한국응급구조학회지 (The Korean Journal of Emergency Medical Services)

  • 제19권2호
  • /
  • Pages.29-38
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  • 2015
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  • 1738-1606(pISSN)
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  • 2384-2091(eISSN)
한국응급구조학회 (The Korea Society of Emergency Medical Services)
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성문위기도기 인후두튜브(SALT)를 이용한 기관내삽관 신속성과 용이성 비교: 마네킨을 이용한 연구

Comparison of endotracheal intubation speed and ease by using the supraglottic airway laryngopharyngeal tube: A manikin study

  • 윤성우 (남서울대학교 응급구조학과)
  • Yun, Seong-Woo (Department of Emergency Medical Service, Namseoul University)
  • 투고 : 2015.06.23
  • 심사 : 2015.08.19
  • 발행 : 2015.08.31
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초록

Purpose: The purpose of this study was to improve airway management ability by comparing the speed, angle of the neck, and confidence and ease of supraglottic airway laryngopharyngeal tube (SALT) and endotracheal intubation via direct laryngoscopy. Methods: The subjects of this experimental research study with a randomized crossover design were 44 emergency medicine technician - paramedics working in the fire department of 'J' - do. SPSS version 19.0 was used in the statistical analysis. Results: Speed and angle of the neck (p<.001), as well as confidence and ease (p<.001), showed significant differences between endotracheal intubation with a SALT and endotracheal intubation via direct laryngoscopy. Conclusion: If endotracheal intubation via direct laryngoscopy is difficult to use or in trauma patients, using a SALT is safe and enables fast intubation. Moreover, in order to improve the efficiency of advanced airway management, the application of SALT should be introduced in the domestic scene.

