Staudinger T, Brugger S, Watschinger B, Röggla M, Dielacher C, Löbl T, Fink D, Klauser R, Frass M
Department of Medicine I, Intensive Care Unit, Vienna, Austria.
Ann Emerg Med. 1993 Oct;22(10):1573-5. doi: 10.1016/s0196-0644(05)81261-2.
To evaluate the safety and effectiveness of the Combitude as used by ICU nurses under medical supervision compared with endotracheal airway established by ICU physicians during CPR.
Prospective study of ICU patients over a seven-month period.
Medical ICU.
Thirty-seven patients suffering from cardiac arrest.
Emergency intubation with either the Combitube by nurses or the endotracheal airway by physicians and subsequent mechanical ventilation.
Evaluation of blood gases after 20 minutes of mechanical ventilation. Intubation time was shorter for the Combitube (P < .001). Blood gases for each device showed comparable results; PaO2 was slightly higher during ventilation with the Combitube (P < .001).
The Combitube as used by ICU nurses was as effective as establishment of the endotracheal airway by intensivists during CPR. The Combitube may be used whenever endotracheal intubation cannot be performed immediately.
评估在医疗监督下，重症监护病房（ICU）护士使用组合式喉罩气道（Combitube）与ICU医生在心肺复苏（CPR）期间建立气管内气道相比的安全性和有效性。
对ICU患者进行为期七个月的前瞻性研究。
内科重症监护病房。
37例心脏骤停患者。
护士使用组合式喉罩气道或医生建立气管内气道进行紧急插管，随后进行机械通气。
机械通气20分钟后评估血气。组合式喉罩气道的插管时间更短（P < .001）。两种设备的血气结果相当；使用组合式喉罩气道通气时动脉血氧分压（PaO2）略高（P < .001）。
ICU护士使用的组合式喉罩气道在CPR期间与重症监护医生建立气管内气道一样有效。每当无法立即进行气管插管时，均可使用组合式喉罩气道。
