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

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    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
    Issue Date
    2009
    MeSH
    Analysis of Variance
    Cross-Over Studies
    Emergency Medicine
    Equipment Design
    Humans
    Intubation, Intratracheal
    Laryngoscopes
    Manikins
    
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    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
    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
    ISSN
    1471-227X
    ae974a485f413a2113503eed53cd6c53
    10.1186/1471-227X-9-2
    Scopus Count
    Collections
    Galway University Hospitals

    entitlement

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