The intubating laryngeal mask: Is there a role for paramedics

Abstract

Objective: To compare the ability of UK paramedics to intubate a simulated difficult airway using a Mackintosh laryngoscope versus an intubating laryngeal mask airway (ILMA). Method/design: A randomised controlled trial. Results: 100% of the paramedics were able to intubate a simulated difficult airway using the ILMA versus 0% of those using the Mackintosh laryngoscope. Conclusions: This study has demonstrated the ability of paramedics to use the ILMA when faced with a difficult intubation. However, further evaluation of this potential role for the ILMA is required.