Laryngeal Tube Practice in a Metropolitan Ambulance Service: A Five-year Retrospective Observational Study (2009–2013)
| Autor: | Fritz Sterz, Dieter Sebald, Jochen Haidvogel, Andreas Zajicek, Anton N. Laggner, Peter Stratil, Hermann Wieczorek, Friedrich Lausch, Dominik Roth, Christoph Schriefl, Wolfgang Schreiber, Raphael van Tulder, Martin Thalhammer |
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| Rok vydání: | 2016 |
| Předmět: |
Adult
Male Laryngeal tube Emergency Medical Services medicine.medical_specialty medicine.medical_treatment Ambulances 030204 cardiovascular system & hematology Emergency Nursing 03 medical and health sciences 0302 clinical medicine Intubation Intratracheal Emergency medical services medicine Humans Airway Management Aged Retrospective Studies Aged 80 and over business.industry Gold standard 030208 emergency & critical care medicine Retrospective cohort study Middle Aged Emergency medicine Emergency Medicine Female Airway management business Advanced airway management Airway Prehospital Emergency Care |
| Zdroj: | Prehospital Emergency Care. 24:434-440 |
| ISSN: | 1545-0066 1090-3127 |
| DOI: | 10.3109/10903127.2015.1129473 |
| Popis: | Background: The endotracheal tube (ETT) is considered the gold standard in emergency airway management, although supraglottic airway devices, especially the laryngeal tube (LT), have recently gained in importance. Although regarded as an emergency device in case of failure of endotracheal intubation in most systems, we investigated the dynamics of the use of the LT in a metropolitan ambulance service without any regulations on the choice of airway device. Methods: A retrospective, observational study on all patients from the Municipal Ambulance Service, Vienna in need of advanced airway management over a 5-year period. Differences between years were compared; influencing factors for the use of the LT were analyzed using multivariable logistic regression. Results: In total 5,175 patients (mean age 62 ± 20 years, 36.6% female) underwent advanced airway management. Of these, 15.6% received the LT. LT use increased from 20 out of 1,001 (2.0%) in 2009 to 292 of 1,085 (26.9%) in 2013 (p < 0.001). The in... |
| Databáze: | OpenAIRE |
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