Extraglottische Atemwegshilfen auf der Intensivstation

Russo, Sebastian G.; Moerer, Onnen; Nickel, E.; Goetze, Benjamin; Timmermann, Arnd; Quintel, Michael

doi:10.1007/s00101-010-1728-4

Cited by 6 publications

(1 citation statement)

References 58 publications

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“…However, the devices have been used in ICU setting for failed and difficult intubation, postoperative ventilation and for their role in percutaneous dilatational tracheostomy and postoperative care. 69 , 70 …”

Section: Functional Evolutionmentioning

confidence: 99%

Extraglottic airway devices: technology update

Sharma

Sahai

Sood

2017

MDER

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Extraglottic airway devices (EADs) have revolutionized the field of airway management. The invention of the laryngeal mask airway was a game changer, and since then, there have been several innovations to improve the EADs in design, functionality, safety and construction material. These have ranged from changes in the shape of the mask, number of cuffs and material used, like rubber, polyvinylchloride and latex. Phthalates, which were added to the construction material in order to increase device flexibility, were later omitted when this chemical was found to have serious adverse reproductive outcomes. The various designs brought out by numerous companies manufacturing EADs resulted in the addition of several devices to the airway market. These airway devices were put to use, many of them with inadequate or no evidence base regarding their efficacy and safety. To reduce the possibility of compromising the safety of the patient, the Difficult Airway Society (DAS) formed the Airway Device Evaluation Project Team (ADEPT) to strengthen the evidence base for airway equipment and vet the new extraglottic devices. A preuse careful analysis of the design and structure may help in better understanding of the functionality of a particular device. In the meantime, the search for the ideal EAD continues.

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Section: Functional Evolutionmentioning

confidence: 99%

Extraglottic airway devices: technology update

Sharma

Sahai

Sood

2017

MDER

View full text Add to dashboard Cite

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Update Tracheotomie

Braune

Kluge

2012

Med Klin Intensivmed Notfmed

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Tracheotomy in mechanically ventilated critically ill patients is a procedure commonly performed in the intensive care unit. The aim is to facilitate respiratory weaning and improve clinical outcome by reducing side effects of prolonged invasive mechanical ventilation and sedation. At the same time, the risk of tracheotomy associated complications must be minimized. Indications, method and timing must be individualized for each patient. Main determinants for decision-making, success and safety are the expected individual clinical benefits, the patient risk factors for complications and aspects of local experience and logistics. This review summarizes current concepts and evidence.

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