Universität zu Köln

Wetsch, Wolfgang A., Schneider, Andreas, Schier, Robert, Spelten, Oliver, Hellmich, Martin and Hinkelbein, Jochen (2015). In a difficult access scenario, supraglottic airway devices improve success and time to ventilation. Eur. J. Emerg. Med., 22 (5). S. 374 - 377. PHILADELPHIA: LIPPINCOTT WILLIAMS & WILKINS. ISSN 1473-5695

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Abstract

The success of tracheal intubation (TI) is unacceptably low in unconventional positions. Supraglottic airway devices (SAD) have become an important alternative. An airway manikin was placed in a car, simulating an entrapped motor vehicle accident victim. The rescuer only had access through the driver's door. Participants were (n=25) anaesthesiologists with experience in prehospital emergency medicine. They attempted to secure the airway by TI or an SAD (Ambu AuraOnce, iGel, laryngeal tube) in a random sequence. Performance was compared using the Wilcoxon signed-rank test. P values less than 0.05 were considered statistically significant. Fastest effective ventilation was achieved with iGel (11.5 +/- 6.9s, P<0.001), followed by a laryngeal mask (15.1 +/- 5.6s, P<0.001) and a laryngeal tube (17.6 +/- 5.3s, P<0.001); TI was the slowest (42.8 +/- 23.9s, comparator). iGel (P<0.001) and laryngeal mask (P=0.01) also significantly outperformed the laryngeal tube. First ventilation was achieved significantly faster with SADs compared with TI. Success rates were also higher when using SADs.

Item Type:	Journal Article
Creators:	Creators Email ORCID ORCID Put Code Wetsch, Wolfgang A. UNSPECIFIED UNSPECIFIED UNSPECIFIED Schneider, Andreas UNSPECIFIED UNSPECIFIED UNSPECIFIED Schier, Robert UNSPECIFIED UNSPECIFIED UNSPECIFIED Spelten, Oliver UNSPECIFIED UNSPECIFIED UNSPECIFIED Hellmich, Martin UNSPECIFIED UNSPECIFIED UNSPECIFIED Hinkelbein, Jochen UNSPECIFIED UNSPECIFIED UNSPECIFIED
URN:	urn:nbn:de:hbz:38-392490
DOI:	10.1097/MEJ.0000000000000230
Journal or Publication Title:	Eur. J. Emerg. Med.
Volume:	22
Number:	5
Page Range:	S. 374 - 377
Date:	2015
Publisher:	LIPPINCOTT WILLIAMS & WILKINS
Place of Publication:	PHILADELPHIA
ISSN:	1473-5695
Language:	English
Faculty:	Unspecified
Divisions:	Unspecified
Subjects:	no entry
Uncontrolled Keywords:	Keywords Language LARYNGEAL MASK AIRWAY; EMERGENCY PHYSICIANS; INTUBATIONS; ESOPHAGEAL Multiple languages Emergency Medicine Multiple languages
URI:	http://kups.ub.uni-koeln.de/id/eprint/39249