%0 Journal Article
%T Influence of airway management strategy on "no-flow-time" during an "Advanced life support course" for intensive care nurses ¨C A single rescuer resuscitation manikin study
%A Christoph HR Wiese
%A Utz Bartels
%A Alexander Schultens
%A Tobias Steffen
%A Andreas Torney
%A Jan Bahr
%A Bernhard M Graf
%J BMC Emergency Medicine
%D 2008
%I BioMed Central
%R 10.1186/1471-227x-8-4
%X Participants were studied during a one day advanced life support (ALS) course. Two scenarios of arrhythmias requiring defibrillation were simulated in a manikin. One scenario required subjects to establish the airway with a LTS-D; alternatively, the second scenario required them to use BMV. The scenario duration was 430 seconds for the LTS-D scenario, and 420 seconds for the BMV scenario, respectively. Experienced ICU nurses were recruited as study subjects. Participants were randomly assigned to one of the two groups first (LTS-D and BMV) to establish the airway. Endpoints were the total NFT during the scenario, the successful airway management using the respective device, and participants' preference of one of the two strategies for airway management.Utilization of the LTS-D reduced NFT significantly (p < 0.01). Adherence to the time frame of ERC guidelines was 96% in the LTS-D group versus 30% in the BMV group. Two participants in the LTS-D group required more than one attempt to establish the LTS-D correctly. Once established, ventilation was effective in 100%. In a subjective evaluation all participants preferred the LTS-D over BMV to provide ventilation in a cardiac arrest scenario.In our manikin study, NFT was reduced significantly when using LTS-D compared to BMV. During cardiac arrest, the LTS-D might be a good alternative to BMV for providing and maintaining a patent airway. For personnel not experienced in endotracheal intubation it seems to be a safe airway device in a manikin use.The European Resuscitation Council (ERC) released a revised edition of their resuscitation guidelines in November 2005 [1]. Following important adjustments were incorporated:- emphasis on chest compression.- reduction of no-flow-time (NFT), the time during which no chest compression occurs.- defibrillation: following each 2-minute cycle of CPR only one electric shock should be applied, for shockable rhythms.- expansion of airway management options.Endotracheal intubation (ET) r
%U http://www.biomedcentral.com/1471-227X/8/4