Combes X, Aaron E, Jabre P, Leroux B, Lefloch A-S, André J-Y, Margenet A, Marty J
Département d'anesthésie-réanimation chirurgicale et Samu-Smur 94, hôpital Henri-Mondor, 51 avenue du Maréchal-de-Lattre-de-Tassigny, 94010 Créteil, France.
Ann Fr Anesth Reanim. 2006 Oct;25(10):1025-9. doi: 10.1016/j.annfar.2006.05.003. Epub 2006 Sep 26.
Assessment of the intubating Laryngeal Mask Airway(trade mark) in a prehospital emergency mobile unit (PEMU).
Observational study.
All the emergency physicians and nurses of the PEMU were trained with the intubating laryngeal mask (ILMA) handling on manikin and a learning curve was carried out. One year after the initial formation, a reassessment of the operators was performed. Following the initial formation, all the vehicles of the PEMU were equipped with ILMA and during 15 months all cases of ILMA use were recorded. The success rate and the difficulties met were analysed.
Initial formation on manikin showed that at least 8 handling of the device were mandatory to achieve a 100% success rate. A significant reduction of tracheal tube insertion delay was observed up to the eight manipulations. One year after the initial formation, a significant loss of performance was observed. Over the clinical study period 20 ILMA were used with adequate ventilation through the mask in all cases and a possible intubation in 80% of the patients.
The ILMA is a potential useful device in the prehospital setting. Initial formation and maintenance of the skill acquired with this technique are essential.
在院前急救移动单元（PEMU）中评估插管型喉罩气道（商标名）。
观察性研究。
PEMU的所有急诊医生和护士均在人体模型上接受了插管型喉罩（ILMA）操作培训，并进行了学习曲线研究。初次培训一年后，对操作人员进行了重新评估。初次培训后，PEMU的所有车辆均配备了ILMA，并在15个月内记录了所有使用ILMA的病例。分析成功率和遇到的困难。
在人体模型上的初次培训表明，至少进行8次设备操作才能达到100%的成功率。在进行8次操作之前，观察到气管导管插入延迟明显减少。初次培训一年后，观察到操作性能显著下降。在临床研究期间，使用了20个ILMA，所有病例通过面罩均实现了充分通气，80%的患者实现了可能的插管。
ILMA在院前环境中是一种潜在的有用设备。对该技术所获得技能的初次培训和维持至关重要。
