Airway management in an emergency – Related resources

Cochrane reviews

  • There is no evidence on the difference between endotracheal intubation and other airway securing strategies for reducing deaths after acute illness or injury [Evidence Level: D].
  • Using corticosteroids to prevent (or treat) stridor after extubation may not be effective for neonates or children. In adults, multiple doses of corticosteroids begun 12–24 hours prior to extubation may be beneficial for patients with a high likelihood of post extubation stridor[Evidence Level: C].
  • Lidocaine appears to be effective in the prevention of postoperative sore throat resulting from intubation. There is insufficient evidence of the potential adverse effects [Evidence Level: B].

Evidence summaries

  • The benefits of laryngeal mask airway appear to include increased speed and reliability of placement by inexperienced personnel at resuscitation, haemodynamic stability, less coughing and sore throat. Its disadvantage is an increased likelihood of leak and gastric insufflation [Evidence Level: B].

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