Zusammenfassung
Die endotracheale Intubation in einer Notfallsituation stellt die anspruchsvollste Aufgabe für den präklinisch tätigen Notarzt im Bereich der Atemwegssicherung dar. Insbesondere bei äußerlichen Patientenmerkmalen oder Einsatzbedingungen, die das Vorhandensein eines schwierigen Atemweges nahelegen, kann die Videolaryngoskopie zum Einsatz kommen mit der Möglichkeit, die Visualisierung des Atemweges zu optimieren und damit den Intubationserfolg sowie die Patientensicherheit zu erhöhen. Dabei erscheint für den präklinischen Einsatz unter erschwerten Intubationsbedingungen die Verwendung macintoshbasierter Videolaryngoskope besonders sinnvoll. Für die wenigen Einzelfälle, in denen ein macintoshbasiertes Videolaryngoskop aus anatomischen Gründen keine ausreichende Glottisvisualisierung ermöglicht, bietet die Möglichkeit zum Umstieg auf ein stärker gekrümmtes Spatelblatt innerhalb desselben Videolaryngoskopsystems ohne größeren Zeitverlust einen zusätzlichen Vorteil.
Abstract
Endotracheal intubation in a prehospital emergency situation represents the most challenging task for emergency physicians in the field of securing the airway. Video laryngoscopy can be utilized to optimize visualization of the airway, particularly under circumstances where external patient features or mission conditions indicate the presence of a difficult airway, to increase the chance of success for intubation and therefore patient safety. For the prehospital use under difficult intubation conditions it would appear particularly appropriate to utilize Macintosh-based video laryngoscopes. For the few isolated cases where for anatomical reasons a Macintosh-based video laryngoscope does not provide sufficient visualization of the glottis, the possibility to change to a more curved spatula blade within the same video laryngoscope system with no substantial time delay is an additional advantage.
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Interessenkonflikt
Der korrespondierende Autor weist auf folgende Beziehung hin: Volker Dörges ist Berater der Firma Karl Storz, Tuttlingen.
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Cavus, E., Dörges, V. Videolaryngoskopie in der präklinischen Notfallmedizin. Notfall Rettungsmed 14, 25–28 (2011). https://doi.org/10.1007/s10049-010-1358-z
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DOI: https://doi.org/10.1007/s10049-010-1358-z
Schlüsselwörter
- Endotracheale Intubation
- Videolaryngoskopie
- Glottis
- Erschwerte Intubationsbedingungen
- Stärker gekrümmtes Spatelblatt