Prehospital difficult airway management: old things still work
Journal Title: World Journal of Emergency Medicine - Year 2014, Vol 5, Issue 1
Abstract
Airway management is a crucial skill for emergency physician, who's often called to deal with difficult airways and requests for quick, simple and effective responses, as the many factors responsible for difficulties might be enhanced by emergency setting.[1] We now have many rescue devices as the LMA, I-gel, but they do not provide a definitive airway, and recent studies evaluating the use of the videolaryngoscopes in emergency show conflicting results.[2] In contrast, endotracheal tube introducers or "Gum Elastic Bougies" (GEBs) are simple and inexpensive airway management tools that are used in cases of unanticipated difficulty. The Frova introducer (FI) (Cook® Medical, Bloomington, USA) is a commonly used example and has a high success rate for tracheal intubation in manikins.[3] We used FI in the prehospital airway management of a 40-year-old man severely burned while working in a weeds field.
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