Evidence map›Paper›PMID 34970079›Full record

ArticleBritish paramedic journal2021

Perception and success rate of using advanced airway management by hospital-based paramedics in the Kingdom of Saudi Arabia.

Amani Alenazi, Bashayr Alotaibi, Najla Saleh, Abdullah Alshibani, Meshal Alharbi, Nawfal Aljerian, Nesrin Alharthy, Sameerah Alsomali

Open access · hybridAbstract read
In one paragraph

Article in British paramedic journal, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
0.2field-weighted citation impact, top 40% 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

2 citing papers in PubMed, 2 citations in OpenAlex.

  1. Article
  2. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors at 2 institutions in 1 country.

Amani AlenaziKing Saud bin Abdulaziz University for Health Sciences (KSAU-HS).
Bashayr AlotaibiMinistry of Health, Saudi Arabia.
Najla SalehMinistry of Health, Saudi Arabia.
Abdullah AlshibaniKing Saud bin Abdulaziz University for Health Sciences (KSAU-HS).
Meshal AlharbiKing Saud bin Abdulaziz University for Health Sciences (KSAU-HS).
Nawfal AljerianMinistry of Health, Saudi Arabia.
Nesrin AlharthyKing Saud bin Abdulaziz University for Health Sciences (KSAU-HS).
Sameerah AlsomaliKing Saud bin Abdulaziz University for Health Sciences (KSAU-HS).
King Saud bin Abdulaziz University for Health Sciences · SAMinistry of Health · SA

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveThe study aimed to measure the success rate of pre-hospital tracheal intubation (TI) and supraglottic airway devices (SADs) performed by paramedics for adult patients and to assess the perception of paramedics of advanced airway management.

methodThe study consisted of two phases: phase 1 was a retrospective analysis to assess the TI and SADs' success rates when applied by paramedics for adult patients aged >14 years from 2012 to 2017, and phase 2 was a distributed questionnaire to assess paramedics' perception of advanced airway management.

resultIn phase 1, 24 patients met our inclusion criteria. Sixteen (67%) patients had TI, of whom five had failed TI but then were successfully managed using SADs. The TI success rate was 69% from the first two attempts compared to SADs (100% from first attempt). In phase 2, 63/90 (70%) paramedics responded to the questionnaire, of whom 60 (95%) completed it. Forty-eight (80%) paramedics classified themselves to be moderately or very competent with advanced airway management. However, most of them (80%) performed only 1-5 TIs or SADs a year.

conclusionHospital-based paramedics (i.e. paramedics who are working at hospitals and not in the ambulance service, and who mostly respond to small restricted areas in Saudi Arabia) handled few patients requiring advanced airway management and had a higher competency level with SADs than with TI. The study findings could be impacted by the low sample size. Future research is needed on the success rate and impact on outcomes of using pre-hospital advanced airway management, and on the challenges of mechanical ventilation use during interfacility transfer.

Indexed as

ambulance servicemechanical ventilationpre-hospital caresupraglottic airway devicestracheal intubation

Identifiers

PMID34970079
PMCPMC8669637
OpenAlexW4200117474

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.