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首页> 外文期刊>Canadian Journal of Emergency Medicine >Comparison of tracheal intubation and alternative airway techniques performed in the prehospital setting by paramedics: a systematic review
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Comparison of tracheal intubation and alternative airway techniques performed in the prehospital setting by paramedics: a systematic review

机译：医护人员在院前环境中进行气管插管和替代气道技术的比较：系统评价

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摘要

This systematic review included controlled clinical trials comparing tracheal intubation (TI) with alternative airway techniques (AAT) (bag-mask ventilation and use of extraglottic devices) performed by paramedics in the prehospital setting. A priori outcomes to be assessed were survival, neurologic outcome, airway management success rates and complications. We identified trials using EMBASE, MEDLINE, CINAHL, The Cochrane Library, Web of Science, author contacts and hand searching. We included 5 trials enrolling a total of 1559 patients. No individual study showed any statistical difference in outcomes between the TI and AAT groups. Because of study heterogeneity, we did not pool the data. This is the most comprehensive review to date on paramedic trials. Owing to the heterogeneity of prehospital systems, administrators of each system must individually consider their airway management protocols.
机译：该系统评价包括对照临床试验，比较了医护人员在院前环境中进行的气管插管（TI）与替代气道技术（AAT）（袋罩通气和声门外装置的使用）之间的比较。要评估的先验结果是生存率，神经系统结果，气道管理成功率和并发症。我们使用EMBASE，MEDLINE，CINAHL，Cochrane图书馆，Web of Science，作者联系方式和人工搜索确定了试验。我们纳入了5个试验，共纳入1559名患者。没有单独的研究显示TI和AAT组之间的结局有统计学差异。由于研究的异质性，我们没有汇总数据。这是迄今为止有关辅助医疗试验的最全面的综述。由于院前系统的异质性，每个系统的管理员必须单独考虑其气道管理协议。

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