Universität zu Köln

Hinkelbein, Jochen, Schmitz, Jan, Kerkhoff, Steffen, Tochtermann, Felix, Komorowski, Matthieu, Neuhaus, Christopher and Warnecke, Tobias (2019). Airway management in weightlessness. Flugmedizin Tropenmedizin Reisemedizin, 26 (4). S. 166 - 171. STUTTGART: GEORG THIEME VERLAG KG. ISSN 1864-175X

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Abstract

The aim of this review is to analyze the existing literature on airway management in the special situation of weightlessness during space missions. A narrative review of published literature on airway management in spaceflight and analogue environments using the database PubMed was conducted. Screening of literature identified 3 randomized comparative manikin studies, 2 of them in parabolic flights, 1 in a submerged setup. Under free-floating conditions, the insertion success rate of supraglottic airway devices (SGA) was excellent (91-97 %). The administration of artificial ventilation could be successfully achieved in weightlessness with SGA. The success rate of conventional laryngoscopy under free-floating conditions fluctuated between 15-86 %. It appears possible to safely manage the airway in weightlessness, provided that certain conditions are ensured, such as restraining the patient and operator for conventional orotracheal intubation. If airway protection is required with endotracheal intubation, both the operator and the patient should be restrained.

Item Type:	Journal Article
Creators:	Creators Email ORCID ORCID Put Code Hinkelbein, Jochen UNSPECIFIED UNSPECIFIED UNSPECIFIED Schmitz, Jan UNSPECIFIED UNSPECIFIED UNSPECIFIED Kerkhoff, Steffen UNSPECIFIED UNSPECIFIED UNSPECIFIED Tochtermann, Felix UNSPECIFIED UNSPECIFIED UNSPECIFIED Komorowski, Matthieu UNSPECIFIED UNSPECIFIED UNSPECIFIED Neuhaus, Christopher UNSPECIFIED UNSPECIFIED UNSPECIFIED Warnecke, Tobias UNSPECIFIED UNSPECIFIED UNSPECIFIED
URN:	urn:nbn:de:hbz:38-145584
DOI:	10.1055/a-0973-5266
Journal or Publication Title:	Flugmedizin Tropenmedizin Reisemedizin
Volume:	26
Number:	4
Page Range:	S. 166 - 171
Date:	2019
Publisher:	GEORG THIEME VERLAG KG
Place of Publication:	STUTTGART
ISSN:	1864-175X
Language:	German
Faculty:	Unspecified
Divisions:	Unspecified
Subjects:	no entry
Uncontrolled Keywords:	Keywords Language ESOPHAGEAL-TRACHEAL COMBITUBE; LARYNGEAL MASK AIRWAY; ENDOTRACHEAL INTUBATION; SPACE; ANESTHESIA; SPACEFLIGHT; EMERGENCY; MEDICINE; SUPPORT; TUBE Multiple languages Tropical Medicine Multiple languages
Refereed:	Yes
URI:	http://kups.ub.uni-koeln.de/id/eprint/14558