Article of the Month

    

Dear colleagues and airway enthusiast 
The European Airway Management Society is introducing a new feature – Article of the Month. 
This is designed to provide an opportunity to our members to highlight and share airway related topics and to open discussion forums in order to share clinical experience for the benefit of all EAMS members. 
The Article of the Month will be made available via the EAMS website and is going to be accompanied by a short text (up to 200 words) explaining why is this article being selected. 
EAMS members with login to eamshq.net will have access to the articles as full-text PDF's.
We would like to encourage our members to propose articles of the month. The short text accompanying the article will also be made available on line with full acknowledgement of the author who proposed the article. 
The final decision to go on-line will be taken by the EAMS Board of Directors. 

Best regards 
R. Tino Greif 
President of the European Airway Management Society

    

Dear EAMS-Members,

After a short summer holiday season, we are back with the article of month. This month’s contribution came from Prof. Arnd Timmermann. His article of the month is a German study done by the anesthesiologist and A&E physician Michael Bernhard and Coworkers from Leipzig, Germany. He took a closer look to the raising concerns around the usage of supraglottic airway devices (SAD) for out-of-hospital airway management. The dominate SAD device in Germany is the laryngeal tube (LT). The LT was critized for the unrecognized malposition’s leading in massive stomach inflation (≈10%) and severe tongue swelling (≈40%). It is unclear, if the usage of the LT and the specific malposition’s had any influence in the outcome of patients ventilated by the LT. Therefore the authors retrospectively analyzed data from the German Resuscitation Registry for a study period of 6½ years, including approximately 43.000 patients after out of-hospital cardiac arrest treated with manual chest compression and automated chest compression devices and who were ventilated by a laryngeal tube or an endotracheal tube. Nearly 27.500 patients fulfilled study criteria and were including for further analysis. This study demonstrated that patients treated with SAD only suffered from the lowest hospital admission rate with ROSC, lowest survival rate to hospital, discharge, and lowest survival rate to hospital discharge with good neurological outcome in comparison to all other airway and compression methods. The result were better if the LT was immediately was replaced with an ET by a supporting emergency physician at the out of hospital scene. The authors concluded that SAD only should be avoided or SAD should be changed into ETI, independent of whether chest compression method was used.

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