%0 Journal Article
%T Feasibility of written instructions in airway management training of laryngeal tube
%A Jouni Kurola
%A Heikki Paakkonen
%A Tapio Kettunen
%A Juha-Pekka Laakso
%A Jouko Gorski
%A Tom Silfvast
%J Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine
%D 2011
%I BioMed Central
%R 10.1186/1757-7241-19-56
%X To evaluate the amount of training required to use the LT in a scenario of airway compromise, we assessed the feasibility of providing written instructions and pictures showing its use to 67 out- and in-hospital emergency care providers attending an Emergency Care conference. The majority of the participants were either nurses or firemen with a median of 5 years' history of work in emergency care.In this study 55% of all participants inserted the LT on the first attempt without additional instructions. An additional 42% required verbal instructions before successful insertion. Overall, 97% of the participants successfully inserted the LT with two attempts.In logistic regression analysis, no relationship was detected between background variables (basic education, experience of emergency work, frequency of bag-valve-mask ventilation (BVM) and frequency of ETI) and successful insertion of the LT in less than 30 seconds, ability to maintain normoventilation (7 l/min) and need for further instructions during the test.We found that in this pilot study majority of emergency care providers could insert LT with one or two attempts with written instructions, pictures and verbal instruction. This may provide an option to simplify the training of airway management with LT.Endotracheal intubation (ETI) is considered the "gold standard" for advanced airway management in emergency care, but due to fairly long period of preceding training and difficulties related to the maintenance of skills it is not recommended for prehospital airway management by paramedics [1,2]. On the other hand, also bag - valve mask ventilation (BVM) has been shown to be difficult [3]. Especially in prehospital care the low frequency of airway management situations per individual poses a problem regarding skill maintenance, and therefore other devices showing shorter learning curves and better skill retention have been developed and studied [4].The laryngeal tube (LT) is a device which can be blindly insert
%K Airway management
%K laryngeal tube
%K training
%U http://www.sjtrem.com/content/19/1/56