ArticleScandinavian journal of trauma, resuscitation and emergency medicine2015
Feasibility of LMA Supreme for airway management in unconscious patients by ALS paramedics.
Article in Scandinavian journal of trauma, resuscitation and emergency medicine, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.
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Who cites it
6 citing papers in PubMed, 15 citations in OpenAlex.
- Supraglottic Airway Devices with Vision Guided Systems: Third Generation of Supraglottic Airway Devices.Journal of clinical medicine · 2023Review
- The impact of video laryngoscopy on the first-pass success rate of prehospital endotracheal intubation in The Netherlands: a retrospective observational study.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2022Observational
- The Importance of Acknowledging an Intermediate Category of Airway Management Devices in the Prehospital Setting.Healthcare (Basel, Switzerland) · 2022Article
- The case for a 3rd generation supraglottic airway device facilitating direct vision placement.Journal of clinical monitoring and computing · 2021Article
- Comprehensive evaluation of manikin-based airway training with second generation supraglottic airway devices.Therapeutics and clinical risk management · 2019Article
- Standardised data reporting from pre-hospital advanced airway management - a nominal group technique update of the Utstein-style airway template.Scandinavian journal of trauma, resuscitation and emergency medicine · 2018Article
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Authors and funding
4 authors at 3 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundAirway management to ensure sufficient gas exchange is of major importance in emergency care. The accepted basic technique is to maintain an open airway and perform artificial ventilation in emergency situations is bag-valve mask (BVM) ventilation with manual airway management without airway adjuncts or with an oropharyngeal tube (OPA) only. Endotracheal intubation (ETI) is often referred to as the golden standard of airway management, but is associated with low success rates and significant insertion-related complications when performed by non-anaesthetists. Supraglottic devices (SADs) are one alternative to ETI in these situations, but there is limited evidence regarding the use of SAD in non-cardiac arrest situations. LMA Supreme (LMA-S) is a new SAD which theoretically has an advantage concerning the risk of aspiration due to an oesophageal inlet gastric tube port.
methodsForty paramedics were recruited to participate in the study. Adult (>18 years) patients, unconscious due to medical or traumatic cause with a GCS score corresponding to 3-5 and needed airway management were included in the study. Our aim was to study the feasibility of LMA-S as a primary airway method in unconscious patients by advanced life support (ALS) trained paramedics in prehospital care.
resultsThree regional Emergency Medical Service (EMS) services participated and 21 patients were treated during the survey. The LMA-S was placed correctly on the first attempt in all instances 21/21 (100%), with a median time to first ventilation of 9.8 s. Paramedics evaluated the insertion to be easy in every case 21/21 (100%). Because of air leak later in the patient care, the LMA-S was exchanged to an LT-D in two cases and to ETI in three cases (23.81%) by the paramedics. Regurgitation occurred after insertion two times out of 21 (9.52%) and in one of these cases (4.76%), paramedics reported regurgitation inside the LMA-S.
conclusionWe conclude that the LMA-S seems to be relatively easy and quick to insert in unconscious patients by paramedics. However, we found out that there were ventilation related problems with the LMA-S. Further studies are warranted.
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