Emergency airway management by intensive care unit nurses with the intubating laryngeal mask airway and the laryngeal tube.docVIP

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Emergency airway management by intensive care unit nurses with the intubating laryngeal mask airway and the laryngeal tube.doc

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Emergency airway management by intensive care unit nurses with the intubating laryngeal mask airway and the laryngeal tube

/content/4/6/369 Primary research Emergency airway management by intensive care unit nurses with the intubating laryngeal mask airway and the laryngeal tube Volker D?rges*, Volker Wenzel?, Eicke Neubert* and Peter Schmucker* *University Hospital of Lübeck, Lübeck, Germany, and ?The Leopold-Franzens University of Innsbruck, Innsbruck, Austria Received: 14 March 2000 Crit Care 2000,4:369–376 Revisions requested: 19 June 2000 Revisions received: 12 July 2000 Accepted: 7 September 2000 Published: 13 October 2000 The electronic version of this article can be found online at /content/4/6/369 ? Current Science Ltd (Print ISSN 1364-8535; Online ISSN 1466-609X) Statement of findings 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. Keywords: emergency airway management, gastric regurgitation, intubating laryngeal mask airway, laryngeal tube, tidal volume Synopsis Introduction: In-hospital cardiopulmonary resuscitation (CPR) The present study assesses lung ventilation and gastric inflation with the ILMA and the laryngeal tube in a bench model, when performed by intensive care unit (ICU) nurses. Furthermore, it was investigated whether a tidal volume of 0.5 l, rather than 0.8–1.2 l, is beneficial in reducing the risk of gastric inflation. response teams may include nurses because of shortages of physicians. Hence, ventilation-associated complications may occur if nurses who