Prehospital airway management: a prospective case study

Wilbers, N. E. R., Hamaekers, A. E. W., Jansen, J., Wijering, S. C., Thomas, O., Wilbers-van Rens, R. and van Zundert, A. A. J. (2011) Prehospital airway management: a prospective case study. Acta Anaesthesiologica Belgica, 62 1: 23-31.

Author Wilbers, N. E. R.
Hamaekers, A. E. W.
Jansen, J.
Wijering, S. C.
Thomas, O.
Wilbers-van Rens, R.
van Zundert, A. A. J.
Title Prehospital airway management: a prospective case study
Journal name Acta Anaesthesiologica Belgica   Check publisher's open access policy
ISSN 0001-5164
Publication date 2011
Year available 2011
Sub-type Article (original research)
Open Access Status
Volume 62
Issue 1
Start page 23
End page 31
Total pages 9
Place of publication Brussels, Belgium
Publisher Acta Medica Belgica
Language eng
Formatted abstract
We conducted a one-year prospective study involving a prehospital Emergency Medical Service in the Netherlands to investigate the incidence of failed or difficult prehospital endotracheal intubation. During the study period the paramedics were asked to fill in a registration questionnaire after every endotracheal intubation. Of the 26,271 patient contacts, 256 endotracheal intubations were performed by paramedics in one year. Endotracheal intubation failed in 12 patients (4.8%). In 12.0% of 249 patients, a Cormack and Lehane grade III laryngoscopy was reported and a grade IV laryngoscopy was reported in 10.4%. The average number of endotracheal intubations per paramedic in one year was 4.2 and varied from zero to a maximum of 12. The median time between arrival on the scene and a positive capnograph was 7 min.38 s in the case of a Cormack and Lehane grade 1 laryngoscopy and 14 min.58 s in the case of a Cormack and Lehane grade 4 laryngoscopy. The incidence of endotracheal intubations performed by Dutch paramedics in one year was low, but endotracheal intubation was successful in 95.2%, which is comparable with findings in international literature. Early capnography should be used consistently in prehospital airway management.
Keyword Difficult airway
Emergency medical service
Endotracheal intubation
Out of hospital
Prehospital airway management
Q-Index Code C1
Q-Index Status Provisional Code
Institutional Status Non-UQ

Document type: Journal Article
Sub-type: Article (original research)
Collection: School of Medicine Publications
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Created: Tue, 12 May 2015, 12:03:01 EST by Andre Van Zundert on behalf of Anaesthesiology and Critical Care - RBWH