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["Laryngeal Tube-D" (LT-D) and "Laryngeal Mask" (LMA)].
Dtsch Med Wochenschr. 2009 Jan; 134(3):69-74.DM

Abstract

BACKGROUND AND OBJECTIVES

In 2005 the European Resuscitation Council (ERC) published a revised version of the guidelines for Advanced Life Support (ALS). One of the aims was to reduce the time without chest compression in the first period of cardiac arrest. We evaluated in a manikin study whether using the single use laryngeal tube (LT-D) instead of single use laryngeal mask (LMA) for emergency airway management could reduce the "No Flow Time" (NFT). The NFT is defined as the time during which no chest compressions take place.

METHODS

Randomised prospective study with 200 volunteers who performed a standardised simulated cardiac arrest management in a manikin following one-day cardiac arrest training (simulation scenario 430 s). Two supraglottic airway devices were compared (LT-D and LMA). Endpoints were the total "no flow time" during the scenario, and the successful airway management with the used airway device.

RESULTS

In the present manikin study the use of the LT-D significantly reduced NFT compared with the LMA (104.2 s vs. 124.0 s; p < 0.01). The LT-D was correctly positioned by 98 % of the participants on the first attempt compared to 74 % with the LMA. The LT-D was inserted significantly faster than the LMA (12.4 s vs. 29.1 s, p < 0.01). During the cardiac arrest simulation establishing and performing first ventilation took an average of 40.5 s with the LT-D compared to 47.9 s with LMA.

CONCLUSIONS

In this manikin study data showed that the LT-D may be a good alternative airway device compared to LMA for providing and maintaining a patent airway during resuscitation.

Authors+Show Affiliations

Zentrum für Anaesthesiologie, Rettungs- und Intensivmedizin, Georg-August Universität Göttingen. cwiese@med.uni-goettingen.deNo affiliation info availableNo affiliation info available

Pub Type(s)

English Abstract
Journal Article
Randomized Controlled Trial

Language

ger

PubMed ID

19085741

Citation

Wiese, C H R., et al. "["Laryngeal Tube-D" (LT-D) and "Laryngeal Mask" (LMA)]." Deutsche Medizinische Wochenschrift (1946), vol. 134, no. 3, 2009, pp. 69-74.
Wiese CH, Bahr J, Graf BM. ["Laryngeal Tube-D" (LT-D) and "Laryngeal Mask" (LMA)]. Dtsch Med Wochenschr. 2009;134(3):69-74.
Wiese, C. H., Bahr, J., & Graf, B. M. (2009). ["Laryngeal Tube-D" (LT-D) and "Laryngeal Mask" (LMA)]. Deutsche Medizinische Wochenschrift (1946), 134(3), 69-74. https://doi.org/10.1055/s-0028-1105889
Wiese CH, Bahr J, Graf BM. ["Laryngeal Tube-D" (LT-D) and "Laryngeal Mask" (LMA)]. Dtsch Med Wochenschr. 2009;134(3):69-74. PubMed PMID: 19085741.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - ["Laryngeal Tube-D" (LT-D) and "Laryngeal Mask" (LMA)]. AU - Wiese,C H R, AU - Bahr,J, AU - Graf,B M, Y1 - 2008/12/12/ PY - 2008/12/17/entrez PY - 2008/12/17/pubmed PY - 2009/1/28/medline SP - 69 EP - 74 JF - Deutsche medizinische Wochenschrift (1946) JO - Dtsch Med Wochenschr VL - 134 IS - 3 N2 - BACKGROUND AND OBJECTIVES: In 2005 the European Resuscitation Council (ERC) published a revised version of the guidelines for Advanced Life Support (ALS). One of the aims was to reduce the time without chest compression in the first period of cardiac arrest. We evaluated in a manikin study whether using the single use laryngeal tube (LT-D) instead of single use laryngeal mask (LMA) for emergency airway management could reduce the "No Flow Time" (NFT). The NFT is defined as the time during which no chest compressions take place. METHODS: Randomised prospective study with 200 volunteers who performed a standardised simulated cardiac arrest management in a manikin following one-day cardiac arrest training (simulation scenario 430 s). Two supraglottic airway devices were compared (LT-D and LMA). Endpoints were the total "no flow time" during the scenario, and the successful airway management with the used airway device. RESULTS: In the present manikin study the use of the LT-D significantly reduced NFT compared with the LMA (104.2 s vs. 124.0 s; p < 0.01). The LT-D was correctly positioned by 98 % of the participants on the first attempt compared to 74 % with the LMA. The LT-D was inserted significantly faster than the LMA (12.4 s vs. 29.1 s, p < 0.01). During the cardiac arrest simulation establishing and performing first ventilation took an average of 40.5 s with the LT-D compared to 47.9 s with LMA. CONCLUSIONS: In this manikin study data showed that the LT-D may be a good alternative airway device compared to LMA for providing and maintaining a patent airway during resuscitation. SN - 1439-4413 UR - https://www.unboundmedicine.com/medline/citation/19085741/["Laryngeal_Tube_D"__LT_D__and_"Laryngeal_Mask"__LMA_]_ L2 - http://www.thieme-connect.com/DOI/DOI?10.1055/s-0028-1105889 DB - PRIME DP - Unbound Medicine ER -