Recent discussions
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Виктория Антонова
I completely agree that in the out of hospital patient population bag mask ventilation is superior per the EB findings. This in no way indicates that the same would be true in a controlled setting in hospital, per this research "There were no RCTs of airway management for in-hospital cardiac arrest." Future RCTs comparing endotracheal intubation, LMA insertion and video laryngoscopy use for endotracheal intubation with time and success rates would be beneficial. -
Виктория Антонова
LMA is a user-friendly device with a high success rate. If there is any difficulty in securing the airway with LMA (which is a possibility), an oropharyngeal airway of appropriate size might be adequate for ventilation until skilled help is available for an advanced airway. Aspiration can happen with any device. -
Виктория Антонова
I think that having the airway secure and sealed against bronchoaspiration is the best but it is time consuming technique and could be dodgy in an out-of -hospital scenario where we are facing adverse conditions. Better a supraglottic device as an airway rescue to earn time . -
Виктория Антонова
No one should ever be given a laryngoscope without being also given waveform capnography. -
Виктория Антонова
Consider reviewing the evidence-based information in managing ventilation of a "difficult airway" due to anatomical or other factors. -
Jasmeet Soar
The ALS Task Force look forward to feedback on the review of the science and treatment recommendations for vasopressors during CPR. These Treatment Recommendations will help inform national resuscitation guidelines around the world. Jasmeet Soar - ILCOR ALS Task Force Chair -
Виктория Антонова
If an LMA ventilates and oxygenates then why bother with a tube? Irrespective of success rate they take too long and impair other resuscitation techniques don't they? We're obsessed with tubing but 'no-one ever died of needing a tube'. Have I got this wrong? -
Виктория Антонова
I think it should be framed by the skillset of the clinician - if you are not a regular and/or experienced intubator then SGA should be considered. The airway should fit the situation but the method of securing it should fit the skillset of the person placing it. -
Виктория Антонова
As no one knows their success rate, and time is the issue, one attempt at ETT and then supraglottic device. And document success rate to give meaningful rates. -
ILCOR Staff
Bob Neumar and Gavin Perkins will be discussing the CoSTR at SMACC 2019 in Sydney from 25-29 March (#SMACC) Looking forwards to a lively debate and some great discussion on this forum!