F Adnet1, R K Cydulka, C Lapandry. 1. SAMU 93, CHU Avicenne, University Paris XIII, Bobigny, France. fadnet@compuserve.com
Abstract
PURPOSE: To evaluate the influence of operator body position during emergency intubation of patients lying on the ground. METHODS: This study was carried out in the prehospital setting by French mobile intensive care units. Two operator body positions (left lateral decubitus and kneeling) for emergency intubation of patients lying supine on the ground were compared in a observational prospective study. Each operator completed a questionnaire regarding conditions of intubation after patient completion. RESULTS: The incidence of laryngoscopic difficulty was lower in the left lateral decubitus group compared to the kneeling group (11.1% vs 26.9% respectively; P < 0.01). The number of attempts required for successful intubation was (P < 0.05) higher in the kneeling group than in the left lateral decubitus group. CONCLUSION: Emergency tracheal intubation of supine patients on the ground may be greatly facilitated by the use of the left lateral decubitus position of the operator.
PURPOSE: To evaluate the influence of operator body position during emergency intubation of patients lying on the ground. METHODS: This study was carried out in the prehospital setting by French mobile intensive care units. Two operator body positions (left lateral decubitus and kneeling) for emergency intubation of patients lying supine on the ground were compared in a observational prospective study. Each operator completed a questionnaire regarding conditions of intubation after patient completion. RESULTS: The incidence of laryngoscopic difficulty was lower in the left lateral decubitus group compared to the kneeling group (11.1% vs 26.9% respectively; P < 0.01). The number of attempts required for successful intubation was (P < 0.05) higher in the kneeling group than in the left lateral decubitus group. CONCLUSION: Emergency tracheal intubation of supine patients on the ground may be greatly facilitated by the use of the left lateral decubitus position of the operator.
Authors: Geir Arne Sunde; Jon-Kenneth Heltne; David Lockey; Brian Burns; Mårten Sandberg; Knut Fredriksen; Karl Ove Hufthammer; Akos Soti; Richard Lyon; Helena Jäntti; Antti Kämäräinen; Bjørn Ole Reid; Tom Silfvast; Falko Harm; Stephen J M Sollid Journal: Scand J Trauma Resusc Emerg Med Date: 2015-08-07 Impact factor: 2.953
Authors: Joanna M Le Parc; Jason J Bischof; Andrew M King; Sarah Greenberger; David P Way; Ashish R Panchal; Geoffrey I Finnegan; Thomas E Terndrup Journal: West J Emerg Med Date: 2018-05-15