Auswahl der wissenschaftlichen Literatur zum Thema „Emergency Airway Management“

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Zeitschriftenartikel zum Thema "Emergency Airway Management"

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Blanda, Michele, und Ugo E. Gallo. „Emergency airway management“. Emergency Medicine Clinics of North America 21, Nr. 1 (Februar 2003): 1–26. http://dx.doi.org/10.1016/s0733-8627(02)00089-5.

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Asai, T. „Emergency Airway Management“. British Journal of Anaesthesia 115, Nr. 5 (November 2015): 805–6. http://dx.doi.org/10.1093/bja/aev328.

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Papadatos, Anthony. „Emergency Airway Management“. Emergency Medicine News 27, Nr. 8 (August 2005): 20. http://dx.doi.org/10.1097/00132981-200508000-00031.

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Hurford, William E. „Emergency Airway Management“. Anesthesia & Analgesia 72, Nr. 1 (Januar 1991): 133. http://dx.doi.org/10.1213/00000539-199101000-00032.

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Simon, Barry, und Gary P. Young. „Emergency Airway Management“. Academic Emergency Medicine 1, Nr. 2 (29.09.2008): 154–57. http://dx.doi.org/10.1111/j.1553-2712.1994.tb02748.x.

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Bodenham, A. R. „Emergency Airway Management“. British Journal of Anaesthesia 102, Nr. 3 (März 2009): 437. http://dx.doi.org/10.1093/bja/aen392.

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Boylan, John F., und Brian P. Kavanagh. „Emergency Airway Management“. Anesthesiology 109, Nr. 6 (01.12.2008): 945–47. http://dx.doi.org/10.1097/aln.0b013e31818e3f8f.

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Hochbaum, Solomon R. „Emergency Airway Management“. Emergency Medicine Clinics of North America 4, Nr. 3 (August 1986): 411–25. http://dx.doi.org/10.1016/s0733-8627(20)31013-0.

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Finucane, Brendan T. „EMERGENCY AIRWAY MANAGEMENT“. Anesthesiology Clinics of North America 13, Nr. 3 (September 1995): 543–64. http://dx.doi.org/10.1016/s0889-8537(21)00503-4.

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Nemeth, Joe, Nisreen Maghraby und Sara Kazim. „Emergency Airway Management: the Difficult Airway“. Emergency Medicine Clinics of North America 30, Nr. 2 (Mai 2012): 401–20. http://dx.doi.org/10.1016/j.emc.2011.12.005.

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Dissertationen zum Thema "Emergency Airway Management"

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Struck, Manuel F., André Beilicke, Albrecht Hoffmeister, Ines Gockel, André Gries, Hermann Wrigge und Michael Bernhard. „Acute emergency care and airway management of caustic ingestion in adults“. Universitätsbibliothek Leipzig, 2016. http://nbn-resolving.de/urn:nbn:de:bsz:15-qucosa-205228.

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Background: Caustic ingestions are rare but potentially life-threatening events requiring multidisciplinary emergency approaches. Although particularly respiratory functions may be impaired after caustic ingestions, studies involving acute emergency care are scarce. The goal of this study was to explore acute emergency care with respect to airway management and emergency department (ED) infrastructures. Methods: We retrospectively evaluated adult patients after caustic ingestions admitted to our university hospital over a 10-year period (2005–2014). Prognostic analysis included age, morbidity, ingested agent, airway management, interventions (endoscopy findings, computed tomography (CT), surgical procedures), intensive care unit (ICU) admission, length of stay in hospital and hospital mortality. Results: Twenty-eight patients with caustic ingestions were included in the analysis of which 18 (64 %) had suicidal intentions. Ingested agents were caustic alkalis (n = 22; 79 %) and acids (n = 6; 21 %). ICU admission was required in 20 patients (71 %). Fourteen patients (50 %) underwent tracheal intubation and mechanical ventilation, of which 3 (21 %) presented with difficult airways. Seven patients (25 %) underwent tracheotomy including one requiring awake tracheotomy due to progressive upper airway obstruction. Esophagogastroduodenoscopy (EGD) was performed in 21 patients (75 %) and 11 (39 %) underwent CT examination. Five patients (18 %) required emergency surgery with a mortality of 60 %. Overall hospital mortality was 18 % whereas the need for tracheal intubation (P = 0.012), CT-diagnostic (P = 0.001), higher EGD score (P = 0.006), tracheotomy (P = 0.048), and surgical interventions (P = 0.005) were significantly associated with mortality. Conclusions: Caustic ingestions in adult patients require an ED infrastructure providing 24/7-availability of expertise in establishing emergent airway safety, endoscopic examination (EGD and bronchoscopy), and CT diagnostic, intensive care and emergency esophageal surgery. We recommend that - even in patients with apparently stable clinical conditions - careful monitoring of respiratory functions should be considered as long as diagnostic work-up is completed.
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Sobuwa, Simpiwe. „Prehospital airway management in severe closed traumatic brain injury an analysis of its impact on outcome“. Master's thesis, University of Cape Town, 2012. http://hdl.handle.net/11427/2873.

