TAILIEUCHUNG - Báo cáo y học: " Feasibility of written instructions in airway management training of laryngeal tube"

Tuyển tập các báo cáo nghiên cứu về y học được đăng trên tạp chí y học quốc tế cung cấp cho các bạn kiến thức về ngành y đề tài: Feasibility of written instructions in airway management training of laryngeal tube | Kurola et al. Scandinavian Journal of Trauma Resuscitation and Emergency Medicine 2011 19 56 http content 19 1 56 SCANDINAVIAN JOURNAL OF trauma resuscitation a emergency medicine ORIGINAL RESEARCH Open Access Feasibility of written instructions in airway management training of laryngeal tube 1 1 1 23 4 Jouni Kurola Heikki Paakkonen Tapio Kettunen Juha-Pekka Laakso Jouko Gorski and Tom Silfvast Abstract Background Airway management is of essential importance in emergency care. Training and skill retention of endotracheal intubation ETI - the technique considered as the gold standard - poses a problem especially among care providers experiencing a low frequency of airway management situations. Therefore alternative airway devices such as the laryngeal tube LT with potentially steeper learning curves have been developed and studied. Our aim was to evaluate in a manikin model the use of LT after no other training than written instructions only. Methods To evaluate the amount of training required to use the LT in a scenario of airway compromise we assessed the feasibility of providing written instructions and pictures showing its use to 67 out- and in-hospital emergency care providers attending an Emergency Care conference. The majority of the participants were either nurses or firemen with a median of 5 years history of work in emergency care. Results In this study 55 of all participants inserted the LT on the first attempt without additional instructions. An additional 42 required verbal instructions before successful insertion. Overall 97 of the participants successfully inserted the LT with two attempts. In logistic regression analysis no relationship was detected between background variables basic education experience of emergency work frequency of bag-valve-mask ventilation BVM and frequency of ETI and successful insertion of the LT in less than 30 seconds ability to maintain normoventilation 7 l min and need for further instructions during the .

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