Cargando…
Perception and success rate of using advanced airway management by hospital-based paramedics in the Kingdom of Saudi Arabia
OBJECTIVE: The study aimed to measure the success rate of pre-hospital tracheal intubation (TI) and supraglottic airway devices (SADs) performed by paramedics for adult patients and to assess the perception of paramedics of advanced airway management. METHOD: The study consisted of two phases: phase...
Autores principales: | , , , , , , , |
---|---|
Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
The College of Paramedics
2021
|
Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8669637/ https://www.ncbi.nlm.nih.gov/pubmed/34970079 http://dx.doi.org/10.29045/14784726.2021.12.6.3.24 |
_version_ | 1784614819274424320 |
---|---|
author | Alenazi, Amani Alotaibi, Bashayr Saleh, Najla Alshibani, Abdullah Alharbi, Meshal Aljerian, Nawfal Alharthy, Nesrin Alsomali, Sameerah |
author_facet | Alenazi, Amani Alotaibi, Bashayr Saleh, Najla Alshibani, Abdullah Alharbi, Meshal Aljerian, Nawfal Alharthy, Nesrin Alsomali, Sameerah |
author_sort | Alenazi, Amani |
collection | PubMed |
description | OBJECTIVE: The study aimed to measure the success rate of pre-hospital tracheal intubation (TI) and supraglottic airway devices (SADs) performed by paramedics for adult patients and to assess the perception of paramedics of advanced airway management. METHOD: The study consisted of two phases: phase 1 was a retrospective analysis to assess the TI and SADs’ success rates when applied by paramedics for adult patients aged >14 years from 2012 to 2017, and phase 2 was a distributed questionnaire to assess paramedics’ perception of advanced airway management. RESULT: In phase 1, 24 patients met our inclusion criteria. Sixteen (67%) patients had TI, of whom five had failed TI but then were successfully managed using SADs. The TI success rate was 69% from the first two attempts compared to SADs (100% from first attempt). In phase 2, 63/90 (70%) paramedics responded to the questionnaire, of whom 60 (95%) completed it. Forty-eight (80%) paramedics classified themselves to be moderately or very competent with advanced airway management. However, most of them (80%) performed only 1–5 TIs or SADs a year. CONCLUSION: Hospital-based paramedics (i.e. paramedics who are working at hospitals and not in the ambulance service, and who mostly respond to small restricted areas in Saudi Arabia) handled few patients requiring advanced airway management and had a higher competency level with SADs than with TI. The study findings could be impacted by the low sample size. Future research is needed on the success rate and impact on outcomes of using pre-hospital advanced airway management, and on the challenges of mechanical ventilation use during interfacility transfer. |
format | Online Article Text |
id | pubmed-8669637 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2021 |
publisher | The College of Paramedics |
record_format | MEDLINE/PubMed |
spelling | pubmed-86696372022-12-01 Perception and success rate of using advanced airway management by hospital-based paramedics in the Kingdom of Saudi Arabia Alenazi, Amani Alotaibi, Bashayr Saleh, Najla Alshibani, Abdullah Alharbi, Meshal Aljerian, Nawfal Alharthy, Nesrin Alsomali, Sameerah Br Paramed J Original Research OBJECTIVE: The study aimed to measure the success rate of pre-hospital tracheal intubation (TI) and supraglottic airway devices (SADs) performed by paramedics for adult patients and to assess the perception of paramedics of advanced airway management. METHOD: The study consisted of two phases: phase 1 was a retrospective analysis to assess the TI and SADs’ success rates when applied by paramedics for adult patients aged >14 years from 2012 to 2017, and phase 2 was a distributed questionnaire to assess paramedics’ perception of advanced airway management. RESULT: In phase 1, 24 patients met our inclusion criteria. Sixteen (67%) patients had TI, of whom five had failed TI but then were successfully managed using SADs. The TI success rate was 69% from the first two attempts compared to SADs (100% from first attempt). In phase 2, 63/90 (70%) paramedics responded to the questionnaire, of whom 60 (95%) completed it. Forty-eight (80%) paramedics classified themselves to be moderately or very competent with advanced airway management. However, most of them (80%) performed only 1–5 TIs or SADs a year. CONCLUSION: Hospital-based paramedics (i.e. paramedics who are working at hospitals and not in the ambulance service, and who mostly respond to small restricted areas in Saudi Arabia) handled few patients requiring advanced airway management and had a higher competency level with SADs than with TI. The study findings could be impacted by the low sample size. Future research is needed on the success rate and impact on outcomes of using pre-hospital advanced airway management, and on the challenges of mechanical ventilation use during interfacility transfer. The College of Paramedics 2021-12-01 2021-12-01 /pmc/articles/PMC8669637/ /pubmed/34970079 http://dx.doi.org/10.29045/14784726.2021.12.6.3.24 Text en © 2021 The Author(s) https://creativecommons.org/licenses/by/2.0/This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | Original Research Alenazi, Amani Alotaibi, Bashayr Saleh, Najla Alshibani, Abdullah Alharbi, Meshal Aljerian, Nawfal Alharthy, Nesrin Alsomali, Sameerah Perception and success rate of using advanced airway management by hospital-based paramedics in the Kingdom of Saudi Arabia |
title | Perception and success rate of using advanced airway management by hospital-based paramedics in the Kingdom of Saudi Arabia |
title_full | Perception and success rate of using advanced airway management by hospital-based paramedics in the Kingdom of Saudi Arabia |
title_fullStr | Perception and success rate of using advanced airway management by hospital-based paramedics in the Kingdom of Saudi Arabia |
title_full_unstemmed | Perception and success rate of using advanced airway management by hospital-based paramedics in the Kingdom of Saudi Arabia |
title_short | Perception and success rate of using advanced airway management by hospital-based paramedics in the Kingdom of Saudi Arabia |
title_sort | perception and success rate of using advanced airway management by hospital-based paramedics in the kingdom of saudi arabia |
topic | Original Research |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8669637/ https://www.ncbi.nlm.nih.gov/pubmed/34970079 http://dx.doi.org/10.29045/14784726.2021.12.6.3.24 |
work_keys_str_mv | AT alenaziamani perceptionandsuccessrateofusingadvancedairwaymanagementbyhospitalbasedparamedicsinthekingdomofsaudiarabia AT alotaibibashayr perceptionandsuccessrateofusingadvancedairwaymanagementbyhospitalbasedparamedicsinthekingdomofsaudiarabia AT salehnajla perceptionandsuccessrateofusingadvancedairwaymanagementbyhospitalbasedparamedicsinthekingdomofsaudiarabia AT alshibaniabdullah perceptionandsuccessrateofusingadvancedairwaymanagementbyhospitalbasedparamedicsinthekingdomofsaudiarabia AT alharbimeshal perceptionandsuccessrateofusingadvancedairwaymanagementbyhospitalbasedparamedicsinthekingdomofsaudiarabia AT aljeriannawfal perceptionandsuccessrateofusingadvancedairwaymanagementbyhospitalbasedparamedicsinthekingdomofsaudiarabia AT alharthynesrin perceptionandsuccessrateofusingadvancedairwaymanagementbyhospitalbasedparamedicsinthekingdomofsaudiarabia AT alsomalisameerah perceptionandsuccessrateofusingadvancedairwaymanagementbyhospitalbasedparamedicsinthekingdomofsaudiarabia |