hrcak mascot   Srce   HID

Izvorni znanstveni članak
https://doi.org/10.22514/SV142.112018.9

I-gel as a first-line airway device in the emergency room for patients with out-of-hospital cardiac arrest

YONG HWAN LEE ; Department of Emergency Medicine College of Medicine Soonchunhyang University 14584, 170, Jomaru-ro, Bucheon-si Gyeonggi-do, Republic of Korea
DONG KEON LEE
DONG HYUCK SHIN
SEUNG MIN PARK
YONG HWAN KIM
SANG O PARK

Puni tekst: engleski, pdf (305 KB) str. 61-65 preuzimanja: 81* citiraj
APA 6th Edition
LEE, Y.H., LEE, D.K., SHIN, D.H., PARK, S.M., KIM, Y.H. i PARK, S.O. (2018). I-gel as a first-line airway device in the emergency room for patients with out-of-hospital cardiac arrest. Signa vitae, Volume 14 (2), 61-65. https://doi.org/10.22514/SV142.112018.9
MLA 8th Edition
LEE, YONG HWAN, et al. "I-gel as a first-line airway device in the emergency room for patients with out-of-hospital cardiac arrest." Signa vitae, vol. Volume 14, br. 2, 2018, str. 61-65. https://doi.org/10.22514/SV142.112018.9. Citirano 22.11.2019.
Chicago 17th Edition
LEE, YONG HWAN, DONG KEON LEE, DONG HYUCK SHIN, SEUNG MIN PARK, YONG HWAN KIM i SANG O PARK. "I-gel as a first-line airway device in the emergency room for patients with out-of-hospital cardiac arrest." Signa vitae Volume 14, br. 2 (2018): 61-65. https://doi.org/10.22514/SV142.112018.9
Harvard
LEE, Y.H., et al. (2018). 'I-gel as a first-line airway device in the emergency room for patients with out-of-hospital cardiac arrest', Signa vitae, Volume 14(2), str. 61-65. https://doi.org/10.22514/SV142.112018.9
Vancouver
LEE YH, LEE DK, SHIN DH, PARK SM, KIM YH, PARK SO. I-gel as a first-line airway device in the emergency room for patients with out-of-hospital cardiac arrest. Signa vitae [Internet]. 2018 [pristupljeno 22.11.2019.];Volume 14(2):61-65. https://doi.org/10.22514/SV142.112018.9
IEEE
Y.H. LEE, D.K. LEE, D.H. SHIN, S.M. PARK, Y.H. KIM i S.O. PARK, "I-gel as a first-line airway device in the emergency room for patients with out-of-hospital cardiac arrest", Signa vitae, vol.Volume 14, br. 2, str. 61-65, 2018. [Online]. https://doi.org/10.22514/SV142.112018.9

Sažetak
Aim. The optimal method for advanced airway management during cardiac arrest remains controversial. Most patients with out-of-hospital cardiac arrest (OHCA) in Korea are managed with a bag-valve mask by paramedics, while physicians perform advanced airway management in emergency departments (ED). Endotracheal intubation (ETI) has a risk of failure at the first attempt. By contrast, I-gel, a supraglottic airway device, is easier to insert than an endotracheal tube and shows a higher first-attempt success rate than ETI in out-of-hospital settings by paramedics in the United States. We reviewed the use of ETI and I-gel by ED physicians to assess the first attempt success rate in a hospital setting.

Methods. We conducted a retrospective chart review of patients with non-traumatic OHCA who were managed with either ETI using a Macintosh laryngoscope, or I-gel in the ED of Korean hospital from January 2012 to January 2014.

Results. Of 322 adult patients with non-traumatic OHCA, 160 received I-gel and 162 received ETI. The first-attempt success rate was higher in the I-gel group (96.9%) than in the ETI group (84.6%, p < 0.001). The time from arrival to obtaining advanced airway management was shorter in the I-gel group than in the ETI group.

Conclusions. I-gel showed a better first-attempt success rate and shorter insertion time compared with ETI when performed by physicians in a hospital setting.

Ključne riječi
airway management; laryngeal mask; out-of-hospital cardiac arrest; resuscitation

Hrčak ID: 217603

URI
https://hrcak.srce.hr/217603

Posjeta: 137 *