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3 results

  • Chapter 22 - Bariatrics

  • from Section 3 - Specialties
  • Edited by Ian Calder, Adrian Pearce
  • Book:
    Core Topics in Airway Management
    Published online:
    10 January 2011
    Print publication:
    16 December 2010, pp 203-208

  • Summary

    Blind intubation techniques remain within the CCT training syllabus in the UK and can be classified into four groups. The four groups are blind oral or nasal, retrograde, light-guided, and intubating laryngeal mask. Blind nasal intubation remains a popular and successful technique in both anaesthetised and awake patients. The term retrograde intubation is a misnomer, and it should perhaps be termed guided blind intubation or translaryngeal intubation. Retrograde techniques are relatively contraindicated when neck anatomy is unfavourable, there is infection in the neck, a bleeding diathesis or gross glottic abnormality. Light-guided intubation has been described through a supraglottic airway, and a recently developed blind intubation device (BID) incorporates a supraglottic airway with oesophageal airway component and catheter with lighted tip. Intubation through a supraglottic airway is a useful effective technique and is included in Plan B for failed direct laryngoscopy in the Difficult Airway Society guidelines.

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

  • Jorma Jokela, Jouni Nurmi, Harald V. Genzwuerker, Maaret Castrén
  • Journal:
    Prehospital and Disaster Medicine / Volume 24 / Issue 1 / February 2009
    Published online by Cambridge University Press:
    28 June 2012, pp. 63-66
    Print publication:
    February 2009
  • 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.