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Includes abstract.
Includes bibliographical references.
The purpose of this study was to describe the outcomes of patients with severe traumatic brain injury managed by emergency care providers in the Cape Town Metropole.
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Sikuvi, Kaveto Andreas. „The availability and perceived knowledge of use of airway management devices in emergency centres at referral hospitals in Namibia“. Master's thesis, Faculty of Health Sciences, 2017. http://hdl.handle.net/11427/31225.

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Introduction Maintaining the airway is an essential element in the care of any ill or injured patient. Inadequate management of the airway may lead to hypoxia and hypercarbia with subsequent secondary brain injury, cardiopulmonary arrest, and ultimately death. The aim of the study was to identify which airway devices are available in public emergency centres of referral hospitals in Namibia and to determine the perceived level of knowledge of use regarding these devices. Methods A cross-sectional study was conducted in four emergency centres of referral hospitals in Namibia. Data regarding the availability of airway devices were collected on a standardised data sheet by means of a site inspection. A questionnaire was also distributed to emergency centre doctors to assess their perceived knowledge of use of airway devices. Descriptive statistics of all variables are reported. Results Twenty-two different airway devices were documented at study hospitals. All centres had some form of basic airway devices. Only one (25%) had venturi-masks. Two centres (50%) had one type of introducer (Gum elastic bougie) whilst none of the centres had video laryngoscopes, surgical airway devices or laryngeal tubes. Twelve participants (32.4%) had received formal training on airway devices (senior clinicians n=6, junior clinicians n=6), and 25 (67.6%) had no formal training (senior clinicians n=11, junior clinicians n=12). Majority of the clinicians lacked perceived knowledge in the use of alternative airway devices which were not available in their respective emergency centres, with a frequency of 81.4%. Conclusion The study indicates that basic airway devices are available in referral emergency centres in Namibia, however most of the alternative airway devices are not adequately stocked in the sampled emergency centres. Furthermore, a large number of clinicians had perceived knowledge of the basic airway devices. However, the perceived level of knowledge of use in alternative airway devices was inadequate.
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Dean, Preston. „Understanding Video Laryngoscope Screen Visualization Patterns in the Pediatric Emergency Department and the Impact on Procedural Performance“. University of Cincinnati / OhioLINK, 2021. http://rave.ohiolink.edu/etdc/view?acc_num=ucin1623169774702892.

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Burke, Jan. „Prehospital advanced airway management practices by advanced life support providers: A retrospective observational study of emergency medical service providers in South Africa“. Master's thesis, Faculty of Health Sciences, 2021. http://hdl.handle.net/11427/32596.

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Introduction: The skill of endotracheal intubation to achieve a definitive airway for critically ill and injured patients in the prehospital setting is frequently performed by advanced life support providers. Several methods may be utilised, including intubation without the use of medication, the use of sedatives or a rapid sequence intubation. There is a paucity of data available that assesses prehospital advanced airway intubation practices in South Africa. The aim of this study is to describe the advanced airway management practices of advanced life support providers across South Africa. Methods: A retrospective, observational study method was used (chart review). Electronic patient care records were sourced from private and public emergency medical services companies and collated accordingly. Results: A total of 704 cases were included. Intubation during cardiac arrest was the most common approach to airway management (n=280, 40%) followed by rapid sequence intubation (n=202, 28%), medication-facilitated intubations (n=152, 22%) and a nomedication approach (n=70, 10%). Successful intubation using an endotracheal tube was reported in 197 (98%) of rapid sequence intubation cases, 134 (88%) of the medication facilitated cases, 61 (87%) of no-medication cases and 228 (81%) of cardiac arrest cases. A first-pass success rate was described in 260 (79%) cases, with the cardiac arrest group having a first-pass success of 85%, followed by the rapid sequence intubation group (83%), the nomedication group (71%) and the medication facilitated group (61%). Hypotension and cardiac arrest were the most common adverse events. A total of 496 (70%) patients were alive at hospital handover. The average scene time and transportation time was 42 minutes and 24 minutes respectively for the rapid sequence intubation group, 42min and 27min for the medication facilitated group, 44min and 25min for the no-medication group and 57min and 16min for the cardiac arrest group. Discussion: The study described the prehospital airway management practices by advanced life support providers in South Africa. Rapid sequence intubation had the highest endotracheal intubation success rate overall and the lowest prevalence of adverse events. There was no statistical difference in survival between the rapid sequence intubation, medication facilitated and no-medication group. Due to a lack in standardised treatment guidelines, differences in fluid administration, post-intubation care, confirmation of placement and ventilation were noted. No standard approach to record keeping was found, with the quality of patient care records being variable. A standardised advanced airway management report would be beneficial as it would improve the quality of data recorded and allow for better comparisons to be made.
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Natt, B. S., J. Malo, C. D. Hypes, J. C. Sakles und J. M. Mosier. „Strategies to improve first attempt success at intubation in critically ill patients“. OXFORD UNIV PRESS, 2016. http://hdl.handle.net/10150/622528.

