کد مقاله کد نشریه سال انتشار مقاله انگلیسی نسخه تمام متن
5998191 1181437 2014 4 صفحه PDF دانلود رایگان
عنوان انگلیسی مقاله ISI
Complications associated with the prehospital use of laryngeal tubes-A systematic analysis of risk factors and strategies for prevention
موضوعات مرتبط
علوم پزشکی و سلامت پزشکی و دندانپزشکی کاردیولوژی و پزشکی قلب و عروق
پیش نمایش صفحه اول مقاله
Complications associated with the prehospital use of laryngeal tubes-A systematic analysis of risk factors and strategies for prevention
چکیده انگلیسی

ObjectiveWith the increasing spread of laryngeal tubes (LT) in emergency medicine, complications and side-effects are observed. We sought to identify complications associated with the use of LTs in emergency medicine, and to develop strategies to prevent these incidents.MethodsIn a prospective clinical study, all patients who had their airways managed in the field with a LT and who were admitted through the emergency department of the Frankfurt University Hospital during a 6 year period were evaluated using anonymised data collection sheets. A team of experts was available 24/7 and was requested whenever a patient was admitted with a LT in place. This team evaluated the condition of the patients with respect to prehospital airway management and was responsible for further advanced airway management. All complications were analysed, and strategies for prevention developed.ResultsOne hundred eighty nine patients were included and analysed. The initial cuff pressure of the LTs was 100 cm H2O on the median. Complications consisted of significant tongue swelling (n = 73; 38.6%), resulting in life-threatening cannot ventilate, cannot intubate scenarios in two patients (1.0%) and the need for surgical tracheostomy in another patient, massive distension of the stomach (n = 20, 10.6%) with ventilation difficulties when LTs without gastric drainage were used; malposition of the LT in the piriform sinus (n = 1, 0.5%) and significant bleeding from soft tissue injuries (n = 4, 2.1%).ConclusionsThe prehospital use of LTs may result in severe and even life-threatening complications. Likely, such complications could have been prevented by using gastric drainage and cuff pressure adjustment. Both, prehospital health care providers and emergency department staff should develop a greater awareness of such complications to best avoid them in the future.

ناشر
Database: Elsevier - ScienceDirect (ساینس دایرکت)
Journal: Resuscitation - Volume 85, Issue 11, November 2014, Pages 1629-1632
نویسندگان
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