Airway device

Replies to This Discussion

Permalink Reply by nishant vaidy on July 27, 2009 at 3:15pm

I'm actually in the process of starting a cadaveric study on the device, but it seems they stop making it? because the web site no longer works. Has any one used it recently?


James Osburn said:

I work with the guy that created this. It really is a simple, but highly effective device. You should get one once they start selling and see for yourself. I know they tested it in several cadaver labs during the development of it.

James

▶ Reply to This

Permalink Reply by Joe P. on July 27, 2009 at 3:51pm

There's something funky going on with their website. When I accessed the SALT page via Google it gave me a website error. So I went to MDI's home page and accessed the SALT page via the link on the home page and it now loads for me.

▶ Reply to This

Permalink Reply by Russell Stine on July 27, 2009 at 10:21pm

What would the success rate be with the ET tube going through the device? I saw something like this at a cadaver lab many moons ago and was impressed by the ease of use but not so much the blind insertion of an ET tube...

▶ Reply to This

Permalink Reply by blair4630 on September 9, 2009 at 1:45am

I just used this device tonight for the first time at a quarterly skills lab at my teaching hospital, one county over from where I work. None of the services in my county use it, but I believe some of the ones there do. It is a slick piece of equipment. One time use, they said about 30 dollars or so. For the manikin anyway, it works like a charm, every person in the skills lab gave it a turn, and not one esophageal intubation. It's weird do a blind insertion like it's a combi or king, but that's how it works.

▶ Reply to This

Permalink Reply by Joshua Todd on September 9, 2009 at 2:52am

So we are going to attempt blind insertions of endotracheal tubes? When there is a number of people arguing that the research data shows paramedics shouldnt even be intubating when they can see the ETT pass the cords? I would be very hesitant to be the first system to adopt this without a significant ammount of high quality peer reviewed resarch. In essence you can do exactly the same thing already using a king lts-d and a bougie although with the data as good as it is supporting the king (and in my systems experince very few pts who cant be ventilated with one) there isnt much need for exchanging to an ETT.

▶ Reply to This

Permalink Reply by blair4630 on September 9, 2009 at 4:42am

Well, there are alot of opponents of pre-hospital intubation, that's for sure. However, look at it like this...if there is a device that can put the ETT in the right spot if it can't be done by direct larygoscopy, then that is sort of the same thing as the king, but with a difference.....ETT intubation is still considered the gold standard for airway control, although the king airway is considered an acceptable alternative because it does a very good job of ventilating patients when no other method can be obtained. I would argue that if the top standard is still the ETT, then why not use a blind insertion device that delivers that instead of a supraglottic, esophageal airway? And at approx. 30 dollars a pop, they're actually cheaper than the king airway.

That being said, you're right, a large study should be used to validate it's effectiveness prior to widespread use.

▶ Reply to This

Permalink Reply by Nick Eubanks on September 9, 2009 at 7:13am

I got a sample of the device and used it on our intubation manikins. So easy to use but effective. I never missed the trachea once out of multiple attempts. A couple of personnel from My agency tried it and had never seen the divice before.With just a couple of simple instructions they intubated the manikin with the device with ease. Before My agency puts the device to use, additional studies and clinical trials with anasthesia in the O.R will probably have to take place. Probably not a bad idea though, however I am ready to have this device in our airway kits as an optional tool for difficult intubations.
blair4630 said:

I just used this device tonight for the first time at a quarterly skills lab at my teaching hospital, one county over from where I work. None of the services in my county use it, but I believe some of the ones there do. It is a slick piece of equipment. One time use, they said about 30 dollars or so. For the manikin anyway, it works like a charm, every person in the skills lab gave it a turn, and not one esophageal intubation. It's weird do a blind insertion like it's a combi or king, but that's how it works.

▶ Reply to This

Permalink Reply by dr-exmedic on September 9, 2009 at 3:05pm

Nick Eubanks said:

Probably not a bad idea though, however I am ready to have this device in our airway kits as an optional tool for difficult intubations.

And that's probably the best way to look at it--not as something that will take away direct laryngoscopy, but an admission that not every patient is easily intubated under DL. Anesthesiologists have kept a cart behind them for years with half a dozen or more ways to get an airway, and it's not because they lack practice with DL--quite the opposite! Then when you get someone with less airway experience, in a place that isn't a controlled environment, and a pt who hasn't been NPO...EMS should be stealing all the airway adjunctive tools they can.

▶ Reply to This

▶ Reply to This

• First
• Previous
• Next
• Last