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Tracheal intubation in critically ill patients is a high-risk procedure. The risk of complications increases with repeated or prolonged attempts, making expedient first attempt success the goal for airway management in these patients. Patient-related factors often make visualization of the airway and placement of the tracheal tube difficult. Physiologic derangements reduce the patient's tolerance for repeated or prolonged attempts at laryngoscopy and, as a result, hypoxaemia and haemodynamic deterioration are common complications. Operator-related factors such as experience, device selection, and pharmacologic choices affect the odds of a successful intubation on the first attempt. This review will discuss the 'difficult airway' in critically ill patients and highlight recent advances in airway management that have been shown to improve first attempt success and decrease adverse events associated with the intubation of critically ill patients.
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Smit, Pierre Christo. „Recommendations on the safety and effectiveness of Ketamine for induction to facilitate advanced airway management in head injured patients in South Africa by pre-hospital professionals: A rapid review“. Master's thesis, University of Cape Town, 2016. http://hdl.handle.net/11427/23706.

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Background: The South African 2006 Advanced Life Support and Emergency Care Practitioner protocols do not currently reflect the latest, best evidence-based practices for emergency care, specifically regarding induction agents in head injury patients. Recent evidence has challenged some preconceptions regarding the use and safety of Ketamine in head injuries. In response to this, the Health Professions Council of South Africa Professional Board for Emergency Care (HPCSA PBEC) has requested a review of the emergency care protocols. Objectives: To determine the evidence of effectiveness and safety of intravenous/intraosseous (IV/IO) Ketamine as an induction agent for adult patients with traumatic brain injury, the authors aimed to determine the all-cause mortality at 30 days, adverse events/effects, morbidity and rate of successful intubation associated with ketamine administration, as compared to standard induction agents. Research Question: What is the evidence of effectiveness and safety of IV/IO Ketamine in adult patients with head injury, for pre-hospital induction in advanced airway management, compared to standard therapy? Methods: The review followed a tiered approach, where three different tiers of searches were performed for articles relevant to the research question. Two authors independently and in induplicate performed title, abstract and full-text review for each potentially included article, as well as critical appraisal of 3 CPGs found in the tier 1 searches. Tier 1 searched for Clinical Practice Guidelines (CPGs), tier 2 for Systematic Reviews (SRs) and tier 3 for Randomised Controlled Trials (RCTs) relating to the research question. No grey literature searches were performed, but reference lists of included articles were searched for relevant articles. Main Results: The authors could not find any studies to include (CPGs, SRs or RCTs) in this review which would answer the research question. However, several articles were found which describe ketamine use in the Intensive Care Unit (ICU) and surgical patients with regards to intracranial pressure, cerebral perfusion pressure and general haemodynamic effects. Another article (RCT) was found which used ketamine as an induction agent compared to etomidate to facilitate intubation in critically ill patients. These articles provide some helpful insights as to ketamine's effectiveness and safety for induction to facilitate intubation in traumatic brain injury patients in the pre-hospital setting. Conclusions: The authors could not make any recommendations regarding the research question, and the safety and effectiveness of ketamine for induction to facilitate intubation in adult traumatic brain injury remains unclear. A lack of empirical evidence at RCT level has led to substantial knowledge gaps regarding our understanding of Ketamine and its effects in traumatic brain injury patients.
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Benoit, Justin L. „Out-of-Hospital Cardiac Arrest Patients Have Better Outcomes with Endotracheal Intubation Compared to Supraglottic Airway Placement: A Meta-Analysis“. University of Cincinnati / OhioLINK, 2015. http://rave.ohiolink.edu/etdc/view?acc_num=ucin1427962667.

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Raatiniemi, L. (Lasse). „Major trauma in Northern Finland“. Doctoral thesis, Oulun yliopisto, 2016. http://urn.fi/urn:isbn:9789526213330.

