The use of laryngeal tube by nurses in out-of-hospital emergencies: Preliminary experience

In out-of-hospital emergencies, including cardiac arrest, securing the airway and providing adequate lung ventilation are of paramount importance. Tracheal intubation is perceived as the gold standard technique and it is recommended by International Guidelines, but non skilled personnel often find t...

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Bibliographic Details
Published in:	Resuscitation Vol. 66; no. 1; pp. 21 - 25
Main Authors:	Kette, Fulvio, Reffo, Ingrid, Giordani, Giuseppina, Buzzi, Fulvio, Borean, Vilma, Cimarosti, Regina, Codiglia, Alberto, Hattinger, Claudia, Mongiat, Alessandra, Tararan, Sara
Format:	Journal Article
Language:	English
Published:	Shannon Elsevier Ireland Ltd 01-07-2005 Elsevier
Subjects:	Aged Aged, 80 and over Airway devices Anesthesia. Intensive care medicine. Transfusions. Cell therapy and gene therapy Biological and medical sciences Cardiopulmonary Resuscitation - instrumentation Emergency and intensive cardiocirculatory care. Cardiogenic shock. Coronary intensive care Emergency and intensive care: techniques, logistics Emergency Medical Services - methods Emergency Nursing Female Heart Arrest - therapy Humans Intensive care medicine Intensive care unit. Emergency transport systems. Emergency, hospital ward Intubation, Intratracheal - methods Italy Laryngeal tube Male Medical sciences Middle Aged Out-of-hospital CPR Paramedic Ventilation Italy Airway devices Out-of-hospital CPR Ventilation Laryngeal tube Paramedic Intensive cardiocirculatory care Intensive care Out of hospital Emergency Resuscitation Nurse
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Summary:	In out-of-hospital emergencies, including cardiac arrest, securing the airway and providing adequate lung ventilation are of paramount importance. Tracheal intubation is perceived as the gold standard technique and it is recommended by International Guidelines, but non skilled personnel often find the procedure difficult to achieve. Supraglottic devices are a good alternative in these situations, because they are superior to a bag-valve-mask for lung ventilation and offer better protection from aspiration. We have tested the laryngeal tube (LT) in out-of-hospital emergencies by minimally trained nurses. The LT was placed in 30 patients in cardiac arrest. LT insertion was successful within two attempts in 90% of patients, and ventilation was adequate in 80% of cases. No regurgitation occurred in any patient. The laryngeal tube remained in the correct position throughout resuscitation attempts in 93.3% of cases, while in two patients (6.6%) it became dislodged. In a subjective evaluation of the manoeuvre by nurses (ease of insertion, adequacy of ventilation, protection from aspiration), 86.7% of them expressed a positive opinion. The laryngeal tube appeared to be a reliable device for nurses to manage the airway in out-of-hospital emergencies.
Bibliography:	ObjectType-Article-1 SourceType-Scholarly Journals-1 ObjectType-Feature-2 content type line 23
ISSN:	0300-9572 1873-1570
DOI:	10.1016/j.resuscitation.2004.12.023