Optimization of glottic exposure during intubation of a patient lying supine on the ground
Two methods of endotracheal intubation of patients lying on the ground were compared for ease and speed of intubation and minimization of complications in a crossover study of prehospital-oriented emergency physicians. Intubation of a mannequin was attempted by the physicians in either a left latera...
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| Veröffentlicht in: | The American journal of emergency medicine 1997-10, Vol.15 (6), p.555-557 |
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| container_title | The American journal of emergency medicine |
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| creator | Adnet, Frédéric Lapostolle, Frédéric Borron, Stephen W Hennequin, B Leclercq, G Fleury, M |
| description | Two methods of endotracheal intubation of patients lying on the ground were compared for ease and speed of intubation and minimization of complications in a crossover study of prehospital-oriented emergency physicians. Intubation of a mannequin was attempted by the physicians in either a left lateral decubitus (LLD) position or a kneeling (K) position, followed by the alternate position. The LLD position afforded more rapid intubation, better glottic visualization, and less dental trauma. Eighty-seven percent of physicians completely visualized the glottis in the LLD position, versus 33% of the K position group. Intubation times were 10.5 versus 14.6 seconds in the LLD and K positions, respectively (
P < .001). The LLD position is a more effective position (in a mannequin model) than the K position for intubation of patients found lying on the ground, a frequent situation in prehospital care. |
| doi_str_mv | 10.1016/S0735-6757(97)90155-8 |
| format | Article |
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P < .001). The LLD position is a more effective position (in a mannequin model) than the K position for intubation of patients found lying on the ground, a frequent situation in prehospital care.</description><subject>Anesthesia. Intensive care medicine. Transfusions. Cell therapy and gene therapy</subject><subject>Biological and medical sciences</subject><subject>Cross-Over Studies</subject><subject>Emergency and intensive care: techniques, logistics</subject><subject>Emergency Medicine - methods</subject><subject>Endotracheal intubation</subject><subject>Glottis</subject><subject>Humans</subject><subject>Intensive care medicine</subject><subject>Intensive care unit. Emergency transport systems. Emergency, hospital ward</subject><subject>Intubation, Intratracheal - adverse effects</subject><subject>Intubation, Intratracheal - methods</subject><subject>Laryngoscopy - adverse effects</subject><subject>Laryngoscopy - methods</subject><subject>Manikins</subject><subject>Medical sciences</subject><subject>Physical Examination - standards</subject><subject>prehospital care</subject><subject>Supine Position</subject><subject>techniques</subject><subject>Time Factors</subject><subject>Tooth Injuries - etiology</subject><issn>0735-6757</issn><issn>1532-8171</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>1997</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqFkE1r3DAQhkVJ2G42-QkBHUpoDk70YVnWqYQlaQOBPaS55CJkabxV8VquJJcmv752d9lrYUAD7zMz4kHokpIbSmh1-0wkF0Ulhfys5LUiVIii_oCWVHBW1FTSE7Q8Ih_RWUo_CaG0FOUCLRTnU6SW6HUzZL_z7yb70OPQ4m0XcvYWw58hpDECdmP0_Rb7Po_NkTJ4mHroM-7e5jSNg-8BT2H-AXgbw9i7c3Tami7BxeFdoZeH--_rb8XT5uvj-u6psLxWuahUVVWcs6ahRkphBW9qU7ZQu7IkjaNVyZwE0lBggltumIKaOcJMyRpq25av0NV-7xDDrxFS1jufLHSd6SGMSUvFSzGfWCGxB20MKUVo9RD9zsQ3TYmenep_TvUsTKupZqe6nuYuDwfGZgfuOHWQOOWfDrlJ1nRtNL316YgxUikh5jVf9hhMMn57iDrZSaEF5yPYrF3w__nIX7_wlC0</recordid><startdate>19971001</startdate><enddate>19971001</enddate><creator>Adnet, Frédéric</creator><creator>Lapostolle, Frédéric</creator><creator>Borron, Stephen W</creator><creator>Hennequin, B</creator><creator>Leclercq, G</creator><creator>Fleury, M</creator><general>Elsevier Inc</general><general>Elsevier</general><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>19971001</creationdate><title>Optimization of glottic exposure during intubation of a patient lying supine on the ground</title><author>Adnet, Frédéric ; Lapostolle, Frédéric ; Borron, Stephen W ; Hennequin, B ; Leclercq, G ; Fleury, M</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c389t-69666332bb1a775c53b8a4fe8d440bd1642d7e0b1e253c3a29e82d02a42b1cff3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>1997</creationdate><topic>Anesthesia. 