| dc.contributor.advisor | Russo, Sebastian G. PD Dr. | |
| dc.contributor.author | Stradtmann, Christoph | |
| dc.date.accessioned | 2018-03-27T12:33:40Z | |
| dc.date.available | 2018-04-10T22:50:06Z | |
| dc.date.issued | 2018-03-27 | |
| dc.identifier.uri | http://hdl.handle.net/11858/00-1735-0000-002E-E3A4-A | |
| dc.identifier.uri | http://dx.doi.org/10.53846/goediss-6802 | |
| dc.identifier.uri | http://dx.doi.org/10.53846/goediss-6802 | |
| dc.language.iso | deu | de |
| dc.rights.uri | http://creativecommons.org/licenses/by-nc-nd/4.0/ | |
| dc.subject.ddc | 610 | de |
| dc.title | Der Einfluss des Atemwegsmanagement unter Reanimationsbedingungen auf die Hands-on-Zeit: Ein Vergleich der Beutel-Masken-Ventilation und direkten Laryngoskopie mit der Intubationslarynxmaske | de |
| dc.type | doctoralThesis | de |
| dc.title.translated | The influence of airway management under resuscitation conditions on hands-on time: a comparison of bag-mask ventilation and direct laryngoscopy with the intubation laryngeal mask | de |
| dc.contributor.referee | Schroeter, Marco PD Dr. | |
| dc.date.examination | 2018-03-28 | |
| dc.description.abstracteng | Objectives: In this study we compared two ventilation and intubation strategies with regard to their effect on hands-on time: ventilation and intubation with the intubating laryngeal mask airway (ILMA),versus bag mask ventilation (BMV) with tracheal intubation using direct laryngoscopy (DL).
Methods:
Thirty paramedics and 40 medical students were recruited to perform four standardized CPR manikin scenarios of six minutes each in a random sequence: normal to manage airways using either BMV + DL or the ILMA and difficult to manage airways, again using either BMV + DL or the ILMA.
Results
The scenarios of 25 paramedics and 36 students were analysed. The time to the first successful ventilation was significantly longer with the ILMA (p < 0.001). Hands-on time was initially lower for the ILMA (p < 0.001), but recovered within the first two minutes and was then significantly greater from minute 3 onward (p < 0.001). First success rate for intubation was higher and the time to ET placement was faster with the ILMA, especially in difficult-to-manage airways (p < 0.001). For difficult-to-manage airways, male participants had a significantly greater hands-on time using BMV + DL, whereas with the ILMA no difference was found between male and female participants.
Conclusion:
In this manikin-based study, the hands-on time was greater with the ILMA than with BMV + DL. In this setting, the ILMA was particularly useful for ventilation and intubation in difficult-to-manage airways and when used by female participants. | de |
| dc.contributor.coReferee | Schön, Margarete Prof. Dr. | |
| dc.subject.eng | resuscitation, intubating laryngeal mask airway, hands-on time, external chest compression, manikin, difficult airway | de |
| dc.identifier.urn | urn:nbn:de:gbv:7-11858/00-1735-0000-002E-E3A4-A-8 | |
| dc.affiliation.institute | Medizinische Fakultät | de |
| dc.subject.gokfull | Anästhesiologie / Intensivmedizin / Notfallmedizin / Analgesie - Allgemein- und Gesamtdarstellungen (PPN619875917) | de |
| dc.description.embargoed | 2018-04-10 | |
| dc.identifier.ppn | 1016559496 | |