| Can Emergency Medical Services Personnel Effectively Place and Use the Supraglottic Airway Laryngopharyngeal Tube (SALT) Airway? | |
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MedLine Citation:
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PMID: 21521038 Owner: NLM Status: Publisher |
Abstract/OtherAbstract:
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Abstract Background. Various alternative airway devices have been developed in the last several years. Among these is the Supraglottic Airway Laryngopharyngeal Tube (SALT), which was designed to function as a basic mechanical airway and as an endotracheal tube (ET) introducer for blind endotracheal intubation (ETI). Objective. To determine the rate of successful placement of the SALT and the success rate of subsequent blind ET insertion by a cohort of emergency medical services (EMS) providers of varying levels of EMS certification. Methods. This study was a two-phase, two-group nonblinded, prospective time trial using a convenience cohort of prehospital providers to determine the success rate for SALT placement (i.e., the basic life support [BLS] phase) and ET placement using the SALT (i.e., the advanced life support [ALS] phase) in an unembalmed human cadaver model. The part 1 cohort (group 1) comprised predominantly basic and intermediate emergency medical technician (EMT)-level providers, whereas the part 2 cohort (group 2) comprised exclusively paramedic-level providers. Results. In group 1, 51 (98%) of the subjects were able to successfully place the SALT and ventilate the cadaver (BLS phase), with 48 (92.3%) subjects successfully placing it on the first attempt. In group 2, 21 (96%) of the subjects were able to successfully place the SALT, with 19 (86%) placing the SALT on the first attempt. Successful blind placement of an ET through the SALT (ALS phase) by group 1 was 48.1% (95% confidence interval [CI]: 34-62), with 37% (95% CI: 24-51) placing the ET on the first attempt. In group 2, 20 subjects (91% [95% CI: 71-99]) were able to successfully place an ET through the SALT, with 13 (59% [95% CI: 36-79]) doing so on the first attempt. Conclusions. Emergency medical services providers of varying levels can successfully and rapidly place the SALT and ventilate a cadaver specimen. The success rate for blind placement of an ET through the SALT was suboptimal. Key words: airway; extraglottic airway; emergency medical services; paramedic; EMT. |
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Authors:
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Bryan E Bledsoe; David E Slattery; Russell Lauver; Wesley Forred; Larry Johnson; Gino Rigo |
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Publication Detail:
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Type: JOURNAL ARTICLE Date: 2011-4-26 |
Journal Detail:
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Title: Prehospital emergency care : official journal of the National Association of EMS Physicians and the National Association of State EMS Directors Volume: - ISSN: 1545-0066 ISO Abbreviation: - Publication Date: 2011 Apr |
Date Detail:
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Created Date: 2011-4-27 Completed Date: - Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 9703530 Medline TA: Prehosp Emerg Care Country: - |
Other Details:
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Languages: ENG Pagination: - Citation Subset: - |
Affiliation:
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From the Department of Emergency Medicine, University of Nevada School of Medicine (BEB, DES, RL), Las Vegas, Nevada; University Medical Center of Southern Nevada (WF), Las Vegas Nevada; MedicWest Ambulance (LJ), Las Vegas, Nevada; and the University of Nevada at Las Vegas (GR), Las Vegas, Nevada. |
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From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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