List Archives

Tue, 19 Mar 2002 14:31:40 -0000

The difference is that these patient groups are different in their
demographics, and, to put it bluntly, their chances of survival.

> -----Original Message-----
> From: trauma-list-admin@trauma.org
> [mailto:trauma-list-admin@trauma.org]On Behalf Of Peter Barrett
> Sent: 16 March 2002 21:29
> To: trauma-list@trauma.org
> Subject: Re: Combitube
>
>
> So its OK to use the LM during cardiac arrest after having curry
> and a beer
> but its not safe if you are involved in trauma - I dont think so.
> Lets apply
> some commonsense - just use equipment that you are familiar with. For me
> that would be the LM Proseal (familiar, easy to insert, good pharyngeal
> seal, ability to vent the oesophagus and a conduit, with the aid of a
> fibreoptic scope and Aintree catheter to secure a definitive airway) or
> possibly even ILMA.
> OK you cant guarantee that the lower airway will be protected against
> aspiration but surely its a case of risk v's benefit - what are the risks
> and where is the data that the LM is dangerous in trauma patients
> - Benefits
> are obvious.
> As for the combitube - use it if you are familiar with it and it works for
> you.
> I wouldn't stand up in court for either side on this one!
>
> Pete Barrett
> ----- Original Message -----
> From: "Rowley Cottingham" <rowley@rowleys-host.compulink.co.uk>
> To: <trauma-list@trauma.org>
> Sent: Thursday, March 14, 2002 11:06 AM
> Subject: RE: Combitube
>
>
> > I agree entirely with John Holmes. I have gone on record before
> as stating
> > that I would act for the prosecution in any case where soiling of the
> lower
> > airway occurred after insertion of a laryngeal mask after
> trauma. There is
> > good evidence that the soiling is no worse in the cardiac
> arrest situation
> > that using BVM (Baskett and Stone) but none that it is anything but
> > dangerous in the traumatised patient.
> >
> > Best wishes,
> >
> > Rowley Cottingham
> > rowley@cix.co.uk
> > http://emergencyunit.com
> > premier emergency medicine on the web.
> >
> >
> >
> > --
> > trauma-list : TRAUMA.ORG
> > To change your settings or unsubscribe visit:
> > http://www.trauma.org/traumalist.html
> >
>
>
> --
> trauma-list : TRAUMA.ORG
> To change your settings or unsubscribe visit:
> http://www.trauma.org/traumalist.html
>

List Archives

For your convenience, find the Trauma List Archive Below

Combitube