Τίτλος:
Comparison of blind intubation through the I-gel and ILMA Fastrach by nurses during cardiopulmonary resuscitation: A manikin study
Γλώσσες Τεκμηρίου:
Αγγλικά
Περίληψη:
Objectives: To investigate whether nursing staff can successfully use the I-gel and the intubating laryngeal mask Fastrach (ILMA) during cardiopulmonary resuscitation. Background: Although tracheal intubation is considered to be the optimal method for securing the airway during cardiopulmonary resuscitation, laryngoscopy requires a high level of skill. Methods: Forty five nurses inserted the I-gel and the ILMA in a manikin, with continuous and without chest compressions. Results: Mean intubation times for the ILMA and I-gel without chest compressions were 20.60±3.27 and 18.40±3.26s, respectively (p<0.0005). ILMA proved more successful than the I-gel regardless of compressions. Continuation of compressions caused a prolongation in intubation times for both the I-gel (p<0.0005) and the ILMA (p<0.0005). Conclusion: In this mannequin study, nursing staff can successfully intubate using the I-gel and the ILMA as conduits with comparable success rates, regardless of whether chest compressions are interrupted or not. © 2014 Elsevier Inc.
Συγγραφείς:
Melissopoulou, T.
Stroumpoulis, K.
Sampanis, M.A.
Vrachnis, N.
Papadopoulos, G.
Chalkias, A.
Xanthos, T.
Περιοδικό:
Heart and Lung: Journal of Acute and Critical Care
Εκδότης:
Mosby Year Book Inc
Λέξεις-κλειδιά:
adult; article; comparative effectiveness; controlled study; CPR manikin; endotracheal intubation; female; human; i gel; intubating laryngeal mask Fastrach; laryngeal mask; male; middle aged; nursing competence; nursing staff; practice guideline; priority journal; respiration control; respiratory therapeutic device; resuscitation, ACLS; Advanced Cardiovascular Life Support; AHA; American Heart Association; Blind intubation; cardiopulmonary resuscitation; Cardiopulmonary resuscitation; CC; chest compressions; CPR; I-gel; ID; ILMA; internal diameter; intubating laryngeal mask airway; Intubating laryngeal mask airway; NO CC; no chest compressions; Nurses, Adult; Cardiopulmonary Resuscitation; Female; Humans; Intubation, Intratracheal; Laryngeal Masks; Manikins; Nurses
DOI:
10.1016/j.hrtlng.2013.12.004