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참고문헌

  1. Kim YL, Lee HY, Kim GW, Jo HS, Jung JH. Comparative study of prehospital airway devices tested using a manikin model: A comparison of the laryngeal mask airway classic(LMA classicTM), cobra perilaryngeal airway(Cobra PLATM) and the king laryngeal tube(King LTTM). J Korean Soc Emerg Med 2010;21(6):776-82.
  2. Brandt L. The first reported oral intubation of the human trachea. Anesth Analg 1987; 66(11):1198-9.
  3. Bradley JS, Billows GL, Olinger ML, Boha SP, Cordell WH, Nelson DR. Prehospital oral endotracheal intubation by rural basic emergency medical technicians. Annals of Emerg Med 1998;32(1):26-32. http://dx. doi.org/10.1016/S0196-0644(98)70095-2
  4. Suh GJ. Endotracheal intubation in emergency department. J Korean Soc Emerg Med 1998;9(4):560-70.
  5. Matin LD, Mhyre JM, Shanks AM, Tremper KK, Kheterpal S. 3,423 Emergency tracheal intubation at a university hospital. Anesthesiology 2011;114(1):42-8. http://dx.doi.org/10.1097/ALN.0b013e318201c415
  6. Edwards ND, Alford AM, Dobson PM, Peacock JE, Reilly CS. Myocardial ischaemia during tracheal intubation and extubation. Br J Anaesth 1994;73(4):537-9. https://doi.org/10.1093/bja/73.4.537
  7. Linko K, Paloheimo M, Tammisto T. Capnography for detection of accidental esophageal intubation. Acta Anesth Scand 1983; 27:199-202. http://dx.doi.org/10.1111/j.1399-6576.1983.tb01934.x
  8. Kang YJ, Choi ES. The level of awareness and practice in prehospital emergency patient assessment and emergency care of paramedic in fire station. Korean J Emerg Med Ser 2011;15(2):67-84.
  9. Eun SJ, Kim H, Jung KY, Cho KJ, Kim Y. Prospective multi center evaluation of prehospital care by 119 rescue services. J Korean Soc Emerg Med 2007;18(3):177-89.
  10. Kim JH, Cho JS, Lim YS, Lee SB, Hyun SY, Kim JJ et al. The current state of airway management and ventilation at the prehospital stage by emergency medical technicians. J Korean Soc Emerg Med 2011; 22(2):129-41.
  11. National Emergency Management Agency. Statstical yaerbook of resuce-aid. 2013:183.
  12. Wiese CH, Bartels U, Bergmann A, Bergmann I, Bahr J, Graf BM. The current state of airway management and ventilation at the pre-hospital stage by emergency medical technicians "no flow time" in a manikin study: A comparison between laryngeal tube and endotracheal tube. Wiener Klinische Wochenschrift 2008; 120(7):217-23. https://doi.org/10.1007/s00508-008-0953-1
  13. Ocker H, Wenzel V, Schmucker P, Steinfath M, Dorges V. A comparison of the laryngeal tube with the laryngeal mask airway during routine surgical procedures. Anesth Analg. 2002;95(4):1094-7. http://dx.doi.org/10.1213/00000539-200210000-00057
  14. Kurola J, Harve H, Kettunen T, Laakso JP, Gorski J, Paakkonen H et al. Airway management in cardiac arrest-comparison of the laryngeal tube, tracheal intubation and bag-valve mask ventilation in emergency medical training. Resuscitation 2004;61(2): 149-53. http://dx.doi.org/10.1016/j.resusci tation.2004.01.014
  15. Levitan RM, Kinkle WC. Initial anatomic investigations of the I-gel airway: A novel supraglottic airway without inflatable cuff. Anaesthesia 2005;60(10):1022-6. http://dx.doi.org/10.1111/j.1365-2044.2005. 04258.x
  16. Kim ST, Kang BR, Tak YJ. Comparative assessment of the easiness and speed of insertion of three surpraglottic airway devices: A manikin study. Korean J Emerg Med Ser 2012;16(2):23-30. https://doi.org/10.14408/KJEMS.2012.16.2.023
  17. Kovacs G, Bullock G, Ackroyd-Stolarz S, Caine E, Patrie D. A randomized controlled trial on the effect of educational interventions in promoting airway management skill maintenance. Ann Emerg Med 2000;36(4):301-9. http://dx.doi.org/10.1067/mem.2000.109339
  18. Bledsoe BE, Slattery DE, Lauver R, Forred W, Johnson L, Rigo G. Can emergency medical services personnel effectively place and use the supraglottic airway laryngopharyngeal tube(SALT) airway?. Prehosp Emerg Care 2011;15(3):359-65. http://dx.doi.org/10.3109/10903127.2011. 561410
  19. Ostermayer DG, Gausche-Hill M. Supraglottic airways: The history and current state of prehospital airway adjuncts. Prehosp Emerg Care 2014;18(1):106-15. http://dx.doi.org/10.3109/10903127.2013.825351
  20. Anand VG, Girinivasan, Leelakrishna, Thavamani. Evaluation of the new supraglottic S.A.L.T to aid blind orotracheal intubation: A pilot study. Int J Crit Illn Inj Sci 2013;3(4):241-5. http://dx.doi.org/10.4103/2229-5151.124112
  21. Si JW, Lee SB, Do BS. Comparison of the macintosh laryngo-scope and the glidescope$^{(R)}$ video laryngoscope in easy and simulated difficult airway scenarios: A manikin study. J Korean Soc Emerg Med 2009;20(6):604-8.
  22. Son SH, Park SO, Baek KJ, Choi PC. Comparison of the macintosh laryngoscope and the disposcope endoscope in both normal airway and manual inline stabilization for suspected cervical spine injury patients: A simulation study using an airway training manikin. J Korean Soc Emerg Med 2008;19(1):45-50.
  23. Shim GS. Comparison of video laryngoscope and direct laryngoscope on rapidity and accuracy in tracheal intubation by paramedic. Korean J Emerg Med Ser 2010; 14(1):5-18.
  24. Jeong IM, Seo WG, Woo CH, Bae JY, Mun SH, Kim KM. Prediction of difficult intubation in patients with postburn sternomental contractures: Modified onah class. Korean J Anesthesiol 2009;57(3):290-5. https://doi.org/10.4097/kjae.2009.57.3.290
  25. Robitaille A, Williams SR, Tremblay MH, Guilbert F, Theriault M, Drolet P. Cervical spine motion during tracheal intubation with manual in-line stabilization: Direct laryngoscopy versus GlideScope$^{(R)}$ videolaryngoscopy. Anesth Analg 2008;106(3): 935-41. http://dx.doi.org/10.1213/ane.0b013e318161769e
  26. Kim GB, Choi HJ, Shin HC, Kim IS, Kim KU, Huh JT et al. A Clinical analysis and treatment of traumatic cervical spine patients. J Korean Neurosurg Soc 1999;28(4):460-9.
  27. Choi UJ, Cho KJ. A comparison of endotracheal intubation using the macintosh laryngoscope, the gum elastic bougie and the pentax airway scope in neck-stabilized manikin. Korean J Emerg Med Ser 2011;15(3):71-80.
  28. Mallampati SR, Gatt SP, Gugino LD, Desai SP, Waraksa B, Freiberger DF. A clinical sign to predict difficult tracheal intubation: A prospective study. Can J Anaesth 1985; 32(4):429-34. https://doi.org/10.1007/BF03011357
  29. Qasim Z. Towards evidence-based emergency medicine: Best BETs from the manchester royal infirmary. BET 2. glidescope in the emergency department. Emerg Med J 2011;28(2):165-6. https://doi.org/10.1136/emj.2010.108316
  30. Kim HS, Nam HW, Kim YH. The maximal change of vital signs to laryngeal mask airway prosealTM (PLMATM) insertion or tracheal intubation after anesthetic induction in hypertensive patients. Korean J Anesthesiol 2002;43(2):145-9. https://doi.org/10.4097/kjae.2002.43.2.145

피인용 문헌

  1. Memory retention of education regarding endotracheal and laryngeal tube intubation -A manikin study- vol.20, pp.3, 2016, https://doi.org/10.14408/KJEMS.2016.20.3.085