Impact of videolaryngoscopy introduction into prehospital emergency medicine practice: a quality improvement project
| العنوان: | Impact of videolaryngoscopy introduction into prehospital emergency medicine practice: a quality improvement project |
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| المؤلفون: | Alistair Steel, Dan Cody, Charlotte Haldane |
| المصدر: | Emergency Medicine Journal. 38:549-555 |
| بيانات النشر: | BMJ, 2021. |
| سنة النشر: | 2021 |
| مصطلحات موضوعية: | Adult, Male, Emergency Medical Services, medicine.medical_specialty, Quality management, medicine.medical_treatment, Video Recording, Critical Care and Intensive Care Medicine, State Medicine, 03 medical and health sciences, 0302 clinical medicine, 030202 anesthesiology, medicine, Humans, Intubation, Aged, Laryngoscopy, business.industry, Tracheal intubation, 030208 emergency & critical care medicine, General Medicine, Objective Improvement, Middle Aged, Quality Improvement, United Kingdom, Laryngeal inlet, Emergency medicine, Emergency Medicine, Female, Airway management, business, Advanced airway management, Airway |
| الوصف: | IntroductionAdvanced airway management is necessary in the prehospital environment and difficult airways occur more commonly in this setting. Failed intubation is closely associated with the most devastating complications of airway management. In an attempt to improve the safety and success of tracheal intubation, we implemented videolaryngoscopy (VL) as our first-line device for tracheal intubation within a UK prehospital emergency medicine (PHEM) setting.MethodsAn East of England physician–paramedic PHEM team adopted VL as first line for undertaking all prehospital advanced airway management. The study period was 2016–2020. Statistical process control charts were used to assess whether use of VL altered first-pass intubation success, frequency of intubation-related hypoxia and laryngeal inlet views. A survey was used to collect the team’s views of VL introduction.Results919 patients underwent advanced airway management during the study period. The introduction of VL did not improve first-pass intubation success, view of laryngeal inlet or intubation-associated hypoxia. VL improved situational awareness and opportunities for training but performed poorly in some environments.ConclusionDespite the lack of objective improvement in care, subjective improvements meant that overall PHEM clinicians wanted to retain VL within their practice. |
| تدمد: | 1472-0213 1472-0205 |
| URL الوصول: | https://explore.openaire.eu/search/publication?articleId=doi_dedup___::df56f77491678cdbcb1c69c71899e57b https://doi.org/10.1136/emermed-2020-209944 |
| رقم الأكسشن: | edsair.doi.dedup.....df56f77491678cdbcb1c69c71899e57b |
| قاعدة البيانات: | OpenAIRE |
| تدمد: | 14720213 14720205 |
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