Emergency airway management by intensive care unit nurses with the intubating laryngeal mask airway and the laryngeal tube.
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.
Dörges
V
V
Department of Anaesthesiology, University Hospital of Lübeck, Lübeck, Germany. v.doerges@t-online.de
Wenzel
V
V
Neubert
E
E
Schmucker
P
P
D000328:Adult; D000402:Airway Obstruction / Q000451:nursing*; D016887:Cardiopulmonary Resuscitation / Q000193:education / Q000295:instrumentation* / Q000451:nursing*; D002983:Clinical Competence / Q000592:standards; D003422:Critical Care / Q000379:methods*; D004867:Equipment Design; D005260:Female; D006801:Humans; D007318:Inservice Training; D007442:Intubation, Intratracheal / Q000009:adverse effects / Q000295:instrumentation* / Q000451:nursing*; D017214:Laryngeal Masks; D008297:Male; D015403:Nursing Evaluation Research; D009741:Nursing Staff, Hospital / Q000193:education*; D012307:Risk Factors; D013990:Tidal Volume; D013997:Time Factors