Is the Airtraq optical laryngoscope effective in tracheal intubation by novice personnel?
Summary of "Is the Airtraq optical laryngoscope effective in tracheal intubation by novice personnel?"
BACKGROUND:
Macintosh laryngoscopic intubation is a lifesaving procedure, but a difficult skill to learn. The Airtraq optical laryngoscope (AOL) is a novel intubation device with advantages over the direct laryngoscope for untrained personnel in a manikin study. We compared the effectiveness of AOL with Macintosh laryngoscope for tracheal intubation by novice personnel.
METHODS:
We selected 37 medical students with no prior tracheal intubation experience and educated them on using both laryngoscopes. Seventy-four patients were randomly divided into two groups (group
A:
AOL, group
M:
Macintosh laryngoscope). We recorded the tracheal intubation success rate, intubation time, number of attempts, intubation difficulty scale, and adverse effects.
RESULTS:
The total success rate was similar in the two groups, but the success rate at first attempt was higher in group A (P < 0.01). Group A also showed reduced duration and attempts at intubation, as well as adverse effects such as oral cavity injury. Additionally, participant reports indicated that using the AOL was easier than the Macintosh laryngoscope (P < 0.01).
CONCLUSIONS:
The AOL is a more effective instrument for tracheal intubation than Macintosh laryngoscope when used by novice personnel.
Affiliation
Department of Anesthesiology and Pain Medicine, College of Medicine, Yeungnam University, Daegu, Korea.
Journal Details
This article was published in the following journal.
Name: Korean journal of anesthesiology
ISSN: 2005-7563
Pages: 17-21
Links
- PubMed Source: http://www.ncbi.nlm.nih.gov/pubmed/20651993
- DOI: http://dx.doi.org/10.4097/kjae.2010.59.1.17
Medical and Biotech [MESH] Definitions
Virulence Factors, Bordetella
A set of BACTERIAL ADHESINS and TOXINS, BIOLOGICAL produced by BORDETELLA organisms that determine the pathogenesis of BORDETELLA INFECTIONS, such as WHOOPING COUGH. They include filamentous hemagglutinin; FIMBRIAE PROTEINS; pertactin; PERTUSSIS TOXIN; ADENYLATE CYCLASE TOXIN; dermonecrotic toxin; tracheal cytotoxin; Bordetella LIPOPOLYSACCHARIDES; and tracheal colonization factor.
Optical Devices
Products or parts of products used to detect, manipulate, or analyze light, such as LENSES, refractors, mirrors, filters, prisms, and OPTICAL FIBERS.
Tomography, Optical Coherence
An imaging method using LASERS that is used for mapping subsurface structure. When a reflective site in the sample is at the same optical path length (coherence) as the reference mirror, the detector observes interference fringes.
Personnel Turnover
A change or shift in personnel due to reorganization, resignation, or discharge.
Personnel Management
Planning, organizing, and administering all activities related to personnel.
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