Prehospital Airway Management in the Acutely Injured Patient

1998 ◽  
Vol 45 (2) ◽  
pp. 312-314 ◽  
Author(s):  
Thorsten G. Gerich ◽  
Ulf Schmidt ◽  
Volker Hubrich ◽  
H. Philipp Lobenhoffer ◽  
Harald Tscherne
Keyword(s):  
Airway Management ◽  
Injured Patient ◽  
Prehospital Airway Management

Factors Influencing Successful Intubation in the Prehospital Setting

1995 ◽  
Vol 10 (4) ◽  
pp. 259-264 ◽  
Author(s):  
James V. Doran ◽  
Bartholomew J. Tortella ◽  
Walter J. Drivet ◽  
Robert F. Lavery
Keyword(s):  
Airway Management ◽  
Endotracheal Intubation ◽  
Life Support ◽  
Advanced Life Support ◽  
High Volume ◽  
Success Rates ◽  
Structured Interviews ◽  
Technical Problems ◽  
Patients Âgés ◽  
Prehospital Airway Management

AbstractObjective:To explore the determinants influencing oral/nasal endotracheal intubation (OETI/NETI) and determine which cognitive, therapeutic, and technical interventions may assist prehospital airway management.Design, Setting, and Participants:Prospective review of run reports and structured interviews of paramedics involved in OETI/NETI attempts were conducted in a high-volume, inner-city, advanced life support (ALS) system during an eight-month period (July 1991 to February 1992). Data were abstracted from run reports, and paramedics were asked in structured interviews to describe difficulties in OETI/NETI attempts.Results:Of 236 patients studied, 88% (208) were intubated successfully. Success/failure rate was not related statistically to patients' ages (p = 0. 78), medical or trauma complaint (89% vs 85%, p = 0.35), oral versus nasal route (88% vs 85%, p = 0.38), care time (scene + transport times: success, 18 minutes; failure, 20 minutes, p = 0.30), paramedic seniority (p = 0.13), or number of attempts per paramedic (p >0.05). Increased level of consciousness (LOC) was associated with decreased success rate (p = 0.04). Paramedics reported difficulties in endotracheal intubation (ETI) attempts in 110 (46.6%) of patients. Factors reported to increase ETI difficulty were: 1) technical problems (35.6%); 2) mechanical problems (15.6%); and 3) combative patients (12.7%).Conclusions:Oral endotracheal intubation and NETI success rates identified in this study are similar to those described in the literature, although innovative strategies could be used to facilitate prehospital airway management. Many of the factors found to increase ETI difficulty could be ameliorated by the administration of paralytic agents, that is, for combative patients. Focused training in cadaver and animal labs coupled with recurrence training in the operating suites should be used on a regular basis to decrease difficulties in visualization. Interventions directed at alleviating mechanical difficulties that should be explored include new-to-the-field techniques, such as retrograde intubation, fiber-optic technology, and surgical tracheal access.

An analysis of advanced prehospital airway management

2002 ◽  
Vol 23 (2) ◽  
pp. 183-189 ◽  
Author(s):  
Eileen M Bulger ◽  
Michael K Copass ◽  
Ronald V Maier ◽  
Jonathan Larsen ◽  
Justin Knowles ◽  
...  
Keyword(s):  
Airway Management ◽  
Prehospital Airway Management

Prehospital airway management using the laryngeal tube

2014 ◽  
Vol 63 (7) ◽  
pp. 589-596 ◽  
Author(s):  
M. Bernhard ◽  
W. Beres ◽  
A. Timmermann ◽  
R. Stepan ◽  
C.-A. Greim ◽  
...  
Keyword(s):  
Airway Management ◽  
Laryngeal Tube ◽  
Prehospital Airway Management

An approach to airway management in the acutely head-injured patient

1988 ◽  
Vol 6 (1) ◽  
pp. 1-7 ◽  
Author(s):  
Leon Ampel ◽  
Kimberly A. Hott ◽  
Gerald W. Sielaff ◽  
Todd B. Sloan
Keyword(s):  
Airway Management ◽  
Injured Patient ◽  
Head Injured Patient ◽  
Head Injured

scholarly journals Novel Technologies and Techniques for Prehospital Airway Management: An NAEMSP Position Statement and Resource Document

2022 ◽  
Vol 26 (sup1) ◽  
pp. 129-136
Author(s):  
Catherine R. Counts ◽  
Justin L. Benoit ◽  
Graham McClelland ◽  
James DuCanto ◽  
Lauren Weekes ◽  
...  
Keyword(s):  
Airway Management ◽  
Position Statement ◽  
Novel Technologies ◽  
Prehospital Airway Management
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