Evidence map›Paper›PMID 24981153›Full record

ArticleDer Anaesthesist2014

Prehospital airway management using the laryngeal tube. An emergency department point of view.

M Bernhard, W Beres, A Timmermann, R Stepan, C-A Greim, U X Kaisers, A Gries

Abstract readCase Reports
PubMed Publisher
In one paragraph

Article in Der Anaesthesist, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
20citing papers in PubMed, 2 pooled it
13.9field-weighted citation impact, top 1% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

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.

2 · The registry

The trial behind it

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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

20 citing papers in PubMed, 2 syntheses or guidelines pooled it, 70 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Trial
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  6. Trial
  7. [Manikin-based comparison of the use of different supraglottic airways by laypersons].Medizinische Klinik, Intensivmedizin und Notfallmedizin · 2022
    Article
  8. Article
  9. Article
  10. Article
  11. Article
  12. Review
  13. Observational
  14. ["Under pressure": massive tongue swelling after cardiac arrest].Medizinische Klinik, Intensivmedizin und Notfallmedizin · 2018
    Article
  15. Article
  16. Observational
  17. Article
  18. [Preclinical duty of care during cuff pressure management].Medizinische Klinik, Intensivmedizin und Notfallmedizin · 2016
    Article
  19. [The supraglottic airway in the prehospital setting].Medizinische Klinik, Intensivmedizin und Notfallmedizin · 2016
    Review
  20. Review
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

7 authors at 3 institutions in 1 country.

M BernhardEmergency Department, University Hospital of Leipzig, Liebigstr. 20, 04103, Leipzig, Germany, Michael.Bernhard@medizin.uni-leipzig.de.
W Beres
A Timmermann
R Stepan
C-A Greim
U X Kaisers
A Gries
University Hospital Leipzig · DEDRK Kliniken Berlin · DEKlinikum Fulda · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundCompetence in airway management and maintenance of oxygenation and ventilation represent fundamental skills in emergency medicine. The successful use of laryngeal tubes (LT, LT-D, LTS II) to secure the airway in the prehospital setting has been published in the past. However, some complications can be associated with the use of a laryngeal tube.

methodsIn a nonconsecutive case series, problems and complications associated with the use of the laryngeal tube in prehospital emergency medicine as seen by independent observers in the emergency room are presented.

resultsVarious problems and possible complications associated with the use of a laryngeal tube in eight case reports are reported: incorrect placement of the laryngeal tube in the trachea, displacement and/or incorrect placement of the laryngeal tube in the pharynx, tongue and pharyngeal swelling with subsequently difficult laryngoscopy, and inadequate ventilation due to unrecognized airway obstruction and tension pneumothorax.

conclusionAlthough the laryngeal tube is considered to be an effective, safe, and rapidly appropriable supraglottic airway device, it is also associated with adverse effects. In order to prevent tongue swelling, after initial prehospital or in-hospital placement of laryngeal tube and cuff inflation, it is important to adjust and monitor the cuff pressure. Article in English.

Indexed as

Accidental FallsAccidents, TrafficAdultAgedAirway ManagementEmergency Medical ServicesEmergency Service, HospitalFemaleGlasgow Coma ScaleHeart ArrestHumansIntubation, IntratrachealMaleMiddle AgedMotorcyclesOut-of-Hospital Cardiac Arrest

Identifiers

PMID24981153
OpenAlexW1234954599

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.