Document Detail

Immediate management of the airway during cardiopulmonary resuscitation in a hospital without a resident anaesthesiologist.
MedLine Citation:
PMID:  9422153     Owner:  NLM     Status:  MEDLINE    
The effect of withdrawing the resident anaesthesiologist from the cardiopulmonary resuscitation (CPR) team was audited over a 1-year period in a 407-bed hospital in which nurses had been trained in the use of the laryngeal mask airway (LMA) as a first response airway in CPR. The data were compared to those of the previous year, which are shown in parentheses. During the audit period, there were 115 (79) calls to 115 (79) patients; the immediate airway was secured using a mask bag valve assembly in 75 (49) episodes, the Laerdal pocket mask in 2 (2) episodes, the LMA in 64 (2) and the endotracheal tube in 20 (57). Return of spontaneous circulation occurred in 61% (36%). There were no instances of failure to maintain the immediate airway during the audit period. Initial results suggest that an anaesthesiologist may not be essential for the provision of an immediate airway in patients requiring CPR.
C Verghese; P F Prior-Willeard; P J Baskett
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Publication Detail:
Type:  Comparative Study; Journal Article    
Journal Detail:
Title:  European journal of emergency medicine : official journal of the European Society for Emergency Medicine     Volume:  1     ISSN:  0969-9546     ISO Abbreviation:  Eur J Emerg Med     Publication Date:  1994 Sep 
Date Detail:
Created Date:  1998-02-17     Completed Date:  1998-02-17     Revised Date:  2006-11-15    
Medline Journal Info:
Nlm Unique ID:  9442482     Medline TA:  Eur J Emerg Med     Country:  ENGLAND    
Other Details:
Languages:  eng     Pagination:  123-5     Citation Subset:  IM    
Royal Berkshire Hospital, Reading, UK.
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MeSH Terms
Airway Obstruction / therapy
Anesthesiology / education,  standards*
Cardiopulmonary Resuscitation / methods,  standards*
Coronary Care Units / manpower*
Great Britain
Internship and Residency
Laryngeal Masks*
Medical Audit
Nursing Staff, Hospital
Outcome Assessment (Health Care)
Patient Care Team
Prospective Studies
Comment In:
Eur J Emerg Med. 1994 Sep;1(3):i   [PMID:  9422149 ]

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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