Utility of a Modified Oropharyngeal Airway for Performing Tracheal Intubation Using a Fiberoptic Bronchoscope and Video Stylet: A Randomized Crossover Trial Using a Manikin.
Journal
Emergency medicine international
ISSN: 2090-2840
Titre abrégé: Emerg Med Int
Pays: Egypt
ID NLM: 101567070
Informations de publication
Date de publication:
2020
2020
Historique:
received:
21
06
2020
revised:
18
09
2020
accepted:
07
10
2020
entrez:
12
11
2020
pubmed:
13
11
2020
medline:
13
11
2020
Statut:
epublish
Résumé
The purpose of this study was to assess if a modified airway (MA), developed by the authors, would act as a guide and improve the performance of intubation when used with a video stylet (VS) or fiberoptic bronchoscope (FOB) for endotracheal intubation. This randomized crossover simulation study using manikins was conducted with 36 novice operators. Time to complete intubation, time to see the glottis, and success rate of intubation of each device were measured and compared with or without use of MA. For intubation using FOB with MA, the median time to complete intubation significantly reduced from 46 to 31 seconds with a medium effect size ( Adjunct use of MA helped reduce time to complete intubation in FOB, but not in VS. If an inexperienced operator uses FOB, it would be helpful to use MA as an adjunct device.
Identifiants
pubmed: 33178461
doi: 10.1155/2020/3017297
pmc: PMC7644329
doi:
Types de publication
Journal Article
Langues
eng
Pagination
3017297Informations de copyright
Copyright © 2020 Jang Hee Lee et al.
Déclaration de conflit d'intérêts
All authors declare that they have no conflicts of interest.
Références
Anaesth Intensive Care. 2011 Nov;39(6):1098-102
pubmed: 22165365
Int J Clin Exp Med. 2015 Jul 15;8(7):11477-83
pubmed: 26379966
Anaesthesist. 2013 Oct;62(10):832-5
pubmed: 24104949
Anaesth Intensive Care. 2008 Jul;36 Suppl 1:23-7
pubmed: 18724555
J Anaesthesiol Clin Pharmacol. 2013 Jan;29(1):52-5
pubmed: 23493291
J Intensive Care Med. 2007 May-Jun;22(3):157-65
pubmed: 17562739
Turk J Anaesthesiol Reanim. 2018 Dec;46(6):434-440
pubmed: 30505605
J Clin Anesth. 2004 Feb;16(1):66-73
pubmed: 14984864
Respir Care. 2014 Jun;59(6):865-78; discussion 878-80
pubmed: 24891196
Resuscitation. 2000 May;44(3):177-80
pubmed: 10825617
Anaesthesia. 2012 Jun;67(6):626-31
pubmed: 22352799
Korean J Anesthesiol. 2013 Oct;65(4):368-9
pubmed: 24228158
Br J Anaesth. 1987 Mar;59(3):295-9
pubmed: 3828177
J Anaesthesiol Clin Pharmacol. 2018 Oct-Dec;34(4):490-495
pubmed: 30774229
Indian J Anaesth. 2017 Apr;61(4):321-325
pubmed: 28515520
Otolaryngol Head Neck Surg. 1999 Jan;120(1):113-6
pubmed: 9914560