title: Laryngeal tube placement on manikin by laypersons: is there a possibility for 'public access airway management'?
abstract: Mouth-to-mouth ventilation is often refused by laypersons because of hygienic reasons. Supraglottic airway devices (SADs) might reduce the adverse effects of mouth-to-mouth ventilation. We tried to verify the possibility for untrained laypersons to use SADs properly after having read written instructions only. The participants were told to ventilate a manikin using a laryngeal tube (LT). The time to ventilation and the rate of success were recorded. After a practical skill demonstration, a second placement of the LT was performed. A successful placement of the LT was achieved by 53% after the first and 98% after the second attempt. Time to ventilation was 124 s (±45 s) for the first attempt and 12 s (±2.75 s) for the second attempt. Delivering ventilation through an SAD is a reasonable way for laypersons. After a prior hands-on training, the placement can be performed in an adequate time frame with high success rates.
authors.affiliation: aDepartment of Anaesthesiology and Critical Care Medicine, Central Hospital of the German Armed Forces, Koblenz bGerman Red Cross, Friolzheim-Wimsheim, Germany.
authors.forename: Christoph
authors.initials: C
authors.lastname: Jänig
authors.forename: Sven
authors.initials: S
authors.lastname: Marquardt
authors.forename: Thomas
authors.initials: T
authors.lastname: Dietze
authors.forename: Tanja
authors.initials: T
authors.lastname: Nitsche
mesh_terms: D000328:Adult; D058109:Airway Management / Q000295:instrumentation / Q000379:methods*; D005260:Female; D005392:First Aid; D006801:Humans; D007440:Intubation / Q000295:instrumentation / Q000379:methods*; D007830:Larynx; D008297:Male; D008348:Manikins; D008875:Middle Aged; D012121:Respiration, Artificial / Q000295:instrumentation*