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Abstract Trauma patients are a significant patient group for emergency medical services (EMS). Not only are injuries a significant cause of death, they also have a significant long-term impact on functionality and quality of life. Previous studies have shown that the injury-related mortality rate is higher in sparsely populated areas and that the majority of patients die before the arrival of EMS. Intensive care mortality is significant, and half of seriously injured patients develop multiple organ dysfunction. Airway management is one of the most important procedures that EMS provide for a critically injured patient, but making high-quality care available in a sparsely populated area is challenging. Seriously injured patients also appear to benefit from being transported directly to a trauma centre. In recent years particular attention has been given to the level and availability of EMS. Hospitals’ readiness to provide acute surgery is also being reorganised. More information is needed about the frequency, circumstances, outcome and acute care of serious and fatal injuries so that health care resources can be allotted appropriately and requirements for prevention can be identified. The purpose of this research was to investigate the frequency and circumstances of injury-related deaths in Northern Finland and the prognosis of trauma patients encountered by the Finnish helicopter emergency services (FinnHEMS). A particular objective was to examine differences between rural and urban areas. The National Advisory Committee for Aeronautics (NACA) severity score’s ability to predict 30-day mortality was also examined. The fourth part of the study aimed to investigate the pre-hospital airway management performed by non-physicians in Northern Finland. The study material was comprised of trauma deaths that occurred in Northern Finland in 2007–2011, trauma patients encountered by FinnHEMS units in Northern Finland in 2012–2013, patients encountered by HEMS in Northern Norway in 1999–2009 and a questionnaire regarding pre-hospital airway management to non-physicians. The study concluded that the rate of trauma deaths is high in Northern Finland, and the influence of alcohol was found in nearly half of pre-hospital trauma death cases. A larger portion of pre-hospital deaths also took place in rural areas. Trauma patients encountered by FinnHEMS units in urban areas who survived to hospital, appeared to have higher 30-day mortality than patients injured in rural areas. The most probable explanation for this difference is that patients injured in urban areas survive to hospital, while trauma patients in rural areas die pre-hospital. The NACA score was found to reliably predict 30-day mortality. Due to its simplicity, the NACA score can be used to compare patient material from different HEMS bases. It was found that non-physicians seldom performed airway management. On average, the frequency of performing airway management was low, and there is a need to improve maintenance of skills
Tiivistelmä Vammapotilaat ovat merkittävä ensi- ja tehohoidon potilasryhmä. Paisi, että vammautumiset ovat merkittävä kuolinsyy, aiheuttavat ne myös merkittäviä pitkäaikaisvaikutuksia toimintakykyyn ja elämänlaatuun. Aikaisemmissa tutkimuksissa on osoitettu, että vammakuolleisuus on yleisempää harvaanasutuilla seuduilla ja valtaosa potilaista kuolee jo ennen ensihoidon saapumista paikalle. Tehohoitokuolleisuus on merkittävää ja puolet vaikeasti loukkaantuneista potilaista kärsii monielinvauriosta. Ensihoidon tärkeimpiä tehtäviä kriittisesti vammautuneilla on hengitystien varmistaminen, mutta korkeatasoisen hoidon saatavuus harvaanasutulla seudulla on haasteellista. Vaikeasti vammautuneet potilaat näyttävät myös hyötyvän kuljetuksesta suoraan lopulliseen hoitopaikkaan. Viime vuosina ensihoidon tasoon ja saatavuuteen on kiinnitetty erityistä huomiota. Lisäksi sairaaloiden päivystysvalmiuden uudelleenorganisointi on käynnissä. Lisätietoa tarvitaan vakavien ja kuolemaan johtavien vammojen esiintyvyydestä ja olosuhteista, ennusteesta sekä akuuttihoidon toteutumisesta, jotta terveydenhuollon resursseja voitaisiin kohdentaa tarkoituksenmukaisesti ja ennaltaehkäisyn tarpeet voitaisiin tunnistaa. Tämän tutkimuksen tarkoituksena oli selvittää vammakuolemien esiintyvyyttä ja olosuhteita Pohjois-Suomessa sekä suomalaisten lääkintä- ja lääkärihelikopteriyksikköjen (FinnHEMS) kohtaamien vammapotilaiden ennustetta. Erityisenä tavoitteena oli tutkia maaseutu- ja kaupunkialueiden eroja. Lisäksi tutkittiin National Advisory Committee for Aeronautics (NACA)- vaikeusasteluokittelun kykyä ennustaa 30 päivän kuolleisuutta. Neljännen osatyön tavoitteena oli tutkia ensihoitajien suorittaman hengitystien varmistamisen käytäntöä Pohjois-Suomessa. Tutkimusaineisto koostui vuosina 2007‒2011 Pohjois-Suomessa tapahtuneista vammakuolemista, FinnHEMS:in yksiköiden kohtaamista vammapotilaista Pohjois-Suomessa vuosina 2012‒2013, Pohjois-Norjan pelastushelikopterin kohtaamista potilaista vuosina 1999‒2009 sekä ensihoitajille tehdystä kyselytutkimuksesta hengitystien hallintaan liittyen. Tutkimuksessa todettiin, että kuolemaan johtaneiden vammojen esiintyvyys on korkea Pohjois-Suomessa. Lisäksi havaittiin, että lähes puoleen sairaalan ulkopuolella tapahtuneisiin vammapotilaiden kuolintapauksiin liittyi alkoholi. Maaseudulla myös suurempi osa menehtyi sairaalan ulkopuolella. FinnHEMS:in yksiköiden kaupunkialueella kohtaamilla vammapotilailla, jotka selvisivät sairaalaan, havaittiin viitettä korkeampaan 30 päivän kuolleisuuteen verrattuna maaseudulla vammautuneihin. Ero johtuu todennäköisemmin siitä, että kaupunkialueella vammautuneet ehtivät sairaalaan kun taas maaseudulla vammapotilaat kuolevat jo ennen ensihoitopalvelun saapumista. NACA-vaikeusasteluokittelun todettiin ennustavan luotettavasti 30 päivän kuolleisuutta. Yksinkertaisuutensa vuoksi se soveltuu potilasmateriaalin vertailemiseen eri tukikohtien välillä. Ensihoitajan suorittama hengitystien varmistaminen havaittiin olevan harvinaista. Keskimääräisesti suoritteita tapahtui harvoin, ja taitojen ylläpitämisessä oli parantamisen varaa
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Pedersoli, Cesar Eduardo. „Desempenho dos estudantes de enfermagem na inserção de dispositivo supraglótico (máscara laríngea): um estudo randomizado e controlado em manequins“. Universidade de São Paulo, 2013. http://www.teses.usp.br/teses/disponiveis/22/22132/tde-06012014-155627/.

