INTRODUCTION: Traditionally, anaesthetists have provided airway management skills on resuscitation teams. Because advanced life support (ALS) courses teach practical airway management, some UK hospitals have dropped anaesthetists from cardiac arrest teams. Does the ALS course give non-anaesthetists adequate skills to manage an airway during a cardiac arrest? METHODS: We recruited adult surgical patients undergoing general anaesthesia and laryngeal mask airway (LMA) insertion as part of their routine care. Patients were randomly assigned to airway management by a junior doctor; either an ALS-qualified anaesthetist or an ALS-qualified non-anaesthetist. After induction of anaesthesia, five manual ventilations were delivered using a self-inflating bag-mask device before insertion of a LMA. We recorded the quality of manual ventilation (adequate, partially adequate or inadequate), the time to LMA insertion, and any complications. RESULTS:Twenty anaesthetists and 16 non-anaesthetist ALS graduates participated. Of the anaesthetists, 18 (90%) demonstrated adequate and 2 (10%) demonstrated partially adequate manual ventilation skills, compared with non-anaesthetists of whom 5 (31.25%) demonstrated adequate, 5 (31.25%) demonstrated partially adequate, and 6 (37.5%) demonstrated inadequate manual ventilation skills (p<0.001). Eighteen anaesthetists (90%) and 4 non-anaesthetists (25%) met the ALS LMA insertion guideline time of 30s (p<0.0001). Median time for LMA insertion by anaesthetists and non-anaesthetists was 20.5s (range 16-40s, n=20) and 35.0 s (range 18-168, n=10) respectively (p<0.05). Six of the 16 non-anaesthetists failed to insert the LMA (37.5%). There were four complications (laryngospasm, vomiting, and SaO(2)<90%) in the non-anaesthetic group (25% of patients), compared with none in the anaesthetic group (p=0.01). CONCLUSIONS: The airway component of an ALS course alone does not give adequate practical skills for non-anaesthetists to manage an airway in an anaesthetised patient. Airway management at a cardiac arrest is unlikely to be any better. Copyright 2010 Elsevier Ireland Ltd. All rights reserved.
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INTRODUCTION: Traditionally, anaesthetists have provided airway management skills on resuscitation teams. Because advanced life support (ALS) courses teach practical airway management, some UK hospitals have dropped anaesthetists from cardiac arrest teams. Does the ALS course give non-anaesthetists adequate skills to manage an airway during a cardiac arrest? METHODS: We recruited adult surgical patients undergoing general anaesthesia and laryngeal mask airway (LMA) insertion as part of their routine care. Patients were randomly assigned to airway management by a junior doctor; either an ALS-qualified anaesthetist or an ALS-qualified non-anaesthetist. After induction of anaesthesia, five manual ventilations were delivered using a self-inflating bag-mask device before insertion of a LMA. We recorded the quality of manual ventilation (adequate, partially adequate or inadequate), the time to LMA insertion, and any complications. RESULTS: Twenty anaesthetists and 16 non-anaesthetist ALS graduates participated. Of the anaesthetists, 18 (90%) demonstrated adequate and 2 (10%) demonstrated partially adequate manual ventilation skills, compared with non-anaesthetists of whom 5 (31.25%) demonstrated adequate, 5 (31.25%) demonstrated partially adequate, and 6 (37.5%) demonstrated inadequate manual ventilation skills (p<0.001). Eighteen anaesthetists (90%) and 4 non-anaesthetists (25%) met the ALS LMA insertion guideline time of 30s (p<0.0001). Median time for LMA insertion by anaesthetists and non-anaesthetists was 20.5s (range 16-40s, n=20) and 35.0 s (range 18-168, n=10) respectively (p<0.05). Six of the 16 non-anaesthetists failed to insert the LMA (37.5%). There were four complications (laryngospasm, vomiting, and SaO(2)<90%) in the non-anaesthetic group (25% of patients), compared with none in the anaesthetic group (p=0.01). CONCLUSIONS: The airway component of an ALS course alone does not give adequate practical skills for non-anaesthetists to manage an airway in an anaesthetised patient. Airway management at a cardiac arrest is unlikely to be any better. Copyright 2010 Elsevier Ireland Ltd. All rights reserved.
Authors: Michael Bernhard; André Gries; Alexandra Ramshorn-Zimmer; Volker Wenzel; Bjoern Hossfeld Journal: Biomed Res Int Date: 2016-08-24 Impact factor: 3.411
Authors: Dong Keon Lee; Seung Min Park; Yu Jin Kim; Choung Ah Lee; Won Jung Jeong; Gi Woon Kim; Dong Hyuk Shin; Young Hwan Lee Journal: Emerg Med Int Date: 2018-11-29 Impact factor: 1.112