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Correspondence| Volume 37, ISSUE 7, P1392-1393, July 01, 2019

Attitudes of firefighters towards the use of supraglottic airways devices

Published:January 16, 2019DOI:https://doi.org/10.1016/j.ajem.2019.01.028
Attitudes of firefighters towards the use of supraglottic airways devices
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      In the article “Advanced airway management in out of hospital cardiac arrest: A systematic review and meta-analysis” by White et al. published in The American Journal of Emergency Medicine, the authors indicate that the overall heterogeneous benefit in survival with ETT was not replicated in the low risk randomized controlled trials, with no significant difference in survival or neurological outcome [
      • White L.
      • Melhuish T.
      • Holyoak R.
      • et al.
      Advanced airway management in out of hospital cardiac arrest: a systematic review and meta-analysis.
      Am J Emerg Med. 2018; 36: 2298-2306https://doi.org/10.1016/j.ajem.2018.09.045
      ]. It is worth noting that endotracheal intubation is a highly specialized procedure, requiring from the person performing it a lot of knowledge and skills in its use. As Buis et al. indicate, the learning curve for direct laryngoscopy is about 50 intubations [
      • Buis M.L.
      • Maissan I.M.
      • Hoeks S.E.
      • et al.
      Defining the learning curve for endotracheal intubation using direct laryngoscopy: a systematic review.
      Resuscitation. 2016; 99: 63-71https://doi.org/10.1016/j.resuscitation.2015.11.005
      ]. In the case of videolaryngoscopy it is much lower [
      • Gawel W.
      • Kaminska H.
      • Wieczorek W.
      UESope as a method of endotracheal intubation of trauma patient.
      Disaster Emerg Med J. 2017; 2: 175-176https://doi.org/10.5603/DEMJ.2017.0040
      ,
      • Ladny J.R.
      • Sierzantowicz R.
      • Kedziora J.
      • et al.
      Comparison of direct and optical laryngoscopy during simulated cardiopulmonary resuscitation.
      Am J Emerg Med. 2017; 35: 518-519https://doi.org/10.1016/j.ajem.2016.12.026
      ,
      • Madziala M.
      The ETView tracheoscopic ventilation tube for trauma patient intubation.
      Disaster Emerg Med J. 2018; 3: 69-70https://doi.org/10.5603/DEMJ.2018.0016
      ]. After all, because of the cost of videolaryngoscopes, they are relatively rarely used in pre-hospital settings. An alternative to them can be supraglottic airway devices, which in present times are used not only in pre-hospital settings [
      • Frass M.
      • Robak O.
      • Smereka J.
      • et al.
      Securing the airway patency by firefighters with the use of CombiTube. A pilot data.
      Disaster Emerg Med J. 2018; 3: 46-50https://doi.org/10.5603/DEMJ.2018.0011
      ,
      • Ladny J.R.
      • Bielski K.
      • Szarpak L.
      • et al.
      Are nurses able to perform blind intubation? Randomized comparison of I-gel and laryngeal mask airway.
      Am J Emerg Med. 2017; 35: 786-787https://doi.org/10.1016/j.ajem.2016.11.046
      ], but also under operating theatre conditions [
      • Robak O.
      • Vaida S.
      • Somri M.
      • et al.
      Inter-center comparison of EasyTube and endotracheal tube during general anesthesia in minor elective surgery.
      PLoS One. Jun 2 2017; 12e0178756https://doi.org/10.1371/journal.pone.0178756
      ].
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      References

        • White L.
        • Melhuish T.
        • Holyoak R.
        • et al.
        Advanced airway management in out of hospital cardiac arrest: a systematic review and meta-analysis.
        Am J Emerg Med. 2018; 36: 2298-2306https://doi.org/10.1016/j.ajem.2018.09.045
        View in Article
        • Buis M.L.
        • Maissan I.M.
        • Hoeks S.E.
        • et al.
        Defining the learning curve for endotracheal intubation using direct laryngoscopy: a systematic review.
        Resuscitation. 2016; 99: 63-71https://doi.org/10.1016/j.resuscitation.2015.11.005
        View in Article
        • Gawel W.
        • Kaminska H.
        • Wieczorek W.
        UESope as a method of endotracheal intubation of trauma patient.
        Disaster Emerg Med J. 2017; 2: 175-176https://doi.org/10.5603/DEMJ.2017.0040
        View in Article
        • Ladny J.R.
        • Sierzantowicz R.
        • Kedziora J.
        • et al.
        Comparison of direct and optical laryngoscopy during simulated cardiopulmonary resuscitation.
        Am J Emerg Med. 2017; 35: 518-519https://doi.org/10.1016/j.ajem.2016.12.026
        View in Article
        • Madziala M.
        The ETView tracheoscopic ventilation tube for trauma patient intubation.
        Disaster Emerg Med J. 2018; 3: 69-70https://doi.org/10.5603/DEMJ.2018.0016
        View in Article
        • Frass M.
        • Robak O.
        • Smereka J.
        • et al.
        Securing the airway patency by firefighters with the use of CombiTube. A pilot data.
        Disaster Emerg Med J. 2018; 3: 46-50https://doi.org/10.5603/DEMJ.2018.0011
        View in Article
        • Ladny J.R.
        • Bielski K.
        • Szarpak L.
        • et al.
        Are nurses able to perform blind intubation? Randomized comparison of I-gel and laryngeal mask airway.
        Am J Emerg Med. 2017; 35: 786-787https://doi.org/10.1016/j.ajem.2016.11.046
        View in Article
        • Robak O.
        • Vaida S.
        • Somri M.
        • et al.
        Inter-center comparison of EasyTube and endotracheal tube during general anesthesia in minor elective surgery.
        PLoS One. Jun 2 2017; 12e0178756https://doi.org/10.1371/journal.pone.0178756
        View in Article

      Article Info

      Publication History

      Published online: January 16, 2019
      Accepted: January 16, 2019
      Received: January 13, 2019

      Identification

      DOI: https://doi.org/10.1016/j.ajem.2019.01.028

      Copyright

      © 2019 Elsevier Inc. All rights reserved.

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