Forum for Science, Industry and Business

Sponsored by:     3M 
Search our Site:

 

Air ambulance research identifies best intubation method

10.02.2006


Research has identified the most effective way to insert breathing tubes in air ambulance patients on the way to the hospital. The finding, that a combination of sedative and paralytic drugs increased the chance of success by almost fourfold, may also apply to other types of pre-hospital care.



"Having solid evidence for what method is most effective allows us to offer the best care possible to patients in these life-or-death situations," said William Bozeman, M.D., lead author, from Wake Forest University Baptist Medical Center.

Results from the study are reported in the current issue of Prehospital Emergency Care. It compared the combination of sedative and paralytic drugs (to relax the airway and the patient), with the use of a sedative alone.


Previous studies had compared drug protocols, but looked only at whether insertion of the breathing tube was successful. The current study went a step further and measured and recorded the condition of the airway. Even if the insertion, or intubation, is successful, there can be damage to the airway or other complications that can result in disability or death.

For each patient, the crew recorded the airway conditions, such as whether the vocal cords were visible, whether the patient was relaxed and whether the intubation was successful. The study involved 49 patients who were transported over a year’s time by two helicopters in the same system.

Each helicoptor’s medical crew consisted of a nurse and paramedic with a mean of 18 years of medical experience and seven years of flight experience. For six months, one helicoptor’s patients received the sedative alone and the other helicoptor’s patients got the combination of a sedative and a paralytic drug. For the next six months, the protocols were switched. Before the study was conducted, the air ambulance service had used both protocols.

Most (90 percent) of the patients were being transported by air ambulance after an automobile accident or other trauma.

"We found that using the sedative alone resulted in lower intubation success and a more difficult intubation," said Bozeman, who is an emergency medicine and pre-hospital emergency medical services (EMS) specialist.

The likelihood of successful intubaton was 3.7 times higher with the combination of medications, which is called rapid-sequence intubation. The authors said that the findings may apply to other types of pre-hospital care, including ground ambulances, depending on the experience of the crews.

"EMS medical directors must carefully match the choice of intubation medications to the training and skill levels of the system’s providers," said Bozeman. "In some systems, using basic oxygen and techniques to keep the airway open -- and not attempting intubation -- is the safest option for patients. In other systems with highly skilled and experienced providers who work under close medical oversight, rapid-sequence intubation may be the best choice."

The research involved the air ambulance service of the University of Florida and the Trauma One Flight Services of Shands Jacksonville Hospital.

Co-researchers were Douglas M. Kleiner, Ph.D., and Vicki Huggett, R.N., with the University of Florida. Bozeman was a faculty member at the University of Florida at the time the research was conducted.

Karen Richardson | EurekAlert!
Further information:
http://www.wfubmc.edu

More articles from Studies and Analyses:

nachricht Europe’s Demographic Future. Where the Regions Are Heading after a Decade of Crises
10.08.2017 | Berlin-Institut für Bevölkerung und Entwicklung

nachricht Scientists reveal source of human heartbeat in 3-D
07.08.2017 | University of Manchester

All articles from Studies and Analyses >>>

The most recent press releases about innovation >>>

Die letzten 5 Focus-News des innovations-reports im Überblick:

Im Focus: Fizzy soda water could be key to clean manufacture of flat wonder material: Graphene

Whether you call it effervescent, fizzy, or sparkling, carbonated water is making a comeback as a beverage. Aside from quenching thirst, researchers at the University of Illinois at Urbana-Champaign have discovered a new use for these "bubbly" concoctions that will have major impact on the manufacturer of the world's thinnest, flattest, and one most useful materials -- graphene.

As graphene's popularity grows as an advanced "wonder" material, the speed and quality at which it can be manufactured will be paramount. With that in mind,...

Im Focus: Exotic quantum states made from light: Physicists create optical “wells” for a super-photon

Physicists at the University of Bonn have managed to create optical hollows and more complex patterns into which the light of a Bose-Einstein condensate flows. The creation of such highly low-loss structures for light is a prerequisite for complex light circuits, such as for quantum information processing for a new generation of computers. The researchers are now presenting their results in the journal Nature Photonics.

Light particles (photons) occur as tiny, indivisible portions. Many thousands of these light portions can be merged to form a single super-photon if they are...

Im Focus: Circular RNA linked to brain function

For the first time, scientists have shown that circular RNA is linked to brain function. When a RNA molecule called Cdr1as was deleted from the genome of mice, the animals had problems filtering out unnecessary information – like patients suffering from neuropsychiatric disorders.

While hundreds of circular RNAs (circRNAs) are abundant in mammalian brains, one big question has remained unanswered: What are they actually good for? In the...

Im Focus: RAVAN CubeSat measures Earth's outgoing energy

An experimental small satellite has successfully collected and delivered data on a key measurement for predicting changes in Earth's climate.

The Radiometer Assessment using Vertically Aligned Nanotubes (RAVAN) CubeSat was launched into low-Earth orbit on Nov. 11, 2016, in order to test new...

Im Focus: Scientists shine new light on the “other high temperature superconductor”

A study led by scientists of the Max Planck Institute for the Structure and Dynamics of Matter (MPSD) at the Center for Free-Electron Laser Science in Hamburg presents evidence of the coexistence of superconductivity and “charge-density-waves” in compounds of the poorly-studied family of bismuthates. This observation opens up new perspectives for a deeper understanding of the phenomenon of high-temperature superconductivity, a topic which is at the core of condensed matter research since more than 30 years. The paper by Nicoletti et al has been published in the PNAS.

Since the beginning of the 20th century, superconductivity had been observed in some metals at temperatures only a few degrees above the absolute zero (minus...

All Focus news of the innovation-report >>>

Anzeige

Anzeige

Event News

Call for Papers – ICNFT 2018, 5th International Conference on New Forming Technology

16.08.2017 | Event News

Sustainability is the business model of tomorrow

04.08.2017 | Event News

Clash of Realities 2017: Registration now open. International Conference at TH Köln

26.07.2017 | Event News

 
Latest News

Heating quantum matter: A novel view on topology

22.08.2017 | Physics and Astronomy

Stretchable biofuel cells extract energy from sweat to power wearable devices

22.08.2017 | Power and Electrical Engineering

New technique to treating mitral valve diseases: First patient data

22.08.2017 | Medical Engineering

VideoLinks
B2B-VideoLinks
More VideoLinks >>>