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• W2025651567 abstract "S126 INTRODUCTION: Endotracheal (e.t.) intubation is one of the first procedures accomplished in most CPR's, offering protection of the airways, providing controlled ventilation, optimizing oxygen delivery and in addition, an alternative route for administering life-saving drugs. However, different e.t. administration techniques are used in the EMS, but almost no data are available about the effort required to perform these methods. The aim of the study was to compare the effort of time necessarry to perform different e.t. drug application techniques during CPR. METHODS: In a simulated CPR situation with a manikin 28 paramedics and 7 anesthesiologists (emergency physicians), performed in teams of two rescuers 4 different drug e.t. instillation techniques: direct injection into the upper end of the endotracheal tube (group tube), via a suction tube placed into the bronchial system (group suction tube), via a (cava) catheter placed into the bronchial system (group catheter), using an EDGAR tube (an e.t. tube with an injection channel within the wall of the tube, group EDGAR). We measured the time necessary to perform the e.t. instillation methods and time of interruption of the ventilation because of the e.t. application. Comparison between groups was performed by the Kruskal-Wallis test, a P-value < 0.05 was considered significant. RESULTS: It took significant longer to perform the cumbersome techniques using suction tubes and catheters than the other two e.t. techniques (* Figure 1) No significant difference concerning the application time were found between the other two instillation methods: group tube and group EDGAR. In addition the time of interruption of ventilation to perform the e.t. application was significant longer in the groups suction tube and catheter compared to group tube, while no interruption of the ventilation was necessary using an EDGAR tube for e.t. instillation due to its concept to applicate the drug solution via a separate injection channel within the wall of the tube.Figure 1: effort of time necessary to perform different e.t. instillation methods, each group n=35. Data are median and range, grey area indicates median time of interruption of ventilation necessary for e.t. application, group EDGAR no interruption due to its concept.DISCUSSION: We conclude that the use of special devices such as suction tubes or catheters for endotracheal instillation during CPR, results in a significant longer preparation and instillation time than the more simple techniques like direct injection into the upper end of the endotracheal tube or the use of an EDGAR or a similar tube." @default.
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• W2025651567 title "THE EFFORT OF TIME REQUIRED TO PERFORM DIFFERENT METHODS FOR ENDOTRACHEAL DRUG APPLICATION DURING CPR" @default.
• W2025651567 doi "https://doi.org/10.1097/00000539-199902001-00126" @default.
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