Use of an intubating laryngeal mask airway on out-of-hospital cardiac arrest patients in a developing emergency medical service system

doi:10.1016/j.jfma.2012.01.004

中山醫學大學機構典藏 CSMUIR > 醫學院 > 醫學系 > 期刊論文 > Item 310902500/18170

jsp.display-item.identifier=請使用永久網址來引用或連結此文件: https://ir.csmu.edu.tw:8080/ir/handle/310902500/18170

题名:	Use of an intubating laryngeal mask airway on out-of-hospital cardiac arrest patients in a developing emergency medical service system
作者:	Chien, L.-C.;Hsu, Hsu H.-C.;Lin, C.-H.;Cheng, Cheng C.-F.;Tung, Y.-C.;Hung, Hung H.-C.;Yeh, Yeh Y.-C.;Tsai, M.-C.
关键词:	Airway management;Intubating laryngeal mask airway (ILMA);Out-of-hospital cardiac arrest (OHCA);Prehospital
日期:	2012
上传时间:	2017-08-08T08:35:37Z (UTC)
ISSN:	9296646
摘要:	Background/Purpose: An intubating laryngeal mask airway (ILMA) is an alternative device for airway control, capable of providing effective ventilation in various situations. The purpose of this study is to compare the effects of the ILMA and bag-valve-mask (BVM) ventilation devices on out-of-hospital cardiac arrest (OHCA) patients. Methods: An ILMA training course was conducted by emergency medical technicians (EMTs). Before training, OHCA patients had received BVM ventilation; these patients were defined as the BVM group. After training, all EMTs in the area being served were instructed to immediately use an ILMA on OHCA patients when possible; these patients were defined as the ILMA group. Demographics, transport time, first arterial blood gas data, and the short-term outcomes of these two groups were analyzed. Results: A total of 398 OHCA patients (89 in the BVM group and 309 in the ILMA group) were analyzed. All of the EMTs passed the training course, and ILMAs were used in the emergency settings. The ILMA was applied to each OHCA patient for a longer-than-average field time than the BVM (9.5 vs. 7.8 minutes, p=0.006). The 24-hour survival rate of the ILMA-treated patients was significantly higher than BVM-treated patients (36.2% vs. 24.7%, p=0.033). Conclusion: Well-trained EMTs were able to insert the ILMA and ventilate OHCA patients properly in prehospital settings, and ILMA-treated OHCA patients had better short-term outcomes than BVM-treated patients. ? 2012.
URI:	http://dx.doi.org/10.1016/j.jfma.2012.01.004 https://www.scopus.com/inward/record.uri?eid=2-s2.0-84862826730&doi=10.1016%2fj.jfma.2012.01.004&partnerID=40&md5=177aef83a1d664ea2bfdb4f232a5e6f2 https://ir.csmu.edu.tw:8080/ir/handle/310902500/18170
關聯:	Journal of the Formosan Medical Association 111(1) ,24-29
显示于类别:	[醫學系] 期刊論文

文件中的档案:

没有与此文件相关的档案.

在CSMUIR中所有的数据项都受到原著作权保护.

TAIR相关文章

数据加载中.....