A comparison of the Glidescope, Pentax AWS, and Macintosh laryngoscopes when used by novice personnel: a manikin study.

Hdl Handle:
http://hdl.handle.net/10147/127672
Title:
A comparison of the Glidescope, Pentax AWS, and Macintosh laryngoscopes when used by novice personnel: a manikin study.
Authors:
Malik, Muhammad A; Hassett, Patrick; Carney, John; Higgins, Brendan D; Harte, Brian H; Laffey, John G
Affiliation:
Department of Anaesthesia, Galway University Hospitals, Clinical Sciences Institute, National University of Ireland, Galway, Ireland.
Citation:
A comparison of the Glidescope, Pentax AWS, and Macintosh laryngoscopes when used by novice personnel: a manikin study. 2009, 56 (11):802-11 Can J Anaesth
Journal:
Canadian journal of anaesthesia = Journal canadien d'anesthésie
Issue Date:
Nov-2009
URI:
http://hdl.handle.net/10147/127672
DOI:
10.1007/s12630-009-9165-z
PubMed ID:
19655213
Abstract:
Direct laryngoscopic tracheal intubation is a potentially lifesaving procedure, but a difficult skill to acquire and maintain. The consequences of poorly performed intubation attempts are potentially severe. The Pentax AWS and the Glidescope are indirect laryngoscopes that may require less skill to use. We therefore hypothesized that AWS and Glidescope would prove superior to the Macintosh laryngoscope when used by novices in the normal and simulated difficult airway.; In this prospective randomized crossover trial following standardized didactic instruction, medical students with no prior experience of laryngoscopy performed tracheal intubation using each device. Each student was allowed up to three attempts to intubate in a Laerdal Intubation Trainer in two laryngoscopy scenarios and in a Laerdal SimMan manikin in one scenario. The students then performed tracheal intubation of the normal airway a second time to characterize the learning curve for each device.; The Pentax AWS provided better intubation conditions than the Glidescope or the Macintosh, resulting in greater success of intubation, particularly in the difficult laryngoscopy scenarios. The Glidescope demonstrated advantages over the Macintosh, particularly in the more difficult scenarios. Both the AWS and the Glidescope decreased the duration of intubation attempts, reduced the number of maneuvers required, and reduced the potential for dental trauma. In direct comparisons, the AWS provided the best intubation conditions.; The Pentax AWS appears to constitute a better alternative to the Macintosh for novice personnel to acquire the skills of tracheal intubation.
Item Type:
Article
Language:
en
MeSH:
Cross-Over Studies; Equipment Design; Humans; Intubation, Intratracheal; Laryngoscopes; Laryngoscopy; Manikins; Prospective Studies; Students, Medical
ISSN:
1496-8975

Full metadata record

DC FieldValue Language
dc.contributor.authorMalik, Muhammad Aen
dc.contributor.authorHassett, Patricken
dc.contributor.authorCarney, Johnen
dc.contributor.authorHiggins, Brendan Den
dc.contributor.authorHarte, Brian Hen
dc.contributor.authorLaffey, John Gen
dc.date.accessioned2011-04-07T10:39:00Z-
dc.date.available2011-04-07T10:39:00Z-
dc.date.issued2009-11-
dc.identifier.citationA comparison of the Glidescope, Pentax AWS, and Macintosh laryngoscopes when used by novice personnel: a manikin study. 2009, 56 (11):802-11 Can J Anaesthen
dc.identifier.issn1496-8975-
dc.identifier.pmid19655213-
dc.identifier.doi10.1007/s12630-009-9165-z-
dc.identifier.urihttp://hdl.handle.net/10147/127672-
dc.description.abstractDirect laryngoscopic tracheal intubation is a potentially lifesaving procedure, but a difficult skill to acquire and maintain. The consequences of poorly performed intubation attempts are potentially severe. The Pentax AWS and the Glidescope are indirect laryngoscopes that may require less skill to use. We therefore hypothesized that AWS and Glidescope would prove superior to the Macintosh laryngoscope when used by novices in the normal and simulated difficult airway.-
dc.description.abstractIn this prospective randomized crossover trial following standardized didactic instruction, medical students with no prior experience of laryngoscopy performed tracheal intubation using each device. Each student was allowed up to three attempts to intubate in a Laerdal Intubation Trainer in two laryngoscopy scenarios and in a Laerdal SimMan manikin in one scenario. The students then performed tracheal intubation of the normal airway a second time to characterize the learning curve for each device.-
dc.description.abstractThe Pentax AWS provided better intubation conditions than the Glidescope or the Macintosh, resulting in greater success of intubation, particularly in the difficult laryngoscopy scenarios. The Glidescope demonstrated advantages over the Macintosh, particularly in the more difficult scenarios. Both the AWS and the Glidescope decreased the duration of intubation attempts, reduced the number of maneuvers required, and reduced the potential for dental trauma. In direct comparisons, the AWS provided the best intubation conditions.-
dc.description.abstractThe Pentax AWS appears to constitute a better alternative to the Macintosh for novice personnel to acquire the skills of tracheal intubation.-
dc.language.isoenen
dc.subject.meshCross-Over Studies-
dc.subject.meshEquipment Design-
dc.subject.meshHumans-
dc.subject.meshIntubation, Intratracheal-
dc.subject.meshLaryngoscopes-
dc.subject.meshLaryngoscopy-
dc.subject.meshManikins-
dc.subject.meshProspective Studies-
dc.subject.meshStudents, Medical-
dc.titleA comparison of the Glidescope, Pentax AWS, and Macintosh laryngoscopes when used by novice personnel: a manikin study.en
dc.typeArticleen
dc.contributor.departmentDepartment of Anaesthesia, Galway University Hospitals, Clinical Sciences Institute, National University of Ireland, Galway, Ireland.en
dc.identifier.journalCanadian journal of anaesthesia = Journal canadien d'anesthésieen
dc.description.provinceConnacht-

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