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Pharmacologically assisted laryngeal mask insertion: a consensus statement
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  • Published on:
    PALM consensus statement: estimation of population incidence using an island model.
    • Richard J Price, Consultant
    • Other Contributors:
      • Jeffrey Proctor, Andrew Inglis

    We read with interest the PALM consensus statement (1). This is an airway rescue technique for comatose hypoxaemic patients in the pre- hospital environment. The PALM procedure could also apply to the general practitioner (GP) run community hospital environment since the facilities of a metropolitan hospital, specifically rapid sequence induction of anaesthesia (RSI), are not available.

    The islands of the west c...

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    Conflict of Interest:
    None declared.
  • Published on:
    PALM: A fringe benefit for a wider group of patients

    It is a pity that the Royal College of Anaesthetists felt unable to support the recent Faculty of Prehospital Care consensus statement on pharmacologically-assisted laryngeal mask insertion (PALM) [1]. PALM was only ever intended to be used as an emergency rescue technique in patients with a lowered level of consciousness (GCS <8-9 or AVPU P or U) AND an SpO2 reading of 92%-or-less. This despite best efforts to reverse...

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    Conflict of Interest:
    None declared.