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Estudo com objetivo de avaliar e comparar o desempenho teórico e prático de estudantes de enfermagem submetidos a estratégias de ensino-aprendizagem, aula expositivo-dialogada e atividade prática em laboratório de habilidades ou aula simulada, no manejo da via aérea em emergências por meio da máscara laríngea (ML). Estudo com delineamento experimental, abordagem quantitativa, de intervenção tipo Ensaio Clínico Randomizado Controlado. A população consistiu dos estudantes do oitavo período, bacharelado, da Escola de Enfermagem de Ribeirão Preto e a amostra de 17 estudantes, randomizados para grupo controle (GC) e grupo intervenção (GI). O GC foi submetido à aula expositivo-dialogada seguida de atividade prática em laboratório de habilidades com manequim de baixa fidelidade e o GI à aula simulada em laboratório utilizando o mesmo manequim. Elaboraram-se os instrumentos de avaliação escrita, cenário de simulação e avaliação clínica objetiva e estruturada no cenário de simulação (checklist), validados em aparência e conteúdo por comitê de juízes. A estratégia de coleta de dados foi Workshop intitulado \"Manejo da via aérea em emergências: uso da ML\". Foram avaliados teste escrito e OSCE (Exame Clínico Objetivo Estruturado) - avaliação clínica estruturada em Laboratório de Simulação, este último empregando como ferramenta o manequim de média-fidelidade. A atividade foi filmada e analisada por três avaliadores. Analisaram-se os desfechos: desempenho teórico no teste escrito e prático no OSCE, tempo de execução do OSCE, tempo para obtenção da primeira ventilação eficaz, número de tentativas para inserção da ML até obtenção de ventilação efetiva. Resultados: 16 estudantes eram do sexo feminino e um do sexo masculino, a idade média 24,4±4,2 anos. No pré-teste a nota média do GC de 6,6±1,0 e do GI de 6,5±0,5 e a mediana para ambos 6,5. No pós-teste a nota média do GC foi 8,4±0,8 (mediana 8,5), do GI de 8,6±1,1 (mediana 8,6). Comparando-se as médias obtidas no pré-teste por ambos os grupos, não há diferença estatisticamente significante (p=07427). Tal fato também pôde ser constatado no pós-teste (p=0,7117). Comparando as notas pré e pós-teste do GC evidenciou diferença estatisticamente significante (p=0,0025) o que também ocorreu para o GI (p=0,0002). A média no OSCE do GC foi 7,8±0,52 e GI 8,4±0,89; comparou-se tais notas verificando-se que não há diferença estatisticamente significante (p=0,0822). A média obtida pelo GC no pós-teste foi maior que a média obtida no OSCE e, para o GI, são equivalentes. O tempo médio de execução do OSCE pelo GC foi 479,8±183,3s (mediana 468,5s) e no GI 520,3±157s (mediana 506s), não havendo diferença estatisticamente significante (p=0,6311) e também para obtenção da primeira ventilação eficaz (p=0,9835). A média do nº tentativas para inserção da ML pelo GC 1,63±0,74 e GI 1,56±0,63. Embora os resultados não apontem diferença estatisticamente significante entre as médias dos grupos no pós-teste, para o GI os escores foram superiores. No presente estudo, apesar de diferentes estratégias de ensino abordarem o manejo da via aérea em emergências com a ML, os resultados demonstram que as mesmas foram eficazes e os objetivos de aprendizagem foram alcançados, pois houve incremento nas notas obtidas no pós-teste e no OSCE em ambos os grupos.
Study aimed to evaluate and compare the theoretical and practical performance of nursing students subjected to teaching and learning strategies, exhibition-dialogued class, and practical activity in skill lab or simulated class in airway management in emergencies through laryngeal mask (LM). This is a study of experimental design, quantitative approach, intervention type, Controlled Randomized Trials. The population consisted of students in the eighth semester from the Bachelor\'s Degree of the University of São Paulo at Ribeirão Preto College of Nursing and the sample consisted of 17 students, randomly assigned to the control group (CG) and the intervention group (IG). The CG was subjected to exhibition-dialogued class followed by practical activity in skill lab with low-fidelity mannequin and the IG to simulated class in the lab using the same mannequin. Written evaluation instruments, simulation scenario and objective structured clinical evaluation in simulation scenario (checklist) were developed and validated in appearance and content by a committee of judges. The strategy for data collection was the workshop entitled \"Airway management in emergencies: use of LM\". They were evaluates through written test and the OSCE (Objective Structured Clinical Examination) - structured clinical evaluation in Simulation Laboratory, the latter employing the medium-fidelity mannequin as tool. The activity was filmed and analyzed by three evaluators. The outcomes were analyzed: theoretical performance in written and practical test in the OSCE, the OSCE runtime, time to obtain the first effective ventilation, number of attempts to insert the LM to obtain effective ventilation. Results: 16 students were female and one male, mean age 24.4±4.2 years. In the pre-test the score average of CG was 6.6±1.0 and of IG was 6.5±0.5 and the median for both was 6.5. At post-test, the average score of CG was 8.4±0.8 (median 8.5), of IG was 8.6±1.1 (median 8.6). Comparing the averages obtained in the pre-test for both groups, there was no statistically significant difference (p=0.7427). This fact could also be observed in the post-test (p=0.7117). Comparing notes of pre and post-test of CG there was a statistically significant difference (p=0.0025) which also occurred for IG (p=0.0002). The mean of the OSCE for CG was 7.8±0.52 and for IG was 8,4±0,89; compared to such notes and it was verified that there is no statistically significant difference (p=0.0822). The average obtained by CG in the post-test was higher than the average obtained IG in the OSCE, and for IG they were equivalent. The average execution time of the OSCE for CG was 479.8 ± 183.3s (median 468.5s) and for IG 520.3±157s (506s median), with no statistically significant difference (p=0.6311) and also for obtaining the first effective ventilation (p=0.9835). The average of attempts to insert the LM by CG was 1.63±0.74 and by IG was 1.56±0.63 GI. Although the results do not indicate a statistically significant difference between the averages of the groups in the post-test, the scores were higher for IG. In this study, although different teaching strategies addressing airway management in emergencies through LM were used, the results show that they were effective and the learning objectives have been achieved, because there was an increase in the scores obtained in the post-test and in the OSCE in both groups.
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Bücher zum Thema "Emergency Airway Management"

