Perception and success rate of using advanced airway management by hospital-based paramedics in the Kingdom of Saudi Arabia.
Objective: The study aimed to measure the success rate of pre-hospital tracheal intubation (TI) and supraglottic airway devices (SADs) performed by paramedics for adult patients and to assess the perception of paramedics of advanced airway management. Method: The study consisted of two phases: phase...
| Publicado en: | British Paramedic Journal Vol. 6; no. 3; pp. 24 - 31 |
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| Autores principales: | , , , , , , , |
| Formato: | Journal Article |
| Publicado: |
College of Paramedics
Dec2021
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=154063766&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 154063766 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 14784726 LFLE jtl: British Paramedic Journal issn: 14784726 maglogo: N pubinfo: dt: Dec2021 vid: 6 iid: 3 pid: 46865 pub: College of Paramedics artinfo: ui: 154063766 10.29045/14784726.2021.12.6.3.24 154063766 ppf: 24 ppct: 7 formats: fmt: @attributes: type: P tig: atl: Perception and success rate of using advanced airway management by hospital-based paramedics in the Kingdom of Saudi Arabia. aug: au: Alenazi, Amani Alotaibi, Bashayr Saleh, Najla Alshibani, Abdullah Alharbi, Meshal Aljerian, Nawfal Alharthy, Nesrin Alsomali, Sameerah affil: King Saud bin Abdulaziz University for Health Sciences (KSAU-HS) sug: ab: Objective: The study aimed to measure the success rate of pre-hospital tracheal intubation (TI) and supraglottic airway devices (SADs) performed by paramedics for adult patients and to assess the perception of paramedics of advanced airway management. Method: The study consisted of two phases: phase 1 was a retrospective analysis to assess the TI and SADs' success rates when applied by paramedics for adult patients aged >14 years from 2012 to 2017, and phase 2 was a distributed questionnaire to assess paramedics' perception of advanced airway management. Result: In phase 1, 24 patients met our inclusion criteria. Sixteen (67%) patients had TI, of whom five had failed TI but then were successfully managed using SADs. The TI success rate was 69% from the first two attempts compared to SADs (100% from first attempt). In phase 2, 63/90 (70%) paramedics responded to the questionnaire, of whom 60 (95%) completed it. Forty-eight (80%) paramedics classified themselves to be moderately or very competent with advanced airway management. However, most of them (80%) performed only 1-5 TIs or SADs a year. Conclusion: Hospital-based paramedics (i.e. paramedics who are working at hospitals and not in the ambulance service, and who mostly respond to small restricted areas in Saudi Arabia) handled few patients requiring advanced airway management and had a higher competency level with SADs than with TI. The study findings could be impacted by the low sample size. Future research is needed on the success rate and impact on outcomes of using pre-hospital advanced airway management, and on the challenges of mechanical ventilation use during interfacility transfer. pubtype: Academic Journal doctype: Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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