Learning and performance of tracheal intubation by novice personnel: a comparison of the Airtraq and Macintosh laryngoscope.

Hdl Handle:
http://hdl.handle.net/10147/127922
Title:
Learning and performance of tracheal intubation by novice personnel: a comparison of the Airtraq and Macintosh laryngoscope.
Authors:
Maharaj, C H; Costello, J F; Higgins, B D; Harte, B H; Laffey, J G
Affiliation:
Department of Anaesthesia, University College Hospital Galway, Ireland.
Citation:
Learning and performance of tracheal intubation by novice personnel: a comparison of the Airtraq and Macintosh laryngoscope. 2006, 61 (7):671-7 Anaesthesia
Journal:
Anaesthesia
Issue Date:
Jul-2006
URI:
http://hdl.handle.net/10147/127922
DOI:
10.1111/j.1365-2044.2006.04653.x
PubMed ID:
16792613
Abstract:
Direct laryngoscopic tracheal intubation is taught to many healthcare professionals as it is a potentially lifesaving procedure. However, it is a difficult skill to acquire and maintain, and, of concern, the consequences of poorly performed intubation attempts are potentially serious. The Airtraq Laryngoscope is a novel intubation device which may possess advantages over conventional direct laryngoscopes for use by novice personnel. We conducted a prospective trial with 40 medical students who had no prior airway management experience. Following brief didactic instruction, each participant took turns in performing laryngoscopy and intubation using the Macintosh and Airtraq devices under direct supervision. Each student was allowed up to three attempts to intubate in three laryngoscopy scenarios using a Laerdal Intubation Trainer and one scenario in a Laerdal SimMan Manikin. They then performed tracheal intubation of the normal airway a second time to characterise the learning curve for each device. The Airtraq provided superior intubating conditions, resulting in greater success of intubation, particularly in the difficult laryngoscopy scenarios. In both easy and simulated difficult laryngoscopy scenarios, the Airtraq decreased the duration of intubation attempts, reduced the number of optimisation manoeuvres required, and reduced the potential for dental trauma. The Airtraq device showed a rapid learning curve and the students found it significantly easier to use. The Airtraq appears to be a superior device for novice personnel to acquire the skills of tracheal intubation.
Item Type:
Article
Language:
en
MeSH:
Airway Obstruction; Anesthesiology; Cervical Vertebrae; Clinical Competence; Education, Medical, Undergraduate; Equipment Design; Humans; Immobilization; Intubation, Intratracheal; Laryngoscopes; Manikins; Posture
ISSN:
0003-2409

Full metadata record

DC FieldValue Language
dc.contributor.authorMaharaj, C Hen
dc.contributor.authorCostello, J Fen
dc.contributor.authorHiggins, B Den
dc.contributor.authorHarte, B Hen
dc.contributor.authorLaffey, J Gen
dc.date.accessioned2011-04-11T12:02:16Z-
dc.date.available2011-04-11T12:02:16Z-
dc.date.issued2006-07-
dc.identifier.citationLearning and performance of tracheal intubation by novice personnel: a comparison of the Airtraq and Macintosh laryngoscope. 2006, 61 (7):671-7 Anaesthesiaen
dc.identifier.issn0003-2409-
dc.identifier.pmid16792613-
dc.identifier.doi10.1111/j.1365-2044.2006.04653.x-
dc.identifier.urihttp://hdl.handle.net/10147/127922-
dc.description.abstractDirect laryngoscopic tracheal intubation is taught to many healthcare professionals as it is a potentially lifesaving procedure. However, it is a difficult skill to acquire and maintain, and, of concern, the consequences of poorly performed intubation attempts are potentially serious. The Airtraq Laryngoscope is a novel intubation device which may possess advantages over conventional direct laryngoscopes for use by novice personnel. We conducted a prospective trial with 40 medical students who had no prior airway management experience. Following brief didactic instruction, each participant took turns in performing laryngoscopy and intubation using the Macintosh and Airtraq devices under direct supervision. Each student was allowed up to three attempts to intubate in three laryngoscopy scenarios using a Laerdal Intubation Trainer and one scenario in a Laerdal SimMan Manikin. They then performed tracheal intubation of the normal airway a second time to characterise the learning curve for each device. The Airtraq provided superior intubating conditions, resulting in greater success of intubation, particularly in the difficult laryngoscopy scenarios. In both easy and simulated difficult laryngoscopy scenarios, the Airtraq decreased the duration of intubation attempts, reduced the number of optimisation manoeuvres required, and reduced the potential for dental trauma. The Airtraq device showed a rapid learning curve and the students found it significantly easier to use. The Airtraq appears to be a superior device for novice personnel to acquire the skills of tracheal intubation.-
dc.language.isoenen
dc.subject.meshAirway Obstruction-
dc.subject.meshAnesthesiology-
dc.subject.meshCervical Vertebrae-
dc.subject.meshClinical Competence-
dc.subject.meshEducation, Medical, Undergraduate-
dc.subject.meshEquipment Design-
dc.subject.meshHumans-
dc.subject.meshImmobilization-
dc.subject.meshIntubation, Intratracheal-
dc.subject.meshLaryngoscopes-
dc.subject.meshManikins-
dc.subject.meshPosture-
dc.titleLearning and performance of tracheal intubation by novice personnel: a comparison of the Airtraq and Macintosh laryngoscope.en
dc.typeArticleen
dc.contributor.departmentDepartment of Anaesthesia, University College Hospital Galway, Ireland.en
dc.identifier.journalAnaesthesiaen
dc.description.provinceConnacht-

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