1

Gorback, Michael S. Emergency airway management. Philadelphia: B.C. Decker, 1990.

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Kovacs, George. Emergency airway management. New York, NY: McGraw-Hill, 2008.

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Burtenshaw, Andrew, Jonathan Benger und Jerry Nolan, Hrsg. Emergency Airway Management. Cambridge: Cambridge University Press, 2015. http://dx.doi.org/10.1017/cbo9781107707542.

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Benger, Jonathan, Jerry Nolan und Mike Clancy, Hrsg. Emergency Airway Management. Cambridge: Cambridge University Press, 2008. http://dx.doi.org/10.1017/cbo9780511544491.

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Berkow, Lauren C., und John C. Sakles, Hrsg. Cases in Emergency Airway Management. Cambridge: Cambridge University Press, 2015. http://dx.doi.org/10.1017/cbo9781139941471.

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Manual of emergency airway management. 4. Aufl. Philadelphia: Wolters Kluwer/Lippincott Williams & Wilkins Heath, 2012.

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Rich, James Michael. SLAM: Street-level airway management. Lexington, KY: Emeth Press, 2014.

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8

Atlas of airway management: Techniques and tools. 2. Aufl. Philadelphia, PA: Lippincott Williams & Wilkins, 2012.

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9

Atlas of airway management: Techniques and tools. Philadelphia, PA: Lippincott Williams & Wilkins, 2007.

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10

Burtenshaw, Andrew. Emergency Airway Management. Cambridge University Press, 2015.