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Emergency, hospital ward</topic><topic>Intubation, Intratracheal - adverse effects</topic><topic>Intubation, Intratracheal - methods</topic><topic>Laryngoscopy - adverse effects</topic><topic>Laryngoscopy - methods</topic><topic>Manikins</topic><topic>Medical sciences</topic><topic>Physical Examination - standards</topic><topic>prehospital care</topic><topic>Supine Position</topic><topic>techniques</topic><topic>Time Factors</topic><topic>Tooth Injuries - etiology</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Adnet, Frédéric</creatorcontrib><creatorcontrib>Lapostolle, Frédéric</creatorcontrib><creatorcontrib>Borron, Stephen W</creatorcontrib><creatorcontrib>Hennequin, B</creatorcontrib><creatorcontrib>Leclercq, G</creatorcontrib><creatorcontrib>Fleury, M</creatorcontrib><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>The American journal of emergency medicine</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Adnet, Frédéric</au><au>Lapostolle, Frédéric</au><au>Borron, Stephen W</au><au>Hennequin, B</au><au>Leclercq, G</au><au>Fleury, M</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Optimization of glottic exposure during intubation of a patient lying supine on the ground</atitle><jtitle>The American journal of emergency medicine</jtitle><addtitle>Am J Emerg Med</addtitle><date>1997-10-01</date><risdate>1997</risdate><volume>15</volume><issue>6</issue><spage>555</spage><epage>557</epage><pages>555-557</pages><issn>0735-6757</issn><eissn>1532-8171</eissn><coden>AJEMEN</coden><abstract>Two methods of endotracheal intubation of patients lying on the ground were compared for ease and speed of intubation and minimization of complications in a crossover study of prehospital-oriented emergency physicians. Intubation of a mannequin was attempted by the physicians in either a left lateral decubitus (LLD) position or a kneeling (K) position, followed by the alternate position. The LLD position afforded more rapid intubation, better glottic visualization, and less dental trauma. Eighty-seven percent of physicians completely visualized the glottis in the LLD position, versus 33% of the K position group. Intubation times were 10.5 versus 14.6 seconds in the LLD and K positions, respectively (
P < .001). The LLD position is a more effective position (in a mannequin model) than the K position for intubation of patients found lying on the ground, a frequent situation in prehospital care.</abstract><cop>Philadelphia, PA</cop><pub>Elsevier Inc</pub><pmid>9337359</pmid><doi>10.1016/S0735-6757(97)90155-8</doi><tpages>3</tpages></addata></record> |
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| subjects | Anesthesia. Intensive care medicine. Transfusions. Cell therapy and gene therapy Biological and medical sciences Cross-Over Studies Emergency and intensive care: techniques, logistics Emergency Medicine - methods Endotracheal intubation Glottis Humans Intensive care medicine Intensive care unit. Emergency transport systems. Emergency, hospital ward Intubation, Intratracheal - adverse effects Intubation, Intratracheal - methods Laryngoscopy - adverse effects Laryngoscopy - methods Manikins Medical sciences Physical Examination - standards prehospital care Supine Position techniques Time Factors Tooth Injuries - etiology |
| title | Optimization of glottic exposure during intubation of a patient lying supine on the ground |
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