Comparison of the Airtraq and Truview laryngoscopes to the Macintosh laryngoscope for use by Advanced Paramedics in easy and simulated difficult intubation in manikins.

Hdl Handle:
http://hdl.handle.net/10147/127689
Title:
Comparison of the Airtraq and Truview laryngoscopes to the Macintosh laryngoscope for use by Advanced Paramedics in easy and simulated difficult intubation in manikins.
Authors:
Nasim, Sajid; Maharaj, Chrisen H; Butt, Ihsan; Malik, Muhammad A; O' Donnell, John; Higgins, Brendan D; Harte, Brian H; Laffey, John G
Affiliation:
Department of Anaesthesia, Galway University Hospitals, Galway, Ireland. dr_snasim@yahoo.com
Citation:
Comparison of the Airtraq and Truview laryngoscopes to the Macintosh laryngoscope for use by Advanced Paramedics in easy and simulated difficult intubation in manikins. 2009, 9:2 BMC Emerg Med
Journal:
BMC emergency medicine
Issue Date:
2009
URI:
http://hdl.handle.net/10147/127689
DOI:
10.1186/1471-227X-9-2
PubMed ID:
19216776
Abstract:
Paramedics are frequently required to perform tracheal intubation, a potentially life-saving manoeuvre in severely ill patients, in the prehospital setting. However, direct laryngoscopy is often more difficult in this environment, and failed tracheal intubation constitutes an important cause of morbidity. Novel indirect laryngoscopes, such as the Airtraq and Truview laryngoscopes may reduce this risk.; We compared the efficacy of these devices to the Macintosh laryngoscope when used by 21 Paramedics proficient in direct laryngoscopy, in a randomized, controlled, manikin study. Following brief didactic instruction with the Airtraq and Truview laryngoscopes, each participant took turns performing laryngoscopy and intubation with each device, in an easy intubation scenario and following placement of a hard cervical collar, in a SimMan manikin.; The Airtraq reduced the number of optimization manoeuvres and reduced the potential for dental trauma when compared to the Macintosh, in both the normal and simulated difficult intubation scenarios. In contrast, the Truview increased the duration of intubation attempts, and required a greater number of optimization manoeuvres, compared to both the Macintosh and Airtraq devices.; The Airtraq laryngoscope performed more favourably than the Macintosh and Truview devices when used by Paramedics in this manikin study. Further studies are required to extend these findings to the clinical setting.
Item Type:
Article
Language:
en
MeSH:
Analysis of Variance; Cross-Over Studies; Emergency Medicine; Equipment Design; Humans; Intubation, Intratracheal; Laryngoscopes; Manikins
ISSN:
1471-227X

Full metadata record

DC FieldValue Language
dc.contributor.authorNasim, Sajiden
dc.contributor.authorMaharaj, Chrisen Hen
dc.contributor.authorButt, Ihsanen
dc.contributor.authorMalik, Muhammad Aen
dc.contributor.authorO' Donnell, Johnen
dc.contributor.authorHiggins, Brendan Den
dc.contributor.authorHarte, Brian Hen
dc.contributor.authorLaffey, John Gen
dc.date.accessioned2011-04-07T11:11:33Z-
dc.date.available2011-04-07T11:11:33Z-
dc.date.issued2009-
dc.identifier.citationComparison of the Airtraq and Truview laryngoscopes to the Macintosh laryngoscope for use by Advanced Paramedics in easy and simulated difficult intubation in manikins. 2009, 9:2 BMC Emerg Meden
dc.identifier.issn1471-227X-
dc.identifier.pmid19216776-
dc.identifier.doi10.1186/1471-227X-9-2-
dc.identifier.urihttp://hdl.handle.net/10147/127689-
dc.description.abstractParamedics are frequently required to perform tracheal intubation, a potentially life-saving manoeuvre in severely ill patients, in the prehospital setting. However, direct laryngoscopy is often more difficult in this environment, and failed tracheal intubation constitutes an important cause of morbidity. Novel indirect laryngoscopes, such as the Airtraq and Truview laryngoscopes may reduce this risk.-
dc.description.abstractWe compared the efficacy of these devices to the Macintosh laryngoscope when used by 21 Paramedics proficient in direct laryngoscopy, in a randomized, controlled, manikin study. Following brief didactic instruction with the Airtraq and Truview laryngoscopes, each participant took turns performing laryngoscopy and intubation with each device, in an easy intubation scenario and following placement of a hard cervical collar, in a SimMan manikin.-
dc.description.abstractThe Airtraq reduced the number of optimization manoeuvres and reduced the potential for dental trauma when compared to the Macintosh, in both the normal and simulated difficult intubation scenarios. In contrast, the Truview increased the duration of intubation attempts, and required a greater number of optimization manoeuvres, compared to both the Macintosh and Airtraq devices.-
dc.description.abstractThe Airtraq laryngoscope performed more favourably than the Macintosh and Truview devices when used by Paramedics in this manikin study. Further studies are required to extend these findings to the clinical setting.-
dc.language.isoenen
dc.subject.meshAnalysis of Variance-
dc.subject.meshCross-Over Studies-
dc.subject.meshEmergency Medicine-
dc.subject.meshEquipment Design-
dc.subject.meshHumans-
dc.subject.meshIntubation, Intratracheal-
dc.subject.meshLaryngoscopes-
dc.subject.meshManikins-
dc.titleComparison of the Airtraq and Truview laryngoscopes to the Macintosh laryngoscope for use by Advanced Paramedics in easy and simulated difficult intubation in manikins.en
dc.typeArticleen
dc.contributor.departmentDepartment of Anaesthesia, Galway University Hospitals, Galway, Ireland. dr_snasim@yahoo.comen
dc.identifier.journalBMC emergency medicineen
dc.description.provinceConnacht-

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