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Airway management by paramedics using endotracheal intubation with a laryngoscope versus the oesophageal tracheal Combitube™ and EasyTube™ on manikins: A randomised experimental trial
Ist Teil von
Resuscitation, 2006-10, Vol.71 (1), p.107-111
Ort / Verlag
Shannon: Elsevier Ireland Ltd
Erscheinungsjahr
2006
Link zum Volltext
Quelle
MEDLINE
Beschreibungen/Notizen
The EasyTube™, which is constructed in a similar way to the Combitube™, is a recently introduced alternative to tracheal intubation for airway management in emergency medicine.
To determine if there is a difference in rate of, and time to, successful airway placement and ventilation using tracheal intubation, Combitube™ and EasyTube™.
Twenty-six paramedics, trained in tracheal intubation received additional training in the use of the Combitube™ and the EasyTube™. Each participant performed all three methods twice in random order on a manikin. Time to successful ventilation (presented as mean and standard deviation) and success rate were recorded.
Mean time to successful ventilation was significantly longer for tracheal intubation (45.2
s (S.D.
=
15.8)) than for the Combitube™ (36.0
s (S.D.
=
8.6))
p
=
0.002 and the EasyTube™ (38.0
s (S.D.
=
15.3))
p
=
0.023 with no difference between the latter (
p
=
1.000). Success rate for the Combitube™ and EasyTube™ combined (103/104) was significantly higher than for tracheal intubation (45/52) with odds ratio 16.0 (95% CI: 1.9–134);
p
=
0.002.
For paramedics tested on manikins placement success rate was higher with less time required for the Combitube™ and Easytube™ than for tracheal intubation with no differences between the Combitube and EasyTube™.