A survey of nasotracheal intubating skills among Advanced Trauma Life Support course graduates
The American College of Surgeons' Advanced Trauma Life Support procedure teaches that blind nasotracheal intubation should be performed in the presence of a suspected or proven cervical spine injury in an unconscious but breathing patient who requires an artificial airway. We studied a group of...
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| Veröffentlicht in: | British journal of anaesthesia : BJA 1994-02, Vol.72 (2), p.195-197 |
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| container_title | British journal of anaesthesia : BJA |
| container_volume | 72 |
| creator | MCHALE, S.P. BRYDON, C.W. WOOD, M.L.B. LIBAN, J.B. |
| description | The American College of Surgeons' Advanced Trauma Life Support procedure teaches that blind nasotracheal intubation should be performed in the presence of a suspected or proven cervical spine injury in an unconscious but breathing patient who requires an artificial airway. We studied a group of non-anaesthetically trained graduates of the Advanced Trauma Life Support course and examined their skill in performing blind nasal intubations. Only six in 90 attempts were successful. We conclude that, in British hospitals, blind nasotracheal intubation should not be recommended as the first line management in securing the airway of patients with suspected or proven cervical spine injury. Alternative techniques such as bag-and-mask ventilation with cricoid pressure or a laryngeal mask airway with cricoid pressure should be adopted until oral intubation with in-line traction is performed. |
| doi_str_mv | 10.1093/bja/72.2.195 |
| format | Article |
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We studied a group of non-anaesthetically trained graduates of the Advanced Trauma Life Support course and examined their skill in performing blind nasal intubations. Only six in 90 attempts were successful. We conclude that, in British hospitals, blind nasotracheal intubation should not be recommended as the first line management in securing the airway of patients with suspected or proven cervical spine injury. Alternative techniques such as bag-and-mask ventilation with cricoid pressure or a laryngeal mask airway with cricoid pressure should be adopted until oral intubation with in-line traction is performed.</description><subject>Airway: cervical spine injury</subject><subject>Anaesthesia: trauma</subject><subject>Anesthesia</subject><subject>Anesthesia depending on patient's condition</subject><subject>Anesthesia. Intensive care medicine. Transfusions. Cell therapy and gene therapy</subject><subject>Biological and medical sciences</subject><subject>Cervical Vertebrae - injuries</subject><subject>Clinical Competence</subject><subject>Education, Medical, Continuing</subject><subject>Humans</subject><subject>Intubation</subject><subject>Intubation, Intratracheal</subject><subject>Intubation, tracheal: training</subject><subject>Life Support Care</subject><subject>London</subject><subject>Medical sciences</subject><subject>tracheal: training</subject><subject>Traumatology - education</subject><issn>0007-0912</issn><issn>1471-6771</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>1994</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNptkE1v1DAQhi0EKtvCjSuSD4hTs_VHEsfH7QooaCUOlApxwJo4k-I2iRc7XtF_j1e72hOn0cz7aDTzEPKGsyVnWl61D3ClxFIsua6ekQUvFS9qpfhzsmCMqYJpLl6S8xgfGONK6OqMnDWcs0rJBfm1ojGFHT5R39MJop8D2N8IA3XTnFqY3XRP46Mbhkhh9LlZdTuYLHb0NkAagW5cj_Rb2m59mKn1KUSk9wG6BDPGV-RFD0PE18d6Qb5__HC7vik2Xz99Xq82hS1lMxcN1LqEpqxa3oiKq65kQjOmbc9sz0XXqqpGrlWjW6Wx5w2WrAasqhLyrGnlBXl_2LsN_k_COJvRRYvDABP6FI2qZc0bKTN4eQBt8DEG7M02uBHCk-HM7HWarNMoYYTJOjP-9rg3tSN2J_joL-fvjjlEC0MfshoXT5jUfP9JxooD5uKMf08xhEdTK6kqc_Pjp6nvxB1bf5HmOvP1gcfsbOcwmGgd7q27gHY2nXf_v_cfzJuerA</recordid><startdate>19940201</startdate><enddate>19940201</enddate><creator>MCHALE, S.P.</creator><creator>BRYDON, C.W.</creator><creator>WOOD, M.L.B.</creator><creator>LIBAN, J.B.</creator><general>Elsevier Ltd</general><general>Oxford University Press</general><scope>6I.</scope><scope>AAFTH</scope><scope>BSCLL</scope><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>19940201</creationdate><title>A survey of nasotracheal intubating skills among Advanced Trauma Life Support course graduates</title><author>MCHALE, S.P. ; BRYDON, C.W. ; WOOD, M.L.B. ; LIBAN, J.B.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c438t-8a694a845b182517d4029009cf0cf12db756e19789b79ef18e406ae554a7898b3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>1994</creationdate><topic>Airway: cervical spine injury</topic><topic>Anaesthesia: trauma</topic><topic>Anesthesia</topic><topic>Anesthesia depending on patient's condition</topic><topic>Anesthesia. 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Cell therapy and gene therapy</topic><topic>Biological and medical sciences</topic><topic>Cervical Vertebrae - injuries</topic><topic>Clinical Competence</topic><topic>Education, Medical, Continuing</topic><topic>Humans</topic><topic>Intubation</topic><topic>Intubation, Intratracheal</topic><topic>Intubation, tracheal: training</topic><topic>Life Support Care</topic><topic>London</topic><topic>Medical sciences</topic><topic>tracheal: training</topic><topic>Traumatology - education</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>MCHALE, S.P.</creatorcontrib><creatorcontrib>BRYDON, C.W.</creatorcontrib><creatorcontrib>WOOD, M.L.B.</creatorcontrib><creatorcontrib>LIBAN, J.B.</creatorcontrib><collection>ScienceDirect Open Access Titles</collection><collection>Elsevier:ScienceDirect:Open Access</collection><collection>Istex</collection><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>British journal of anaesthesia : BJA</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>MCHALE, S.P.</au><au>BRYDON, C.W.</au><au>WOOD, M.L.B.</au><au>LIBAN, J.B.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>A survey of nasotracheal intubating skills among Advanced Trauma Life Support course graduates</atitle><jtitle>British journal of anaesthesia : BJA</jtitle><addtitle>Br J Anaesth</addtitle><date>1994-02-01</date><risdate>1994</risdate><volume>72</volume><issue>2</issue><spage>195</spage><epage>197</epage><pages>195-197</pages><issn>0007-0912</issn><eissn>1471-6771</eissn><coden>BJANAD</coden><abstract>The American College of Surgeons' Advanced Trauma Life Support procedure teaches that blind nasotracheal intubation should be performed in the presence of a suspected or proven cervical spine injury in an unconscious but breathing patient who requires an artificial airway. 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| ispartof | British journal of anaesthesia : BJA, 1994-02, Vol.72 (2), p.195-197 |
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| source | MEDLINE; Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals; Alma/SFX Local Collection; Oxford University Press Journals Digital Archive Legacy |
| subjects | Airway: cervical spine injury Anaesthesia: trauma Anesthesia Anesthesia depending on patient's condition Anesthesia. Intensive care medicine. Transfusions. Cell therapy and gene therapy Biological and medical sciences Cervical Vertebrae - injuries Clinical Competence Education, Medical, Continuing Humans Intubation Intubation, Intratracheal Intubation, tracheal: training Life Support Care London Medical sciences tracheal: training Traumatology - education |
| title | A survey of nasotracheal intubating skills among Advanced Trauma Life Support course graduates |
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