Every patient in the pre-hospital should be treated as a patient with a full stomach.
Ventilation of such a patient using a bag-valve-mask may lead to gastric inflation
[
1
,
2
]. Moreover, aspiration of gastric contents into the lungs may result in toxic pneumonia
[
[3]
]. Increased risk of regurgitation occurs both in people who in a short time before
the ventilation ate a meal, trauma patients and pregnant women. To reduce the risk
of aspiration, the gold standard is to secure the airway in the unconscious through
a tracheal tube
[
[4]
]. The standard position during intubation is about finding the intubator behind the
head of the victim. However, in some emergency situations, such as traffic accidents,
to achieve such a position is difficult or completely impossible
[
5
,
6
]. Intubation of a patient jammed in a vehicle may be hindered owing to impeded airway
access. One solution may be face-to-face intubation
[
[7]
]. The aim of the study was to compare the efficacy of face-to-face intubation with
the use of 3 different devices.To read this article in full you will need to make a payment
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References
- Comparison of different flow-reducing bag-valve ventilation devices regarding respiratory mechanics and gastric inflation in an unprotected airway model.Resuscitation. 2008; 78: 224-229https://doi.org/10.1016/j.resuscitation.2008.02.022
- Can the ETView VivaSight SL rival conventional intubation using the Macintosh laryngoscope during adult resuscitation by novice physicians?: a randomized crossover manikin study.Medicine (Baltimore). 2015; 94: e850https://doi.org/10.1097/MD.0000000000000850
- Effects of stomach inflation on cardiopulmonary function and survival during hemorrhagic shock: a randomized, controlled, porcine study.Shock. 2016; 46: 99-105https://doi.org/10.1097/SHK.0000000000000575
- Comparison of intubation through the McGrath MAC, GlideScope, AirTraq, and miller laryngoscope by paramedics during child CPR: a randomized crossover manikin trial.Am J Emerg Med. 2015; 33: 946-950https://doi.org/10.1016/j.ajem.2015.04.017
- A randomized crossover trial comparing the C-MAC and Macintosh laryngoscopes for face-to-face intubation in a manikin.Am J Emerg Med. 2016; 34: 920-922https://doi.org/10.1016/j.ajem.2016.02.003
- Comparison of the VivaSight single lumen endotracheal tube and the Macintosh laryngoscope for emergency intubation by experienced paramedics in a standardized airway manikin with restricted access: a randomized, crossover trial.Am J Emerg Med. 2016; 34: 929-930https://doi.org/10.1016/j.ajem.2016.02.054
- Face-to-face tracheal intubation in adult patients: a comparison of the Airtraq™, Glidescope™ and Fastrach™ devices.J Anesth. 2015; 29: 893-898https://doi.org/10.1007/s00540-015-2052-6
Article Info
Publication History
Published online: June 23, 2016
Accepted:
June 21,
2016
Received:
June 16,
2016
Footnotes
☆Source of support: No sources of financial and material support to be declared.
Identification
Copyright
© 2016 Elsevier Inc. All rights reserved.
