Evaluation of intubation using the Airtraq or Macintosh laryngoscope by anaesthetists in easy and simulated difficult laryngoscopy--a manikin study.
Affiliation
Department of Anaesthesia, University College Hospital Galway, Ireland.Issue Date
2006-05MeSH
Constriction, PathologicCross-Over Studies
Edema
Equipment Design
Humans
Immobilization
Intubation, Intratracheal
Laryngoscopes
Laryngoscopy
Manikins
Pharyngeal Diseases
Tongue Diseases
Trismus
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Evaluation of intubation using the Airtraq or Macintosh laryngoscope by anaesthetists in easy and simulated difficult laryngoscopy--a manikin study. 2006, 61 (5):469-77 AnaesthesiaJournal
AnaesthesiaDOI
10.1111/j.1365-2044.2006.04547.xPubMed ID
16674623Abstract
The Airtraq Laryngoscope is a novel intubation device which allows visualisation of the vocal cords without alignment of the oral, pharyngeal and tracheal axes. We compared the Airtraq with the Macintosh laryngoscope in simulated easy and difficult laryngoscopy. Twenty-five anaesthetists were allowed up to three attempts to intubate the trachea in each of three laryngoscopy scenarios using a Laerdal Intubation Trainer followed by five scenarios using a Laerdal SimMan Manikin. Each anaesthetist then performed tracheal intubation of the normal airway a second time to characterise the learning curve. In the simulated easy laryngoscopy scenarios, there was no difference between the Airtraq and the Macintosh in success of tracheal intubation. The time taken to intubate at the end of the protocol was significantly lower using the Airtraq (9.5 (6.7) vs. 14.2 (7.4) s), demonstrating a rapid acquisition of skills. In the simulated difficult laryngoscopy scenarios, the Airtraq was more successful in achieving tracheal intubation, required less time to intubate successfully, caused less dental trauma, and was considered by the anaesthetists to be easier to use.Item Type
ArticleLanguage
enISSN
0003-2409ae974a485f413a2113503eed53cd6c53
10.1111/j.1365-2044.2006.04547.x
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