Tags

Type your tag names separated by a space and hit enter

Comparison of airway management with the intubating laryngeal mask, laryngeal tube and CobraPLA by paramedical students in anaesthetized patients.
Acta Anaesthesiol Scand. 2006 Jan; 50(1):40-4.AA

Abstract

BACKGROUND

Because of the importance of airway management in emergency care, alternative methods with shorter learning curves for inexperienced personnel have been looked for as a substitute for endotracheal intubation (ETI).

METHODS

We compared the success of insertion, oxygenation and ventilation of the intubating laryngeal mask (ILMA), laryngeal tube (LT) and CobraPLA (COB) in anaesthetized patients when used by paramedical students. After informed consent, 96 patients were monitored and anaesthetized for general surgery without the use of a muscle relaxant. After the induction of anaesthesia, 32 paramedical students inserted the ILMA, LT or COB in a random order and ventilated the patient for a 60-s period. The number of insertion attempts, the time needed for insertion, and oxygenation and ventilation parameters were recorded. The students gave a subjective evaluation of the airway devices after the test.

RESULTS

Twenty-four of the 32 students (75%) successfully inserted ILMA at the first attempt, compared with 14 of 32 (44%) for LT and seven of 32 (22%) for COB (P<0.001, ILMA vs. COB). One student failed to insert ILMA after all three attempts, compared with seven of 32 (21%) using LT and seven of 32 (21%) using COB (P=not significant). Oxygenation and ventilation parameters did not differ between the groups after successful insertion.

CONCLUSION

Clinically inexperienced paramedical students can successfully use ILMA in anaesthetized patients. Further investigations are warranted to study whether ILMA or LT can replace ETI in emergency airway management when used by inexperienced medical or paramedical staff.

Authors+Show Affiliations

Department of Anaesthesia and Intensive Care, Kuopio University Hospital, Kuopio, Finland. jouni.kurola@kuh.fiNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Comparative Study
Journal Article
Randomized Controlled Trial

Language

eng

PubMed ID

16451149

Citation

Kurola, J, et al. "Comparison of Airway Management With the Intubating Laryngeal Mask, Laryngeal Tube and CobraPLA By Paramedical Students in Anaesthetized Patients." Acta Anaesthesiologica Scandinavica, vol. 50, no. 1, 2006, pp. 40-4.
Kurola J, Pere P, Niemi-Murola L, et al. Comparison of airway management with the intubating laryngeal mask, laryngeal tube and CobraPLA by paramedical students in anaesthetized patients. Acta Anaesthesiol Scand. 2006;50(1):40-4.
Kurola, J., Pere, P., Niemi-Murola, L., Silfvast, T., Kairaluoma, P., Rautoma, P., & Castrén, M. (2006). Comparison of airway management with the intubating laryngeal mask, laryngeal tube and CobraPLA by paramedical students in anaesthetized patients. Acta Anaesthesiologica Scandinavica, 50(1), 40-4.
Kurola J, et al. Comparison of Airway Management With the Intubating Laryngeal Mask, Laryngeal Tube and CobraPLA By Paramedical Students in Anaesthetized Patients. Acta Anaesthesiol Scand. 2006;50(1):40-4. PubMed PMID: 16451149.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Comparison of airway management with the intubating laryngeal mask, laryngeal tube and CobraPLA by paramedical students in anaesthetized patients. AU - Kurola,J, AU - Pere,P, AU - Niemi-Murola,L, AU - Silfvast,T, AU - Kairaluoma,P, AU - Rautoma,P, AU - Castrén,M, PY - 2006/2/3/pubmed PY - 2006/5/17/medline PY - 2006/2/3/entrez SP - 40 EP - 4 JF - Acta anaesthesiologica Scandinavica JO - Acta Anaesthesiol Scand VL - 50 IS - 1 N2 - BACKGROUND: Because of the importance of airway management in emergency care, alternative methods with shorter learning curves for inexperienced personnel have been looked for as a substitute for endotracheal intubation (ETI). METHODS: We compared the success of insertion, oxygenation and ventilation of the intubating laryngeal mask (ILMA), laryngeal tube (LT) and CobraPLA (COB) in anaesthetized patients when used by paramedical students. After informed consent, 96 patients were monitored and anaesthetized for general surgery without the use of a muscle relaxant. After the induction of anaesthesia, 32 paramedical students inserted the ILMA, LT or COB in a random order and ventilated the patient for a 60-s period. The number of insertion attempts, the time needed for insertion, and oxygenation and ventilation parameters were recorded. The students gave a subjective evaluation of the airway devices after the test. RESULTS: Twenty-four of the 32 students (75%) successfully inserted ILMA at the first attempt, compared with 14 of 32 (44%) for LT and seven of 32 (22%) for COB (P<0.001, ILMA vs. COB). One student failed to insert ILMA after all three attempts, compared with seven of 32 (21%) using LT and seven of 32 (21%) using COB (P=not significant). Oxygenation and ventilation parameters did not differ between the groups after successful insertion. CONCLUSION: Clinically inexperienced paramedical students can successfully use ILMA in anaesthetized patients. Further investigations are warranted to study whether ILMA or LT can replace ETI in emergency airway management when used by inexperienced medical or paramedical staff. SN - 0001-5172 UR - https://www.unboundmedicine.com/medline/citation/16451149/Comparison_of_airway_management_with_the_intubating_laryngeal_mask_laryngeal_tube_and_CobraPLA_by_paramedical_students_in_anaesthetized_patients_ L2 - https://doi.org/10.1111/j.1399-6576.2005.00852.x DB - PRIME DP - Unbound Medicine ER -