Role of Laryngeal Mask Airway in Emergency Department and Pre-Hospital Environment

2003 ◽  
Vol 10 (1) ◽  
pp. 57-62
Author(s):  
FKC Chu
Keyword(s):  
Emergency Department ◽  
Laryngeal Mask Airway ◽  
Emergency Departments ◽  
Hospital Setting ◽  
Laryngeal Mask ◽  
Hospital Environment ◽  
Great Success ◽  
Failed Intubation

LMA and Intubating LMA (LMA-Fastrach) have been widely used by anesthesiologists in operation theaters and have achieved great success. Its use in the emergency department and pre-hospital setting by EMS has recently been proven to be very successful. It is also a very useful tool in providing a quick airway in case of failed intubation and failed ventilation situations. In this article, some of its use in emergency departments and pre-hospital setting are discussed.

scholarly journals The prehospital practitioner and the laryngeal mask airway: “Are you keeping up?”

2004 ◽  
Vol 2 (1) ◽  
Author(s):  
Cindy Hein
Keyword(s):  
Laryngeal Mask Airway ◽  
Airway Management ◽  
Cricoid Pressure ◽  
Laryngeal Mask ◽  
Hospital Environment ◽  
Failed Intubation ◽  
Bite Block ◽  
Emergency Airway ◽  
History Of ◽  
Selection Of

The laryngeal mask airway (LMA) has gained recognition as an acceptable device for securing the airway of patients during anaesthesia and emergency airway management within the hospital environment. Furthermore, the LMA has been utilised by paramedics in the prehospital setting when endotracheal intubation is either unavailable (untrained personnel) or impossible (failed intubation). Numerous articles have been published debating different techniques of its use and modifications from its original inception. This paper offers a recent review of those articles and presents a balance for the reader to consume. A brief history of the LMA is given, as well as discussion on selection of size, use of a bite block, cuff pressures, the disposable LMA, the intubating LMA, the ProSeal LMA and using cricoid pressure with the LMA insitu.

Delivery room resuscitation of near-term infants: Role of the laryngeal mask airway

Resuscitation ◽  
2010 ◽  
Vol 81 (3) ◽  
pp. 327-330 ◽  
Author(s):  
Vincenzo Zanardo ◽  
Gary Weiner ◽  
Massimo Micaglio ◽  
Nicoletta Doglioni ◽  
Ramona Buzzacchero ◽  
...  
Keyword(s):  
Laryngeal Mask Airway ◽  
Laryngeal Mask ◽  
Delivery Room ◽  
Term Infants ◽  
Near Term

scholarly journals Transmission of Vancomycin-Resistant Enterococci in the Hospital Setting: Uncovering the Patient–Environment Interplay

2020 ◽  
Vol 8 (2) ◽  
pp. 203 ◽  
Author(s):  
Carlos L. Correa-Martinez ◽  
Hauke Tönnies ◽  
Neele J. Froböse ◽  
Alexander Mellmann ◽  
Stefanie Kampmeier
Keyword(s):  
Core Genome ◽  
Hospital Setting ◽  
Hospital Environment ◽  
Environmental Isolates ◽  
Resistance Determinants ◽  
Vancomycin Resistant Enterococci ◽  
Vancomycin Resistant ◽  
And Control ◽  
Sequence Types

Vancomycin-resistant enterococci (VRE) are relevant nosocomial pathogens with an increasing incidence in the last decades. Their transmission is optimal in the hospital setting, as it offers two potential, large reservoirs that are closely related: susceptible patients and their environment. Here we investigate the role of the hospital environment in the nosocomial transmission of VRE by establishing concrete links between contaminated surfaces and colonized/infected patients in outbreak and non-outbreak settings. Environmental and patient VRE isolates were collected between 2013 and 2019 and analyzed by whole-genome sequencing (WGS), subsequent multilocus sequence typing (MLST), and core genome (cg) MLST. Pairs of isolates differing in <3 alleles were rated as closely related, making a transmission likely. Fifty-three environmental VRE isolates were analyzed. MLST sequence types (ST) ST203 (50.0%), ST192 (21.3%), ST117 (17.3%), ST721 (8.8%), ST80 (2%), and ST1489 (0.7%) were detected, carrying the resistance determinants vanA (72.7%), vanB (24%), or both (3.3%). Of the 53 environmental isolates, 51 were found to form five clusters with genetically related patient isolates (n = 97 isolates). WGS confirms the role of the environment in the transmission dynamics of VRE in both the outbreak and non-outbreak settings, highlighting the importance of prevention and control of VRE spread.

