Can experienced paramedics perform tracheal intubation at cardiac arrests? Five years experience of a regional air ambulance service in the UK

Fullerton, James N.; Roberts, Keith; Wyse, Matthew

doi:10.1016/j.resuscitation.2009.07.023

Cited by 26 publications

(16 citation statements)

References 16 publications

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“…18 Similarly, a recent study by Fullerton et al found no significantly higher failure rate of intubation in experienced paramedics compared to physicians. 29 Therefore the risk factor for ETIs performed by paramedics appears to lie in the degree of training and practice of the paramedic. We agree with Paal et al, that less experienced medical staff should refrain completely from performing ETI and alternative airway devices, such as supraglottic, should be sought.…”

Section: Discussionmentioning

confidence: 99%

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

Ruetzler¹,

Roessler²,

Potura³

et al. 2011

Resuscitation

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Section: Discussionmentioning

confidence: 99%

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

Ruetzler¹,

Roessler²,

Potura³

et al. 2011

Resuscitation

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“…The same dataset was previously interrogated regarding intubation success at out of hospital cardiac arrests 14. Overlap exists in seven cases where RSI occurred as part of post-cardiac arrest management.…”

Section: Methodsmentioning

confidence: 99%

Should non-anaesthetists perform pre-hospital rapid sequence induction? an observational study

Fullerton

Roberts

Wyse

2010

Emergency Medicine Journal

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“…7 Even in the hands of experienced physicians, the frequency rate of oesophageal intubation may be significantly high. 15 Studies have shown that becoming an expert on this requires 50-100 tracheal intubation performance. 16 Therefore SADs have been preferred recently.…”

Section: Discussionmentioning

confidence: 99%

Comparison of Classical Laryngeal Mask, I Gel and Tracheal Intubation for Limited Experienced UsersDuring Uninterrupted Chest Compressions

Saraçoğlu¹,

Topçu²,

Etı³

2016

Turkiye Klinikleri J Anest Reanim

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A AB BS S TTR RA AC CT T O Ob bj je ec ct ti iv ve e: : Airway management is more difficult and time-consuming in emergencies as compared to elective procedures. The optimal method for airway management during cardiac arrest is unknown. We aimed to determine the most appropriate airway device in cardiopulmonary resuscitation for the medical staff with limited experience in airway management. M Ma at te er ri ia al l a an nd d M Me et th ho od ds s: : The 5th year medical students with limited prior experience, were invited to participate in this study. Students used three airway devices (classical laryngeal mask, I-gel or endotracheal tube) first on a normal manikin then repeated the same procedures on a cardiopulmonary resuscitation manikin during chest compressions. The duration of successful attempts, success rate, number of attempts, tidal volumes and airway pressures were recorded. R Re es su ul lt ts s: : Time required for providing airway was significantly longer with endotracheal tube compared to classical laryngeal mask and I-gel during cardiopulmonary resuscitation with or without chest compressions (p<0.001 and p<0.001). Tidal volume values following the classical laryngeal mask insertion were significantly lower than the values recorded after endotracheal tube and I-gel insertion (p<0.001 and p<0.001). The airway pressure values on the anesthesia device were significantly higher after endotracheal tube insertion (p<0.001). I-gel had significantly higher success rate in providing airway on first attempt compared to classical laryngeal mask (86.9% versus 69.5%) (p=0.021). During chest compressions, the success rate in securing airway on the first attempt was the highest for I-gel (94.2%) (p=0.0034). C Co on nc cl lu us si io on n: : Because novice users are not skilled personnel in advanced airway management the use of supraglottic airway devices may be an alternative for laryngoscopy and intubation during cardiopulmonary resuscitation. K Ke ey y W Wo or rd ds s: : Intubation, intratracheal; cardiopulmonary resuscitation; airway management Ö ÖZ ZE ET T A Am ma aç ç: : Havayolu yönetimi elektif işlemlerle karşılaştırıldığında acil durumlarda daha zor ve zaman alıcıdır. Kardiyak arrest sırasında havayolu yönetimi için optimal yöntem bilinmemektedir. Havayolu yönetimi konusunda kısıtlı deneyimi olan tıbbi personel için kardiyopulmoner resusitasyonda en uygun havayolu aygıtını belirlemeyi amaçladık. G Ge er re eç ç v ve e Y Yö ön nt te em ml le er r: : Kısıtlı deneyimi bulunan 5. sınıf tıp fakültesi öğrencileri bu çalışmaya davet edildi. Öğrenciler üç havayolu aygıtını (klasik laringeal maske, I-gel ya da endotrakeal tüp) önce normal bir mankende ardından bir kardiyopulmoner resusitasyon mankeninde göğüs kompresyonları sırasında kullandılar. Başarılı girişim süresi, başarı oranı, girişim sayısı, tidal volümler ve havayolu basınçları kaydedildi. B Bu ul lg gu ul la ar r: : Kardiyopulmoner resusitasyon sırasında göğüs kompresyonları varlığında ya da yokluğunda endotrakeal tüple havayolu sağlamak için gereken...

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Can experienced paramedics perform tracheal intubation at cardiac arrests? Five years experience of a regional air ambulance service in the UK

Cited by 26 publications

References 16 publications

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

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

Should non-anaesthetists perform pre-hospital rapid sequence induction? an observational study

Comparison of Classical Laryngeal Mask, I Gel and Tracheal Intubation for Limited Experienced UsersDuring Uninterrupted Chest Compressions

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