The laryngeal mask in cardiopulmonary resuscitation in a district general hospital: a preliminary communication

Leach, Andrew; Alexander, Colin James; Stone, Brian

doi:10.1016/0300-9572(93)90121-6

Cited by 55 publications

(12 citation statements)

References 1 publication

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“…4,[22][23][24][25] Furthermore, several studies indicate high insertion and adequate ventilation success rates during CPR, however in none of these was survival assessed as the primary endpoint. [26][27][28][29][30][31][32][33] In addition, in this setting even the most widely used SAD, the laryngeal mask airway has not been directly compared to TT. Therefore, the promising role of SADs in CPR has yet to be assessed in clinical CPR settings in view of the recent advances in airway management such as videolaryngoscopy.…”

Section: Without Chest Compressionsmentioning

confidence: 99%

Glidescope® videolaryngoscope improves intubation success rate in cardiac arrest scenarios without chest compressions interruption: A randomized cross-over manikin study

et al. 2011

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Section: Without Chest Compressionsmentioning

confidence: 99%

Glidescope® videolaryngoscope improves intubation success rate in cardiac arrest scenarios without chest compressions interruption: A randomized cross-over manikin study

et al. 2011

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“…Although originally designed for elective anaesthesia, it has rapidly gained success in emergency care. Successful insertion rates ranging from 64% to 100% (30,31) have been demonstrated among inexperienced EMS care providers, nurses and respiratory therapists. Training in the placement and use of cLMA seems to be simpler than ETI (32)(33)(34)(35).…”

Section: Lmamentioning

confidence: 99%

Pre‐hospital airway management: guidelines from a task force from the Scandinavian Society for Anaesthesiology and Intensive Care Medicine

Berlac

Hyldmo

Kongstad³

et al. 2008

Acta Anaesthesiol Scand

111

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This article is intended as a generic guide to evidencebased airway management for all categories of pre-hospital personnel. It is based on a review of relevant literature but the majority of the studies have not been performed under realistic, pre-hospital conditions and the recommendations are therefore based on a low level of evidence (D). The advice given depends on the qualifications of the personnel available in a given emergency medical service (EMS). Anaesthetic training and routine in anaesthesia and neuromuscular blockade is necessary for the use of most techniques in the treatment of patients with airway reflexes. For anaesthesiologists, the Task Force commissioned by the Scandinavian Society of Anaesthesia and Intensive Care Medicine recommends endotracheal intubation (ETI) following rapid sequence induction when securing the pre-hospital airway, although repeated unsuccessful intubation attempts should be avoided independent of formal qualifications. Other physicians, as well as paramedics and other EMS personnel, are recommended the lateral trauma recovery position as a basic intervention combined with assisted mask-ventilation in trauma patients. When performing advanced cardiopulmonary resuscitation, we recommend that non-anaesthesiologists primarily use a supraglottic airway device. A supraglottic device such as the laryngeal tube or the intubation laryngeal mask should also be available as a backup device for anaesthesiologists in failed ETI. Accepted for publication 25 February 2008Key words: Pre-hospital; airway management; endotracheal intubation; laryngeal mask airway; laryngeal tube airway; combitube; emergency medical systems. Purpose T HIS article is intended as a guide to evidencebased pre-hospital airway management. The available litterature on pre-hospital airway management reflects vast differences in pre-hospital emergency medicine service (EMS) organisation, qualification levels, training programmes and even terminology. These differences make comparisons between systems and treatment protocols difficult at best. The conduct of clinical trials in pre-hospital airway management is hampered by the 2001/20/ EC directive of the European Parliament concerning informed consent. This paper describes selected equipment and techniques available for pre-hospital airway management. Advice given differs, depending on which category of personnel is available in a given EMS. Our baseline assumption is that a certain level of education and training is necessary for the safe use of a specific technique. Distinction must be made between personnel trained and experienced in providing and monitoring anaesthesia and other groups of personnel with limited or no anaesthetic skills. This distinction dictates which drugs and equipment that should be available in the prehospital setting. Differences between regions and systemsParamedic-based systems are the rule in the United States, whereas physician-based pre-hospital systems are common in Europe. Ideally, the best person to manage the pre-hospital airwa...

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“…quency or time of replacement), 3,4,8,[10][11][12][13][14][15][16][17][18][19][20]26 (2) 11 The present study demonstrated the current status of LMA and BVM with regard to ABG in cases of out-of-hospital cardiac arrest. Although there are a few reports comparing blood gas data during CPR with LMA and BVM, this is the first to show the data of "out-of hospital" cardiac arrests with "VF/VT" on initial ECG at the scene as classified by the Utstein template.…”

Section: Discussionmentioning

confidence: 80%

Comparison of Arterial Blood Gases of Laryngeal Mask Airway and Bag-Valve-Mask Ventilation in Out-of-Hospital Cardiac Arrests

group

2009

Circ J

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The laryngeal mask in cardiopulmonary resuscitation in a district general hospital: a preliminary communication

Cited by 55 publications

References 1 publication

Glidescope® videolaryngoscope improves intubation success rate in cardiac arrest scenarios without chest compressions interruption: A randomized cross-over manikin study

Glidescope® videolaryngoscope improves intubation success rate in cardiac arrest scenarios without chest compressions interruption: A randomized cross-over manikin study

Pre‐hospital airway management: guidelines from a task force from the Scandinavian Society for Anaesthesiology and Intensive Care Medicine

Comparison of Arterial Blood Gases of Laryngeal Mask Airway and Bag-Valve-Mask Ventilation in Out-of-Hospital Cardiac Arrests

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