The dementia-friendly emergency department

2016 ◽  
Vol 30 (1) ◽  
pp. 26-31 ◽  
Author(s):  
Belinda Parke ◽  
Kathleen F. Hunter
Keyword(s):  
Emergency Department ◽  
Older People ◽  
Healthcare System ◽  
Emergency Departments ◽  
Hospital Setting ◽  
Multiple Challenges ◽  
Canadian Healthcare System ◽  
Canadian Healthcare ◽  
Health Profiles

Emergency Departments (EDs) are an integral part of the Canadian healthcare system. Older people living with dementia challenge EDs. They have complex health profiles that pose multiple challenges for staff. The current one-size-fits-all approach that aids efficiency in a technologically dependent hospital setting may not always serve older people living with dementia, their caregivers, or staff well. The premise that older people living with dementia are a problem for Canadian EDs must be reconsidered. Understanding the complexity of the situation is aided by the dementia-friendly ED framework. We propose one way to enhance communication between those living with dementia who receive ED services and those providing the service.

scholarly journals The rise and the fall of a Pseudomonas aeruginosa epidemic lineage in a hospital

2020 ◽  
Author(s):  
Marie Petitjean ◽  
Paulo Juarez ◽  
Alexandre Meunier ◽  
Etienne Daguindau ◽  
Hélène Puja ◽  
...  
Keyword(s):  
Pseudomonas Aeruginosa ◽  
Infection Control ◽  
Efflux Pump ◽  
Bacterial Genome ◽  
Hospital Setting ◽  
Control Measures ◽  
Hospital Environment ◽  
Epidemic Strain ◽  
Over Time

AbstractThe biological features that allow a pathogen to survive in the hospital environment are mostly unknown. The extinction of bacterial epidemics in hospitals is mostly attributed to changes in medical practice, including infection control, but the role of bacterial adaptation has never been documented. We analyzed a collection of Pseudomonas aeruginosa isolates belonging to the Besançon Epidemic Strain (BES), responsible for a 12-year nosocomial outbreak, using a genotype-to-phenotype approach. Bayesian analysis estimated the emergence of the clone in the hospital five years before its opening, during the creation of its water distribution network made of copper. BES survived better than the reference strains PAO1 and PA14 in a copper solution due to a genomic island containing 13 metal-resistance genes and was specifically able to proliferate in the ubiquitous amoeba Vermamoeba vermiformis. Mutations affecting amino-acid metabolism, antibiotic resistance, lipopolysaccharide biosynthesis, and regulation were enriched during the spread of BES. Seven distinct regulatory mutations attenuated the overexpression of the genes encoding the efflux pump MexAB-OprM over time. The fitness of BES decreased over time in correlation with its genome size. Overall, the resistance to inhibitors and predators presumably aided the proliferation and propagation of BES in the plumbing system of the hospital. The pathogen further spread among patients via multiple routes of contamination. The decreased prevalence of patients infected by BES mirrored the parallel and convergent genomic evolution and reduction that affected bacterial fitness. Along with infection control measures, this may have participated in the extinction of BES in the hospital setting.ImportanceBacterial pathogens are responsible for nosocomial outbreaks, but the sources of contamination of the hospitals are mostly unclear and the role of bacterial evolution in the extinction of outbreaks has never been considered. Here, we found that an epidemic strain of the pathogen Pseudomonas aeruginosa contaminated the drinking water network of a hospital due to its tolerance to copper and predatory amoeba, both present in the water pipes. The extinction of the outbreak occurred concomitantly with parallel and convergent genome evolution and a reduction in the size of the bacterial genome that correlated with the fitness of the pathogen. Our data suggest that pathogen evolution participated in the extinction of an outbreak in a hospital setting.

The role of laryngeal mask airway in cardiopulmonary resuscitation

Resuscitation ◽  
1994 ◽  
Vol 28 (2) ◽  
pp. 103-106 ◽  
Author(s):  
Abdulhamid H. Samarkandi ◽  
Mohamed A. Seraj ◽  
Abdelazeem El Dawlatly ◽  
Muntimadugn Mastan ◽  
Hassan B. Bakhamees
Keyword(s):  
Laryngeal Mask Airway ◽  
Cardiopulmonary Resuscitation ◽  
Laryngeal Mask
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