| Use of gum elastic bougie for prehospital difficult intubation. | |
| | |
MedLine Citation:
|
PMID: 16032630 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
|
The objective of this study was to assess effectiveness of gum elastic bougie (GEB) in case of difficult intubation occurring in the prehospital settings. After manikin training to GEB handling, physicians were recommended to use GEB as first alternative technique in case of difficult intubation. Intubating conditions and details of patients requiring GEB-assisted laryngoscopy were recorded over 30 months. Among the 1442 extrahospital intubations performed, 41 patients (3%) required GEB. Gum elastic bougie allowed successful intubation in 33 cases (78%) and 8 patients sustained a second alternative technique. One patient was never intubated, another 1 required rescue cricothyroidotomy. Twenty-four (60%) GEB patients had associated factors for difficult intubation such as reduced or limited cervical spine mobility, morbid obesity, cervicofacial trauma, and ears, nose, and throat neoplasia. The success rate of GEB was 75% and 94%, respectively, depending on whether associated factors for difficult intubation are present or not. No adverse events associated to GEB use were noted. |
| | |
Authors:
|
Patricia Jabre; Xavier Combes; Bertrand Leroux; Emanuelle Aaron; Harold Auger; Alain Margenet; Gilles Dhonneur |
Publication Detail:
|
Type: Evaluation Studies; Journal Article |
Journal Detail:
|
Title: The American journal of emergency medicine Volume: 23 ISSN: 0735-6757 ISO Abbreviation: Am J Emerg Med Publication Date: 2005 Jul |
Date Detail:
|
Created Date: 2005-07-20 Completed Date: 2005-10-07 Revised Date: - |
Medline Journal Info:
|
Nlm Unique ID: 8309942 Medline TA: Am J Emerg Med Country: United States |
Other Details:
|
Languages: eng Pagination: 552-5 Citation Subset: IM |
Affiliation:
|
Service d'Aide Médicale Urgente of Henri Mondor Hospital, Créteil 94100, France. |
Export Citation:
|
APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
|
Airway Obstruction
/
therapy* Emergency Medical Services / methods*, statistics & numerical data Equipment Failure Equipment Safety Female France Humans Intubation, Intratracheal / instrumentation*, methods, statistics & numerical data Male Middle Aged Treatment Outcome |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
Previous Document: Open endotracheal tubes may be safely left on an ED airway cart for 48 hours.
Next Document: Speed bump-induced spinal column injury.