Intubating laryngeal mask airway versus laryngoscopy and endotracheal intubation in the nuclear, biological, and chemical environment.

Abstract:

OBJECTIVE:Intubation is a difficult skill under normal circumstances and more so with a limited visual field such as wearing a protective mask in a chemical or biological incident. This study sought to determine whether successful intubation using the intubating laryngeal mask airway (ILMA) under protective mask conditions was equivalent to standard endotracheal intubation. METHODS:A pilot study was conducted using emergency medicine personnel. Participant's attempted intubation of a manikin while wearing a standard U.S. Army M-40 protective mask. Two attempts were performed with each method. RESULTS:One hundred percent of the ILMA placements were successful with only 78% success with endotracheal intubation (p = 0.1). Time to successful intubation and ventilation was significantly less for the ILMA versus endotracheal intubation (p = 0.005). CONCLUSION:This study suggests that under simulated chemical and biological conditions using an M-40 protective mask, intubation is accomplished faster and with more success with the ILMA.

journal_name

Mil Med

journal_title

Military medicine

authors

Wedmore IS,Talbo TS,Cuenca PJ

keywords:

subject

Has Abstract

pub_date

2003-11-01 00:00:00

pages

876-9

issue

11

eissn

0026-4075

issn

1930-613X

journal_volume

168

pub_type

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