구조자의 위치에 따른 적절한 후두마스크기도기 삽입방법은 무엇일까? : 검지손가락법과 엄지손가락법의 비교
Which is the proper insertion method of laryngeal mask airway according to the rescuer’s position? : Comparison between index finger insertion and thumb insertion
Purpose: The purpose of the study was to investigate the effects of laryngeal mask airway (LMA) insertion from different positions, using different methods, on the quality of the insertion, for identifying a more convenient and effective insertion method. Methods: In a model ambulance, 30 paramedic students performed the LMA insertion procedure, in four different settings, combinations of the rescuer’s position (at the head end of the patient, at the side of the patient), and insertion technique (index finger insertion, thumb insertion), in a randomized order. Quality of insertion index and convenience of use were measured. Results: The quality of insertion index (tidal volume, gastric insufflation, airway pressure, airway sealing pressure, midline positions, insertion success grade, and insertion time) were not significantly different among four different settings. However LMA insertion from the anterior (head) end, using the index finger method compared to the thumb method was found to be significantly more convenient. Conclusion: We recommend using the more convenient and familiar LMA insertion method, between index finger insertion and thumb insertion, regardless of rescuer’s position.
목차
=Abstract = Ⅰ. 서론 Ⅱ. 연구방법 1. 연구대상과 연구윤리 2. 연구 설계 3. 자료수집 4. 자료 분석 Ⅲ. 연구결과 1. 연구 참여자의 특성 2. 환자 머리 위에서의 삽입 방법 비교 3. 환자 측면에서의 삽입방법 비교 Ⅳ. 고찰 Ⅴ. 결론 References
키워드
Laryngeal mask airwayIndex finger insertionThumb insertionQuality of insertionRescuer’s position
한국응급구조학회 [The Korean Society of Emergency Medical Technology]
설립연도
1997
분야
의약학>응급의학
소개
복합 구조적인 산업사회의 발전에 따라 안전사고와 응급상황에서의 구조구급요청자들이 증가하고 있으나 우리나라의 응급의료체계는 아직 그 수준을 따라가지 못하고 있는 실정이다. 이에 우리나라의 응급의료체계를 확립하고 구조구급에 관한 기초학문의 발전에 기여하고자 학회를 창립한다.
간행물
간행물명
한국응급구조학회지(구 한국응급구조학회논문지) [The Korean Journal of Emergency Medical Services ]