ArticleScandinavian journal of trauma, resuscitation and emergency medicine2012
Laryngeal tube use in out-of-hospital cardiac arrest by paramedics in Norway.
Article in Scandinavian journal of trauma, resuscitation and emergency medicine, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers, 1 of them a synthesis that pooled it.
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
16 citing papers in PubMed, 1 synthesis or guideline pooled it, 37 citations in OpenAlex.
- Insertion Success of the Laryngeal Tube in Emergency Airway Management.BioMed research international · 2016Pooled it
- EMT-led laryngeal tube vs. face-mask ventilation during cardiopulmonary resuscitation - a multicenter prospective randomized trial.Scandinavian journal of trauma, resuscitation and emergency medicine · 2017Trial
- Effect of using a laryngeal tube on the no-flow time in a simulated, single-rescuer, basic life support setting with inexperienced users.Der Anaesthesist · 2016Trial
- The novel intubating laryngeal tube (iLTS-D) is comparable to the intubating laryngeal mask (Fastrach) - a prospective randomised manikin study.Scandinavian journal of trauma, resuscitation and emergency medicine · 2015Trial
- Evaluation of airway management associated hands-off time during cardiopulmonary resuscitation: a randomised manikin follow-up study.Scandinavian journal of trauma, resuscitation and emergency medicine · 2013Trial
- The comparison of endotracheal intubation and laryngeal tube insertion with face-to-face method in in-vehicle traffic accidents.Internal and emergency medicine · 2025Article
- Comparative Analysis of the Effectiveness of Performing Advanced Resuscitation Procedures Undertaken by Two- and Three- Person Basic Medical Rescue Teams in Adults under Simulated Conditions.International journal of environmental research and public health · 2021Article
- Laryngeal tube suction for airway management during in-hospital emergencies.Clinics (Sao Paulo, Brazil) · 2017Article
- Part 3. Advanced cardiac life support: 2015 Korean Guidelines for Cardiopulmonary Resuscitation.Clinical and experimental emergency medicine · 2016Article
- Airway management in out-of-hospital cardiac arrest in Finland: current practices and outcomes.Scandinavian journal of trauma, resuscitation and emergency medicine · 2016Article
- [The supraglottic airway in the prehospital setting].Medizinische Klinik, Intensivmedizin und Notfallmedizin · 2016Review
- Feasibility of LMA Supreme for airway management in unconscious patients by ALS paramedics.Scandinavian journal of trauma, resuscitation and emergency medicine · 2015Article
- [Out-of-hospital airway management. Five scenes of a tragedy].Der Anaesthesist · 2014Article
- Prehospital airway management using the laryngeal tube. An emergency department point of view.Der Anaesthesist · 2014Article
- Advances in prehospital airway management.International journal of critical illness and injury science · 2014Article
- Oxygenation, ventilation, and airway management in out-of-hospital cardiac arrest: a review.BioMed research international · 2014Review
Corrections and comments
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Authors and funding
6 authors at 5 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundAlthough there are numerous supraglottic airway alternatives to endotracheal intubation, it remains unclear which airway technique is optimal for use in prehospital cardiac arrests. We evaluated the use of the laryngeal tube (LT) as an airway management tool among adult out-of-hospital cardiac arrest (OHCA) patients treated by our ambulance services in the Haukeland and Innlandet hospital districts.
methodsPost-resuscitation forms and data concerning airway management in 347 adult OHCA victims were retrospectively assessed with regard to LT insertion success rates, ease and speed of insertion and insertion-related problems.
resultsA total of 402 insertions were performed on 347 OHCA patients. Overall, LT insertion was successful in 85.3% of the patients, with a 74.4% first-attempt success rate. In the minority of patients (n = 46, 13.3%), the LT insertion time exceeded 30 seconds. Insertion-related problems were recorded in 52.7% of the patients. Lack of respiratory sounds on auscultation (n = 100, 28.8%), problematic initial tube positioning (n = 85, 24.5%), air leakage (n = 61, 17.6%), vomitus/aspiration (n = 44, 12.7%), and tube dislocation (n = 17, 4.9%) were the most common problems reported. Insertion difficulty was graded and documented for 95.4% of the patients, with the majority of insertions assessed as being "Easy" (62.5%) or "Intermediate" (24.8%). Only 8.1% of the insertions were considered to be "Difficult".
conclusionsWe found a high number of insertion related problems, indicating that supraglottic airway devices offering promising results in manikin studies may be less reliable in real-life resuscitations. Still, we consider the laryngeal tube to be an important alternative for airway management in prehospital cardiac arrest victims.
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Registered trials
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