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Laryngeal Tube and Intubating Laryngeal Mask Insertion in a Manikin by First-Responder Trainees after a Short Video-Clip Demonstration

Published online by Cambridge University Press:  28 June 2012

Jorma Jokela ,
Jouni Nurmi ,
Harald V. Genzwuerker  and
Maaret Castrén
Jorma Jokela*
Affiliation:
Finnish Defense Forces' Centre for Military Medicine, Lahti, Finland
Jouni Nurmi
Affiliation:
Department of Anesthesiology and Intensive Care Medicine, Helsinki University Central Hospital, Helsinki, Finland
Harald V. Genzwuerker
Affiliation:
Clinic of Anaesthesiology and Intensive Care Medicine, Neckar-Odenwald-Kliniken gGmbh, Hospital Buchen and Mosbach, Germany
Maaret Castrén
Affiliation:
Department of Clinical Science and Education, Karolinska Institutet, Södersjukhuset, Stockholm, Sweden
*
Finnish Defense Forces' Centre for Military MedicinePOB 215701 Lahti, Finland E-mail: [email protected]
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Abstract

Introduction:

This study was performed in the Finnish Defense Forces to assess the potential applicability and value of short video clips as educational material to teach advanced airway management and as the first means of introducing the use of a laryngeal tube (LT) or an intubating laryngeal mask (ILMA) to inexperienced, military, first-responder trainees with no prior hands-on experience.

Methods:

The 60 non-commissioned medical officers participating in this study were randomly assigned into one of two groups: the LT- and the ILMA-group. After viewing the video clips, the trainees were required to perform 10 consecutive, successful insertions of the given instrument into a manikin. The number and duration of the attempts required prior to the 10 consecutive successful insertions were measured.

Results:

The goal of 10 consecutive successful insertions was attained by all 30 subjects in the LT-group, and by 27 of 29 subjects in the ILMA-group with a maximum of 30 attempts. Improvement in the ease and speed of insertion was evident between the first and last consecutive insertions in both groups.

Conclusions:

“Satisfactory” to “good” skill levels are achieved with the applied video-clip demonstration method, even in inexperienced first-responder trainees lacking previous hands on experience.

Keywords

airway managementemergency carefirst respondersintubating laryngeal masklaryngeal tubemanikin studymilitary paramedicsresuscitationtrainingvideo
Type
Original Research
Information
Prehospital and Disaster Medicine , Volume 24 , Issue 1 , February 2009 , pp. 63 - 66
Copyright
Copyright © World Association for Disaster and Emergency Medicine 2009

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References

1. Nolan, JP, Deakin, CD, Soar, J, Böttiger, BW, Smith, G: European Resuscitation Council Guidelines for Resuscitation 2005. Section 4. Adult advanced life support. Resuscitation 2005;67S1:s39–s86.CrossRefGoogle Scholar
2. Stone, BJ, Chantler, PJ, Baskett, PJF: The incidence of regurgitation during cardiopulmonary resuscitation: A comparison between the bag valve mask and laryngeal mask airway. Resuscitation 1998;38:3–6.Google Scholar
3. Brain, AI, Verghese, C, Addy, EV, Kapila, A: The intubating laryngeal mask. I. Development of a new device for intubation of the trachea. Br J Anaesth 1997;6:699–703.CrossRefGoogle Scholar
4. Brain, AI, Verghese, C, Addy, EV, Kapila, A, Brimacombe J: The intubating laryngeal mask. II. A preliminary clinical report of a new means of intubating the trachea. Br J Anaesth 1997;7:704–709.CrossRefGoogle Scholar
5. Dörges, V, Ocker, H, Wenzel, V, Schmucker, P: The laryngeal tube: A new simple airway device. Anaesth Analg 2000;90:1220–1222.Google Scholar
6. Genzwuerker, HV, Hilker, T, Hohner, E, Kuhnert-Frey, B: The laryngeal tube: A new adjunct for airway management. Prehosp Emerg Care 2000;4:168–172.CrossRefGoogle ScholarPubMed
7. Agro, F, Cataldo, R, Alfano, A, Galli, B: A new prototype for airway management in an emergency: The laryngeal tube. Resuscitation 1999;3:284–286.Google Scholar
8. Genzwuerker, HV, Oberkinkhaus, J, Finteis, T, Kerger, H, Gernoth, C, Hinkelbein, J: Emergency airway management by first responders with the laryngeal tubeintuitive and repetitive use in a manikin. Scand J Trauma Resusc Emerg Med 2005;13:1–4.Google Scholar
10. Brain, AI: The development of the laryngeal mask—A brief history of the invention, early clinical studies and experimental work from which the laryngeal mask evolved. Eur J Anaesthesiol Suppl 1991;5–17.Google Scholar
11. Genzwuerker, HV, Finteis, T, Hinkelbein, J, Krieter, H: The LTSTM (Laryngeal Tube Suction): A new device for emergency airway management. Scand J Trauma Emerg Med 2003;11:125–131.Google Scholar
12. Kurola, J, Pere, P, Niemi-Murola, L, Silfvast, T, Kairaluoma, P, Rautoma, P, Castrén, M: Comparison of airway management with the intubating laryngeal mask, laryngeal tube and CobraPLA by paramedical students in anaesthetized pataients. Acta Anaesthesiol Scand 2006;50:40–44.CrossRefGoogle Scholar
13. Komatsu, R, Nagata, O, Kamata, K, Yamagata, K, Sessler, DI, Ozaki, M: Comparison of the intubating laryngeal mask airway and laryngeal tube placement during manual in-line stabilisation of the neck. Anaesthesia 2005;60:113–117.CrossRefGoogle ScholarPubMed