Introduction of the i-gel supraglottic airway device for prehospital airway management in a UK ambulance service

@article{Duckett2013IntroductionOT,
  title={Introduction of the i-gel supraglottic airway device for prehospital airway management in a UK ambulance service},
  author={Jay Duckett and Pauline Fell and K Han and Cheryl M Kimber and C Taylor},
  journal={Emergency Medicine Journal},
  year={2013},
  volume={31},
  pages={505 - 507}
}
AIM To clinically review the use of basic and advanced airway management techniques within the North East Ambulance Service National Health Service Foundation Trust (NEAS) for cardiac arrests following the introduction of the i-gel. [] Key MethodMETHOD Two retrospective clinical audits were carried out over a monthly period (May 2011 and January 2012) using electronic and paper NEAS patient records.
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46 Citations
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Citation Type

Use of supraglottic airway devices by paramedics in the management of adult pre-hospital cardiac arrest patients: A literature review
TLDR
Despite favourable indications of the effectiveness and safety of the next generation supraglottic airway devices, the paucity of pre- hospital specific research (particularly randomised controlled trials) challenges decision-making regarding pre-hospital airway management best practice.
Use of supraglottic airway devices by paramedics in the management of adult prehospital cardiac arrest patients.
TLDR
Despite favourable indications of the effectiveness and safety of the next generation supraglottic airway devices, the paucity of prehospital-specific research (particularly randomised controlled trials) challenges decision making regarding prehospital airway management best practice.
Higher insertion success with the i-gel supraglottic airway in out-of-hospital cardiac arrest: a randomised controlled trial.
Impact of an Extraglottic Device on Pediatric Airway Management in an Urban Prehospital System
TLDR
Implementation of an evidenced-based airway management algorithm for pediatric patients, inclusive of an EGA device for all age groups, was associated with fewer prehospital intubations.
Prehospital Use of the Esophageal Tracheal Combitube Supraglottic Airway Device: A Retrospective Cohort Study.
Nurses and advanced airway management: the experience of the Piacenza ambulance service
TLDR
The results show that the Piacenza ambulance service nursing staff has a good level of skills and competence in advanced airway management and a future development of this ability could involve intubation also in situations other than cardiac arrest using specific medication.
How do paramedics manage the airway during out of hospital cardiac arrest?
Randomized Trial of the i-gel Supraglottic Airway Device Versus Tracheal Intubation During Out of Hospital Cardiac Arrest (AIRWAYS-2): Patient Outcomes at Three and Six Months.
I-gel as a fi rst-line airway device in the emergency room for patients with out-of-hospital cardiac arrest
TLDR
I-gel showed a better firstattempt success rate and shorter insertion time compared with ETI when performed by physicians in a hospital setting when performance of advanced airway management in emergency departments was reviewed.
Airway management during cardiopulmonary resuscitation
TLDR
This article evaluates the latest scientific evidence regarding airway management during in-hospital and out-of-hospital cardiopulmonary resuscitation (CPR) and suggested that the quality of CPR using ‘no flow ratio’ as a surrogate marker was improved when advanced airway techniques were used.
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References

SHOWING 1-10 OF 18 REFERENCES
Assessment of the speed and ease of insertion of three supraglottic airway devices by paramedics: a manikin study
TLDR
The ease and speed at which a supraglottic airway can be inserted means that it is a viable alternative to the use of the BVMV and can be effectively used by non-anaesthetists.
A critical reassessment of ambulance service airway management in prehospital care: Joint Royal Colleges Ambulance Liaison Committee Airway Working Group, June 2008
TLDR
Supraglottic airway devices (eg, laryngeal mask airway), which were not available when extended training and paramedic intubation was first introduced, are now in use in many ambulance services and are a suitable alternative prehospital airway device for paramedics.
Prehospital advanced airway management by ambulance technicians and paramedics: is clinical practice sufficient to maintain skills?
Introduction: Ambulance paramedics are now trained routinely in advanced airway skills, including tracheal intubation. Initial training in this skill requires the insertion of 25 tracheal tubes, and…
Securing the prehospital airway: a comparison of laryngeal mask insertion and endotracheal intubation by UK paramedics
TLDR
A disposable laryngeal mask has a higher success rate in securing theAirway and overall, secures the airway more reliably than endotracheal intubation.
Prehospital intubation in cardiac arrest: the debate continues.
Out-of-hospital airway management in the United States.
Diagnosis and management of peripheral arterial disease
TLDR
A timely summary of current evidence relating to PAD is offered and new endovascular interventions have dramatically improved the management of patients with PAD.
Cardiopulmonary resuscitation
TLDR
Personality reorganization was analysed in 20 patients with primarily deep coma after successful prehospital resuscitation followed by slow improvement of cerebral function and regaining "consciousness", and common features were reversible loss of short term memory and various kinds of acute exogenic reaction.
Cardiopulmonary resuscitation. BMJ 2012;345:34–40
  • 2012
I-gel supraglottic airway use during hospital cardiopulmonary resuscitation
  • Resuscitation
  • 2012
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