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Buchteile zum Thema "Emergency Airway Management"

1

Anzalone, Brendan, und Henry E. Wang. „Airway management“. In Emergency Medical Services, 43–49. Chichester, UK: John Wiley & Sons, Ltd, 2015. http://dx.doi.org/10.1002/9781118990810.ch4.

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Cooley, Laura A., Daniel G. Bausch, Marija Stojkovic, Waldemar Hosch, Thomas Junghanss, Marija Stojkovic, Waldemar Hosch et al. „Emergency Airway Management“. In Encyclopedia of Intensive Care Medicine, 835. Berlin, Heidelberg: Springer Berlin Heidelberg, 2012. http://dx.doi.org/10.1007/978-3-642-00418-6_1520.

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3

Gaillard, John P. „Airway Management“. In Emergency Department Critical Care, 21–54. Cham: Springer International Publishing, 2020. http://dx.doi.org/10.1007/978-3-030-28794-8_2.

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Guyette, Francis X., und Henry E. Wang. „EMS airway management“. In Emergency Medical Services, 17–29. Chichester, UK: John Wiley & Sons, Ltd, 2015. http://dx.doi.org/10.1002/9781118990810.ch2.

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Rozanski, Elizabeth. „Airway Management“. In Textbook of Small Animal Emergency Medicine, 1173–76. Hoboken, NJ, USA: John Wiley & Sons, Inc., 2018. http://dx.doi.org/10.1002/9781119028994.ch180.

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Fantoni, A. „Airway Management“. In Anaesthesia, Pain, Intensive Care and Emergency Medicine — A.P.I.C.E., 747–53. Milano: Springer Milan, 1996. http://dx.doi.org/10.1007/978-88-470-2203-4_68.

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Poovathumparambil, Venugopalan. „Airway Management in ED“. In Clinical Pathways in Emergency Medicine, 3–18. New Delhi: Springer India, 2016. http://dx.doi.org/10.1007/978-81-322-2710-6_1.

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Welch, Stephen M., Jeffrey P. Coughenour und Stephen L. Barnes. „Airway and Perioperative Management“. In Surgical Critical Care and Emergency Surgery, 69–78. Chichester, UK: John Wiley & Sons, Ltd, 2018. http://dx.doi.org/10.1002/9781119317913.ch7.

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Coughenour, Jeffrey P., und Stephen L. Barnes. „Airway Management, Anesthesia, and Perioperative Management“. In Surgical Critical Care and Emergency Surgery, 62–75. Chichester, UK: John Wiley & Sons, Ltd, 2012. http://dx.doi.org/10.1002/9781118274231.ch6.

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Giovannitti, Joseph A. „Periodontal Airway Management Strategies“. In Moderate Sedation and Emergency Medicine for Periodontists, 45–52. Cham: Springer International Publishing, 2020. http://dx.doi.org/10.1007/978-3-030-35750-4_5.

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Konferenzberichte zum Thema "Emergency Airway Management"

1

Pratishruti, H. R. Ashwini, H. Shantha und Safiya Shaikh. „Emergency Airway Management of Penetrating Injury of Neck“. In ISACON KARNATAKA 2017 33rd Annual Conference of Indian Society of Anaesthesiologists (ISA), Karnataka State Chapter. Indian Society of Anaesthesiologists (ISA), 2017. http://dx.doi.org/10.18311/isacon-karnataka/2017/ep037.

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Piñero Prieto, D., A. Díaz Fernández, C. Guillén Iranzo, N. Campos Fernández, R. Marrero García und E. Martin Machin. „Tracheal Rupture and Emergency Airway Management: About a Case“. In American Thoracic Society 2021 International Conference, May 14-19, 2021 - San Diego, CA. American Thoracic Society, 2021. http://dx.doi.org/10.1164/ajrccm-conference.2021.203.1_meetingabstracts.a2985.

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Brown, W., D. R. Janz, D. Russell, E. M. Joffe, D. M. James, D. J. Vonderhaar, J. R. West, T. W. Rice, M. W. Semler und J. D. Casey. „Effect of Operator Experience on Outcomes of Emergency Airway Management: The ICU Intubation Learning Curve“. In American Thoracic Society 2019 International Conference, May 17-22, 2019 - Dallas, TX. American Thoracic Society, 2019. http://dx.doi.org/10.1164/ajrccm-conference.2019.199.1_meetingabstracts.a5985.

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Parkins, K., C. Kanaris, J. Bordoni, S. Emsden, R. Phatak und L. Pritchard. „G456(P) Anticipation and management of the difficult paediatric airway in the emergency department: a series of cases encountered by a regional critical care transport service“. In Royal College of Paediatrics and Child Health, Abstracts of the Annual Conference, 24–26 May 2017, ICC, Birmingham. BMJ Publishing Group Ltd and Royal College of Paediatrics and Child Health, 2017. http://dx.doi.org/10.1136/archdischild-2017-313087.449.

