Emergency airway management by intensive care unit nurses with the intubating laryngeal mask airway and the laryngeal tube

被引:21
作者
Dörges, V
Wenzel, V
Neubert, E
Schmucker, P
机构
[1] Univ Hosp Lubeck, Dept Anaesthesiol, D-23562 Lubeck, Germany
[2] Leopold Franzens Univ Innsbruck, Innsbruck, Austria
来源
CRITICAL CARE | 2000年 / 4卷 / 06期
关键词
emergency airway management; gastric regurgitation; intubating laryngeal mask airway; laryngeal tube; tidal volume;
D O I
10.1186/cc720
中图分类号
R4 [临床医学];
学科分类号
1002 ; 100602 ;
摘要
When using the laryngeal tube and the intubating laryngeal mask airway (ILMA), the medium-size (maximum volume 1100 ml) versus adult (maximum volume 1500 ml) self-inflating bags resulted in significantly lower lung tidal volumes. No gastric inflation occurred when using both devices with either ventilation bag. The newly developed medium-size self-inflating bag may be an option to further reduce the risk of gastric inflation while maintaining sufficient lung ventilation. Both the ILMA and laryngeal tube proved to be valid alternatives for emergency airway management in the experimental model used.
引用
收藏
页码:369 / 376
页数:8
相关论文
共 42 条
[1]   A COMPARISON OF THE LARYNGEAL MASK AIRWAY AND GUEDEL AIRWAY, BAG AND FACEMASK FOR MANUAL VENTILATION FOLLOWING FORMAL TRAINING [J].
ALEXANDER, R ;
HODGSON, P ;
LOMAX, D ;
BULLEN, C .
ANAESTHESIA, 1993, 48 (03) :231-234
[2]   ABILITY OF PARAMEDICS TO USE THE COMBITUBE(TM) IN PREHOSPITAL CARDIAC-ARREST [J].
ATHERTON, GL ;
JOHNSON, JC .
ANNALS OF EMERGENCY MEDICINE, 1993, 22 (08) :1263-1268
[3]   Tidal volumes which are perceived to be adequate for resuscitation [J].
Baskett, P ;
Nolan, J ;
Parr, M .
RESUSCITATION, 1996, 31 (03) :231-234
[4]   The intubating laryngeal mask - Results of a multicentre trial with experience of 500 cases [J].
Baskett, PJF ;
Parr, MJA ;
Nolan, JP .
ANAESTHESIA, 1998, 53 (12) :1174-1179
[5]   LOWER ESOPHAGEAL SPHINCTER PRESSURE DURING PROLONGED CARDIAC-ARREST AND RESUSCITATION [J].
BOWMAN, FP ;
MENEGAZZI, JJ ;
CHECK, BD ;
DUCKETT, TM .
ANNALS OF EMERGENCY MEDICINE, 1995, 26 (02) :216-219
[6]   THE ADVANTAGES OF THE LMA OVER THE TRACHEAL TUBE OR FACEMASK - A METAANALYSIS [J].
BRIMACOMBE, J .
CANADIAN JOURNAL OF ANAESTHESIA-JOURNAL CANADIEN D ANESTHESIE, 1995, 42 (11) :1017-1023
[7]   The intubating laryngeal mask airway (ILMA): initial experience in Singapore [J].
Chan, YW ;
Kong, CF ;
Kong, CS ;
Hwang, NC ;
Ip-Yam, PC .
BRITISH JOURNAL OF ANAESTHESIA, 1998, 81 (04) :610-611
[8]  
DAVIES K, 1995, ACAD EMERG MED, V10, P855
[9]   Airway management during cardiopulmonary resuscitation - a comparative study of bag-valve-mask, laryngeal mask airway and combitube in a bench model [J].
Doerges, V ;
Sauer, C ;
Ocker, H ;
Wenzel, V ;
Schmucker, P .
RESUSCITATION, 1999, 41 (01) :63-69
[10]   Smaller tidal volumes during cardiopulmonary resuscitation: comparison of adult and paediatric self-inflatable bags with three different ventilatory devices [J].
Doerges, V ;
Sauer, C ;
Ocker, H ;
Wenzel, V ;
Schmucker, P .
RESUSCITATION, 1999, 43 (01) :31-37