Cristin-resultat-ID: 1373448
Sist endret: 1. februar 2017 15:30
NVI-rapporteringsår: 2016
Resultat
Vitenskapelig oversiktsartikkel/review
2016

Scandinavian SSAI clinical practice guideline on pre-hospital airway management

Bidragsytere:
  • Marius Rehn
  • Per Kristian Hyldmo
  • Vidar Magnússon
  • Jouni Kurola
  • Poul Kongstad
  • Leif Kåre Rognås
  • mfl.

Tidsskrift

Acta Anaesthesiologica Scandinavica
ISSN 0001-5172
e-ISSN 1399-6576
NVI-nivå 1

Om resultatet

Vitenskapelig oversiktsartikkel/review
Publiseringsår: 2016
Volum: 60
Hefte: 7
Sider: 852 - 864

Importkilder

Scopus-ID: 2-s2.0-84978776471

Beskrivelse Beskrivelse

Tittel

Scandinavian SSAI clinical practice guideline on pre-hospital airway management

Sammendrag

Background: The Scandinavian society of anaesthesiology and inten- sive care medicine task force on pre-hospital airway management was asked to formulate recommendations following standards for trustworthy clinical practice guidelines. Methods: The literature was systematically reviewed and the grading of recommendations assessment, development and evaluation (GRADE) system was applied to move from evidence to recommendations. Results: We recommend that all emergency medical service (EMS) pro- viders consider to: apply basic airway manoeuvres and airway adjuncts (good practice recommendation); turn unconscious non-trauma patients into the recovery position when advanced airway management is unavail- able (good practice recommendation); turn unconscious trauma patients to the lateral trauma position while maintaining spinal alignment when advanced airway management is unavailable [strong recommendation, low quality of evidence (QoE)]. We suggest that intermediately trained provi- ders use a supraglottic airway device (SAD) or basic airway manoeuvres on patients in cardiac arrest (weak recommendation, low QoE). We recom- mend that advanced trained providers consider using an SAD in selected indications or as a rescue device after failed endotracheal intubation (ETI) (good practice recommendation). We recommend that ETI should only be performed by advanced trained providers (strong recommendation, low QoE). We suggest that videolaryngoscopy is considered for ETI when direct laryngoscopy fails or is expected to be difficult (weak recommenda- tion, low QoE). We suggest that advanced trained providers apply cricothy- roidotomy in ‘cannot intubate, cannot ventilate’ situations (weak recommendation, low QoE). Conclusion: This guideline for pre-hospital airway management includes a combination of techniques applied in a stepwise fashion appropriate to patient clinical status and provider training.

Bidragsytere

Marius Rehn

  • Tilknyttet:
    Forfatter
    ved Det helsevitenskapelige fakultet ved Universitetet i Stavanger
  • Tilknyttet:
    Forfatter
    ved Storbritannia og Nord-Irland
  • Tilknyttet:
    Forfatter
    ved Stiftelsen Norsk Luftambulanse
Aktiv cristin-person

Per Kristian Hyldmo

  • Tilknyttet:
    Forfatter
    ved Stiftelsen Norsk Luftambulanse
  • Tilknyttet:
    Forfatter
    ved Kir klinkk - akutttmed ved Sørlandet sykehus HF

Vidar Magnússon

  • Tilknyttet:
    Forfatter
    ved Landspitali - Haskolasjukhrahuss

Jouni Kurola

  • Tilknyttet:
    Forfatter
    ved Kuopion yliopistollinen sairaala

Poul Kongstad

  • Tilknyttet:
    Forfatter
    ved Region Skåne
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