A critical reassessment of ambulance service airway management in prehospital care: Joint Royal Colleges Ambulance Liaison Committee Airway Working Group, June 2008

被引：43

作者：

Deakin, Charles D. ^{[1
]}

Clarke, Tom ^{[2
]}

Nolan, Jerry ^{[3
]}

Zideman, David A. ^{[4
]}

Gwinnutt, Carl ^{[5
]}

Moore, Fionna ^{[6
]}

Ward, Michael ^{[7
]}

Keeble, Carl ^{[8
]}

Blancke, Wim ^{[9
]}

机构：

[1] S Cent Ambulance Serv, Sparrowgrove SO21 2RU, Otterbourne, England

[2] Newcastle Upon Tyne Hosp, NHS Fdn Trust, Freeman Hosp, Newcastle Upon Tyne, Tyne & Wear, England

[3] Royal United Hosp, NHS Trust, Bath BA1 3NG, Avon, England

[4] Hammersmith Hosp, Imperial Coll Healthcare NHS Trust, London, England

[5] Salford Royal NHS Fdn Trust, Salford, Lancs, England

[6] London Ambulance Serv NHS Trust, London, England

[7] John Radcliffe Hosp, Nuffield Dept Anaesthet, Oxford OX3 9DU, England

[8] E Midlands Ambulance Serv NHS Trust, Nottingham, England

[9] Frenchay Hosp, Bristol, Avon, England

来源：

EMERGENCY MEDICINE JOURNAL | 2010年 / 27卷 / 03期

关键词：

LARYNGEAL MASK AIRWAY; ESOPHAGEAL TRACHEAL COMBITUBE(TM); CARDIAC LIFE-SUPPORT; GUM ELASTIC BOUGIE; ENDOTRACHEAL INTUBATION; SUPRAGLOTTIC AIRWAY; CARDIOPULMONARY-RESUSCITATION; OROTRACHEAL INTUBATION; CARBON-DIOXIDE; TUBE;

D O I：

10.1136/emj.2009.082115

中图分类号：

R4 [临床医学];

学科分类号：

1002 ; 100602 ;

摘要：

Paramedic tracheal intubation has been practised in the UK for more than 20 years and is currently a core skill for paramedics. Growing evidence suggests that tracheal intubation is not the optimal method of airway management by paramedics and may be detrimental to patient outcomes. There is also evidence that the current initial training of 25 intubations performed in-hospital is inadequate, and that the lack of ongoing intubation practice may compound this further. Supraglottic airway devices (eg, laryngeal mask airway), which were not available when extended training and paramedic intubation was first introduced, are now in use in many ambulance services and are a suitable alternative prehospital airway device for paramedics.

引用

页码：226 / 233

页数：8

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