Comparison of the Glidescope and Pentax AWS laryngoscopes to the Macintosh laryngoscope for use by advanced paramedics in easy and simulated difficult intubation.

Hdl Handle:
http://hdl.handle.net/10147/94702
Title:
Comparison of the Glidescope and Pentax AWS laryngoscopes to the Macintosh laryngoscope for use by advanced paramedics in easy and simulated difficult intubation.
Authors:
Nasim, Sajid; Maharaj, Chrisen H; Malik, Muhammad A; O' Donnell, John; Higgins, Brendan D; Laffey, John G
Affiliation:
Department of Anaesthesia, Galway University Hospitals, Galway, Ireland. dr_snasim@yahoo.com
Citation:
Comparison of the Glidescope and Pentax AWS laryngoscopes to the Macintosh laryngoscope for use by advanced paramedics in easy and simulated difficult intubation. 2009, 9:9 BMC Emerg Med
Journal:
BMC emergency medicine
Issue Date:
2009
URI:
http://hdl.handle.net/10147/94702
DOI:
10.1186/1471-227X-9-9
PubMed ID:
19445719
Abstract:
BACKGROUND: Intubation of the trachea in the pre-hospital setting may be lifesaving in severely ill and injured patients. However, tracheal intubation is frequently difficult to perform in this challenging environment, is associated with a lower success rate, and failed tracheal intubation constitutes an important cause of morbidity. Novel indirect laryngoscopes, such as the Glidescope and the AWS laryngoscopes may reduce this risk. METHODS: We compared the efficacy of these devices to the Macintosh laryngoscope when used by 25 Advanced Paramedics proficient in direct laryngoscopy, in a randomized, controlled, manikin study. Following brief didactic instruction with the Glidescope and the AWS 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. RESULTS: Both the Glidescope and the AWS performed better than the Macintosh, and demonstrate considerable promise in this context. The AWS had the least number of dental compressions in all three scenarios, and in the cervical spine immobilization scenario it required fewer maneuvers to optimize the view of the glottis. CONCLUSION: The Glidescope and AWS devices possess advantages over the conventional Macintosh laryngoscope when used by Advanced Paramedics in normal and simulated difficult intubation scenarios in this manikin study. Further studies are required to extend these findings to the clinical setting.
Language:
en
MeSH:
Allied Health Personnel; Equipment Design; Humans; Intubation, Intratracheal; Laryngoscopes; Manikins; Software
ISSN:
1471-227X

Full metadata record

DC FieldValue Language
dc.contributor.authorNasim, Sajiden
dc.contributor.authorMaharaj, Chrisen Hen
dc.contributor.authorMalik, Muhammad Aen
dc.contributor.authorO' Donnell, Johnen
dc.contributor.authorHiggins, Brendan Den
dc.contributor.authorLaffey, John Gen
dc.date.accessioned2010-03-23T14:51:02Z-
dc.date.available2010-03-23T14:51:02Z-
dc.date.issued2009-
dc.identifier.citationComparison of the Glidescope and Pentax AWS laryngoscopes to the Macintosh laryngoscope for use by advanced paramedics in easy and simulated difficult intubation. 2009, 9:9 BMC Emerg Meden
dc.identifier.issn1471-227X-
dc.identifier.pmid19445719-
dc.identifier.doi10.1186/1471-227X-9-9-
dc.identifier.urihttp://hdl.handle.net/10147/94702-
dc.description.abstractBACKGROUND: Intubation of the trachea in the pre-hospital setting may be lifesaving in severely ill and injured patients. However, tracheal intubation is frequently difficult to perform in this challenging environment, is associated with a lower success rate, and failed tracheal intubation constitutes an important cause of morbidity. Novel indirect laryngoscopes, such as the Glidescope and the AWS laryngoscopes may reduce this risk. METHODS: We compared the efficacy of these devices to the Macintosh laryngoscope when used by 25 Advanced Paramedics proficient in direct laryngoscopy, in a randomized, controlled, manikin study. Following brief didactic instruction with the Glidescope and the AWS 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. RESULTS: Both the Glidescope and the AWS performed better than the Macintosh, and demonstrate considerable promise in this context. The AWS had the least number of dental compressions in all three scenarios, and in the cervical spine immobilization scenario it required fewer maneuvers to optimize the view of the glottis. CONCLUSION: The Glidescope and AWS devices possess advantages over the conventional Macintosh laryngoscope when used by Advanced Paramedics in normal and simulated difficult intubation scenarios in this manikin study. Further studies are required to extend these findings to the clinical setting.-
dc.language.isoenen
dc.subject.meshAllied Health Personnel-
dc.subject.meshEquipment Design-
dc.subject.meshHumans-
dc.subject.meshIntubation, Intratracheal-
dc.subject.meshLaryngoscopes-
dc.subject.meshManikins-
dc.subject.meshSoftware-
dc.titleComparison of the Glidescope and Pentax AWS laryngoscopes to the Macintosh laryngoscope for use by advanced paramedics in easy and simulated difficult intubation.en
dc.contributor.departmentDepartment of Anaesthesia, Galway University Hospitals, Galway, Ireland. dr_snasim@yahoo.comen
dc.identifier.journalBMC emergency medicineen

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