Evaluating supraglottic airway laryngopharyngeal tube as a practical device for blind endotracheal intubation by non-experienced personnel in dummies
Keywords:
Endotracheal intubation, Pre-hospital care, Emergency medical services, Dummies, Simulation
Abstract
Introduction: One of the key objectives in the pre-hospital environment is to control and secure the airway. Supraglottic airway laryngopharyngeal tube (SALT) is a basic device designed to ventilate and guide the blind introduction of the endotracheal tube. It has not yet been approved in our environment.
Objective: To determine the blind intubation success rate of non-trained personnel.
Results: A descriptive trial with 90 participants in a simulated environment with dummies. In 96.7% of the cases, the intubation procedure with the device was perceived as easy. In all, 90% had a successful intubation in the first attempt in 16 s, which is a shorter time period as compared to intubation with other devices.
Conclusion: SALT could be an effective airway management device for non-trained individuals.
References
1. Arango E, Cuervo A. Manejo prehospitalario de la vía aérea. Guías para manejo de urgencias. Kimpres. 2003;2:21-9.
2. Miller P, Hall N. Saltairway.com. [En línea] Surpraglottic Airway Laryngopharyngeal Tube (S.A.L.T.) Airway. Disponible en: http://www.mdimicrotek.com/prod_salt.htm.
3. Jiménez G, Ayuso F, Fonseca F, Bertomeu M, Artacho R, García E. Manejo de una vía aérea difícil en el medio extrahospitalario. Semergen. 2008;34:272-83.
4. Huffstutter P, Hines L, Jones TM, Craft R, Bustamante D, Klar M, et al. Evaluation of the S.A.L.TTM as an Adjunct to Blind Endotracheal Intubation Using Simulation. University of Tennessee School of Medicine; 2010.
5. Helm M, Hossfeld B, Schafer S, Hoitz J, Lampl L. Factors influencing emergency intubation in the pre-hospital setting - A multicentre study in the German helicopter emergency medical service. Br J Anaesth. 2006;96:67-71.
6. Doran JV, Tortella BJ, Drivet WJ, Lavery RF. Factors influencing successful intubation in the prehospital setting. Prehosp Disaster Med. 1995;10:259-64.
7. Deakin CD, King P, Thompson F. Prehospital advanced airway management by ambulance technicians and paramedics: Is clinical practice sufficient to maintain skills? Emerg Med J. 2009;26:888-91.
8. Hasegawa K, Hiraide A, Chang Y, Brown D. Association of prehospital advanced airway management with neurologic outcome and survival in patients with out-of-hospital cardiac arrest. JAMA. 2013;309:257-66.
9. Bosch J, de Nooij J, de Visser M, Cannegieter S, Terpstra N, Heringaus C, et al. Prehospital use in emergency patients of a laryngeal mask airway by ambulance paramedics is a safe and effective alternative for endotracheal intubation. Emerg Med J. 2013. Published online first: Junio 15.
10. Wahlen BM, Roewer N, Lange M. Tracheal intubation and alternative airway management devices used by healthcare professionals with different level of pre-existing skills, a manikin study. Anaesthesia. 2009;64:549-54.
11. Byars D, Lo B, Yates J. Evaluation of paramedic utilization of the Intubating Laryngeal Mask Airway in high-fidelity simulated critical care scenarios. Prehosp Disaster Med. 2013;28:1-2.
12. Halwagi A, Massicotte N, Lallo A, Gauthier A, Boudreault D, Ruel M, et al. Tracheal intubation through the I-gel TM supraglottic airway versus the LMA Fastrach TM: A randomized controlled trial. Anesth Analg. 2012;114:152-6.
13. Bledsoe B, Slattery D, Lauver R, Forred W, Johnson L, Rigo G. Can emergency medical services personnel effectively place and use the Supraglottic Airway Laryngopharyngeal Tube (SALT) airway? Prehosp Emerg Care. 2011;15:359-65.
2. Miller P, Hall N. Saltairway.com. [En línea] Surpraglottic Airway Laryngopharyngeal Tube (S.A.L.T.) Airway. Disponible en: http://www.mdimicrotek.com/prod_salt.htm.
3. Jiménez G, Ayuso F, Fonseca F, Bertomeu M, Artacho R, García E. Manejo de una vía aérea difícil en el medio extrahospitalario. Semergen. 2008;34:272-83.
4. Huffstutter P, Hines L, Jones TM, Craft R, Bustamante D, Klar M, et al. Evaluation of the S.A.L.TTM as an Adjunct to Blind Endotracheal Intubation Using Simulation. University of Tennessee School of Medicine; 2010.
5. Helm M, Hossfeld B, Schafer S, Hoitz J, Lampl L. Factors influencing emergency intubation in the pre-hospital setting - A multicentre study in the German helicopter emergency medical service. Br J Anaesth. 2006;96:67-71.
6. Doran JV, Tortella BJ, Drivet WJ, Lavery RF. Factors influencing successful intubation in the prehospital setting. Prehosp Disaster Med. 1995;10:259-64.
7. Deakin CD, King P, Thompson F. Prehospital advanced airway management by ambulance technicians and paramedics: Is clinical practice sufficient to maintain skills? Emerg Med J. 2009;26:888-91.
8. Hasegawa K, Hiraide A, Chang Y, Brown D. Association of prehospital advanced airway management with neurologic outcome and survival in patients with out-of-hospital cardiac arrest. JAMA. 2013;309:257-66.
9. Bosch J, de Nooij J, de Visser M, Cannegieter S, Terpstra N, Heringaus C, et al. Prehospital use in emergency patients of a laryngeal mask airway by ambulance paramedics is a safe and effective alternative for endotracheal intubation. Emerg Med J. 2013. Published online first: Junio 15.
10. Wahlen BM, Roewer N, Lange M. Tracheal intubation and alternative airway management devices used by healthcare professionals with different level of pre-existing skills, a manikin study. Anaesthesia. 2009;64:549-54.
11. Byars D, Lo B, Yates J. Evaluation of paramedic utilization of the Intubating Laryngeal Mask Airway in high-fidelity simulated critical care scenarios. Prehosp Disaster Med. 2013;28:1-2.
12. Halwagi A, Massicotte N, Lallo A, Gauthier A, Boudreault D, Ruel M, et al. Tracheal intubation through the I-gel TM supraglottic airway versus the LMA Fastrach TM: A randomized controlled trial. Anesth Analg. 2012;114:152-6.
13. Bledsoe B, Slattery D, Lauver R, Forred W, Johnson L, Rigo G. Can emergency medical services personnel effectively place and use the Supraglottic Airway Laryngopharyngeal Tube (SALT) airway? Prehosp Emerg Care. 2011;15:359-65.
How to Cite
1.
Uribe-Valencia HC, Arenas Correa ID, Acosta Reyes JL. Evaluating supraglottic airway laryngopharyngeal tube as a practical device for blind endotracheal intubation by non-experienced personnel in dummies. Colomb. J. Anesthesiol. [Internet]. 2014 Jul. 1 [cited 2024 Apr. 25];42(3):172-5. Available from: https://www.revcolanest.com.co/index.php/rca/article/view/661
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Published
2014-07-01
How to Cite
1.
Uribe-Valencia HC, Arenas Correa ID, Acosta Reyes JL. Evaluating supraglottic airway laryngopharyngeal tube as a practical device for blind endotracheal intubation by non-experienced personnel in dummies. Colomb. J. Anesthesiol. [Internet]. 2014 Jul. 1 [cited 2024 Apr. 25];42(3):172-5. Available from: https://www.revcolanest.com.co/index.php/rca/article/view/661
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