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Chinen, T., T. Fukuda, H. Sekiguchi, A. Matusudaira, H. Kaneshima und I. Kukita. „Association of Prehospital Advanced Airway Management by Physician or Emergency Medical Service Personnel with Return of Spontaneous Circulation After Out-of-Hospital Cardiac Arrest Due to Drowning“. In American Thoracic Society 2021 International Conference, May 14-19, 2021 - San Diego, CA. American Thoracic Society, 2021. http://dx.doi.org/10.1164/ajrccm-conference.2021.203.1_meetingabstracts.a1707.

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Berichte der Organisationen zum Thema "Emergency Airway Management"

1

Carney, Nancy, Tamara Cheney, Annette M. Totten, Rebecca Jungbauer, Matthew R. Neth, Chandler Weeks, Cynthia Davis-O'Reilly et al. Prehospital Airway Management: A Systematic Review. Agency for Healthcare Research and Quality (AHRQ), Juni 2021. http://dx.doi.org/10.23970/ahrqepccer243.

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Annotation:
Objective. To assess the comparative benefits and harms across three airway management approaches (bag valve mask [BVM], supraglottic airway [SGA], and endotracheal intubation [ETI]) by emergency medical services in the prehospital setting, and how the benefits and harms differ based on patient characteristics, techniques, and devices. Data sources. We searched electronic citation databases (Ovid® MEDLINE®, CINAHL®, the Cochrane Central Register of Controlled Trials, the Cochrane Database of Systematic Reviews, and Scopus®) from 1990 to September 2020 and reference lists, and posted a Federal Register notice request for data. Review methods. Review methods followed Agency for Healthcare Research and Quality Evidence-based Practice Center Program methods guidance. Using pre-established criteria, studies were selected and dual reviewed, data were abstracted, and studies were evaluated for risk of bias. Meta-analyses using profile-likelihood random effects models were conducted when data were available from studies reporting on similar outcomes, with analyses stratified by study design, emergency type, and age. We qualitatively synthesized results when meta-analysis was not indicated. Strength of evidence (SOE) was assessed for primary outcomes (survival, neurological function, return of spontaneous circulation [ROSC], and successful advanced airway insertion [for SGA and ETI only]). Results. We included 99 studies (22 randomized controlled trials and 77 observational studies) involving 630,397 patients. Overall, we found few differences in primary outcomes when airway management approaches were compared. • For survival, there was moderate SOE for findings of no difference for BVM versus ETI in adult and mixed-age cardiac arrest patients. There was low SOE for no difference in these patients for BVM versus SGA and SGA versus ETI. There was low SOE for all three comparisons in pediatric cardiac arrest patients, and low SOE in adult trauma patients when BVM was compared with ETI. • For neurological function, there was moderate SOE for no difference for BVM compared with ETI in adults with cardiac arrest. There was low SOE for no difference in pediatric cardiac arrest for BVM versus ETI and SGA versus ETI. In adults with cardiac arrest, neurological function was better for BVM and ETI compared with SGA (both low SOE). • ROSC was applicable only in cardiac arrest. For adults, there was low SOE that ROSC was more frequent with SGA compared with ETI, and no difference for BVM versus SGA or BVM versus ETI. In pediatric patients there was low SOE of no difference for BVM versus ETI and SGA versus ETI. • For successful advanced airway insertion, low SOE supported better first-pass success with SGA in adult and pediatric cardiac arrest patients and adult patients in studies that mixed emergency types. Low SOE also supported no difference for first-pass success in adult medical patients. For overall success, there was moderate SOE of no difference for adults with cardiac arrest, medical, and mixed emergency types. • While harms were not always measured or reported, moderate SOE supported all available findings. There were no differences in harms for BVM versus SGA or ETI. When SGA was compared with ETI, there were no differences for aspiration, oral/airway trauma, and regurgitation; SGA was better for multiple insertion attempts; and ETI was better for inadequate ventilation. Conclusions. The most common findings, across emergency types and age groups, were of no differences in primary outcomes when prehospital airway management approaches were compared. As most of the included studies were observational, these findings may reflect study design and methodological limitations. Due to the dynamic nature of the prehospital environment, the results are susceptible to indication and survival biases as well as confounding; however, the current evidence does not favor more invasive airway approaches. No conclusion was supported by high SOE for any comparison and patient group. This supports the need for high-quality randomized controlled trials designed to account for the variability and dynamic nature of prehospital airway management to advance and inform clinical practice as well as emergency medical services education and policy, and to improve patient-centered outcomes.
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2

Mullins, Juanita. Using Human Patient Simulation to Improve Emergency Airway Management Safety in Post Anesthesia Nursing: A Pilot Project. Fort Belvoir, VA: Defense Technical Information Center, August 2010. http://dx.doi.org/10.21236/ada529790.

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