Document Detail


Initial experience of emergency physicians using the intubating laryngeal mask airway: a case series.
MedLine Citation:
PMID:  11483458     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
OBJECTIVE: Although the intubating laryngeal mask airway (ILMA) is widely available, its use by emergency physicians (EPs) has not been reported. The authors report the initial experience of EPs using the ILMA. A review of their experience and the relevant anesthesia literature provides a basis for EPs to use the ILMA more confidently and effectively. METHODS: Between January 2000 and January 2001, the ILMA was used on a convenience sample of emergency department (ED) patients undergoing "routine" intubations, and "rescue" situations, after failed rapid-sequence intubation (RSI). Patients were identified from the ED resuscitation case database. Chart review and intubating physician interviews focused on success of the device, complications encountered, and "pearls" of the device's use as perceived by the intubating physician. RESULTS: Ventilation with the appropriate-size ILMA occurred in less than 15 seconds in all "routine" intubations; tracheal intubation was subsequently accomplished in less than 1 minute. Eight of nine "routine" patients had blind tracheal intubation through the ILMA. One patient required fiberoptic bronchoscopy to guide the endotracheal tube into the trachea. Of the "rescue" intubations, all patients (n = 7) were successfully ventilated and five were successfully intubated using the ILMA. CONCLUSIONS: In this case series, the ILMA was easy to use in acute resuscitations, and proved to be invaluable in cases of failed RSI.
Authors:
M Martel; R F Reardon; J Cochrane
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Publication Detail:
Type:  Case Reports; Journal Article; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  Academic emergency medicine : official journal of the Society for Academic Emergency Medicine     Volume:  8     ISSN:  1069-6563     ISO Abbreviation:  Acad Emerg Med     Publication Date:  2001 Aug 
Date Detail:
Created Date:  2001-08-02     Completed Date:  2001-10-11     Revised Date:  2006-11-15    
Medline Journal Info:
Nlm Unique ID:  9418450     Medline TA:  Acad Emerg Med     Country:  United States    
Other Details:
Languages:  eng     Pagination:  815-22     Citation Subset:  IM    
Affiliation:
Department of Emergency Medicine, Hennepin County Medical Center, Minneapolis, MN 55415, USA.
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MeSH Terms
Descriptor/Qualifier:
Adult
Aged
Aged, 80 and over
Emergency Medicine*
Female
Heart Arrest / therapy
Humans
Intubation, Intratracheal / utilization*
Laryngeal Masks / utilization*
Male
Middle Aged
Retrospective Studies
Seizures / therapy
Shock, Septic / therapy
Comments/Corrections
Comment In:
Acad Emerg Med. 2001 Aug;8(8):829-32   [PMID:  11483461 ]

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


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