physicians using laryngeal tubes. Resuscitation 2010, 81(3):323-326. 10.1016/j.resuscitation.2009.11.007, 20006418.
23. Wiese CH, Bartels U, Schultens A, Steffen T, Torney A, Bahr J, et al. Influence of airway management strategy on "no-flow-time" during an "advanced life support course" for intensive care nurses - a single rescuer resuscitation manikin study. BMC Emerg Med 2008, 8:4. 10.1186/1471-227X-8-4, 2324096, 18402652.
24. Davies PR, Tighe SQ, Greenslade GL, Evans GH. Laryngeal mask airway and tracheal tube insertion by unskilled personnel. Lancet 1990, 336(8721):977-979. 10.1016/0140-6736(90)92429-L, 1977012.
25. Tanigawa K, Shigematsu A. Choice of airway devices for 12,020 cases of nontraumatic cardiac arrest in Japan. Prehosp Emerg Care 1998, 2(2):96-100. 10.1080/10903129808958850, 9709326.
26. Gatward JJ, Thomas MJ, Nolan JP, Cook TM. Effect of chest compressions on the time taken to insert airway devices in a manikin. Br J Anaesth 2008, 100(3):351-356. 10.1093/bja/aem364, 18158311.
27. Wiese CH, Bahr J, Popov AF, Hinz JM, Graf BM. 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(1):100-103. 10.1016/j.resuscitation.2008.08.022, 18952347.
28. Wharton NM, Gibbison B, Gabbott DA, Haslam GM, Muchatuta N, Cook TM. I-gel insertion by novices in manikins and patients. Anaesthesia 2008, 63(9):991-995. 10.1111/j.1365-2044.2008.05542.x, 18557971.
29. Theiler L, Gutzmann M, Kleine-Brueggeney M, Urwyler N, Kaempfen B, Greif R. i-gel supraglottic airway in clinical practice: a prospective observational multicentre study. Br J Anaesth 2012, 109(6):990-995. 10.1093/bja/aes309, 22956643.
30. Davis DP, Valentine C, Ochs M, Vilke GM, Hoyt DB. The Combitube as a salvage airway device for paramedic rapid sequence intubation. Ann Emerg Med 2003, 42(5):697-704. 10.1016/S0196-0644(03)00396-2, 14581924.
31. Thierbach AR, Piepho T, Maybauer M. The EasyTube for airway management in emergencies. Prehosp Emerg Care 2005, 9(4):445-448. 10.1080/10903120500254910, 16263680.
32. Lefrancois DP, Dufour DG. Use of the esophageal tracheal combitube by basic emergency medical technicians. Resuscitation 2002, 52(1):77-83. 10.1016/S0300-9572(01)00441-5, 11801352.
33. Abo BN, Hostler D, Wang HE. Does the type of out-of-hospital airway interfere with other cardiopulmonary resuscitation tasks?. Resuscitation 2007, 72(2):234-239. 10.1016/j.resuscitation.2006.06.028, 17126472.
34. Chenaitia H, Soulleihet V, Massa H, Bessereau J, Bourenne J, Michelet P, et al. The Easytube for airway management in prehospital emergency medicine. Resuscitation 2010, 81(11):1516-1520. 10.1016/j.resuscitation.2010.06.002, 20621409.
35. Jackson KM, Cook TM. Evaluation of four airway training manikins as patient simulators for the insertion of eight types of supraglottic airway devices. Anaesthesia 2007, 62(4):388-393. 10.1111/j.1365-2044.2007.04983.x, 17381577.
36. Jordan GM, Silsby J, Bayley G, Cook TM, Difficult AS. Evaluation of four manikins as simulators for teaching airway management procedures specified in the Difficult Airway Society guidelines, and other advanced airway skills. Anaesthesia 2007, 62(7):708-712. 10.1111/j.1365-2044.2007.05069.x, 17567347.
37. Silsby J, Jordan G, Bayley G, Cook TM. Evaluation of four airway training manikins as simulators for inserting the LMA Classic*. Anaesthesia 2006, 61(6):576-579. 10.1111/j.1365-2044.2006.04643.x, 16704593.
38. Sunde GA, Brattebo G, Odegarden T, Kjernlie DF, Rodne E, Heltne JK. Laryngeal tube use in out-of-hospital cardiac arrest by paramedics in Norway. Scand J Trauma Resusc Emerg Med 2012, 20:84. 10.1186/1757-7241-20-84, 3547736, 23249522.