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Comparison of Direct and Video Laryngoscopes during Different Airway Scenarios Performed by Experienced Paramedics: A Randomized Cross-Over Manikin Study
المؤلفون المشاركون
Ładny, J. R.
Ruetzler, Kurt
Szarpak, Lukasz
Smereka, Jacek
Dabrowski, Marek
Bialka, Szymon
Mosteller, Lauretta
Szarpak, Agnieszka
Ludwin, Kobi
Wojewodzka-Zelezniakowicz, Marzena
المصدر
العدد
المجلد 2020، العدد 2020 (31 ديسمبر/كانون الأول 2020)، ص ص. 1-8، 8ص.
الناشر
Hindawi Publishing Corporation
تاريخ النشر
2020-02-18
دولة النشر
مصر
عدد الصفحات
8
التخصصات الرئيسية
الملخص EN
Introduction.
Airway management plays an essential role in anaesthesia practice, during both elective and urgent surgery procedures and emergency medicine.
Aim.
The aim of the study was to compare Macintosh laryngoscope (MAC), McGrath, and TruView PCD in 5 separate airway management scenarios.
Methods.
This prospective cross-over simulation study involved 93 paramedics.
All paramedics performed intubation using direct laryngoscope (MAC), McGrath, and TruView PCD video laryngoscopes.
The study was performed in 5 different scenarios: (A) normal airway, (B) tongue oedema, (C) pharyngeal obstruction, (D) cervical collar stabilization with tongue oedema, and (E) cervical collar stabilization with pharyngeal obstruction.
Results.
In scenario A, the success rate was 99% with MAC, 100% with McGrath, and 94% with PCD.
Intubation time was 17 s (IQR: 16–21) for MAC, 18 s (IQR: 16–21) for McGrath, and 27 s (IQR: 23–34) for PCD.
In scenario B, the success rate was 61% with MAC, 97% with McGrath, and 97% with PCD (p<0.001).
Intubation time was 44 s (IQR: 24–46) for MAC, 22 s (IQR: 20–27) for McGrath, and 39 s (IQR: 30–57) for PCD.
In scenario C, the success rate with MAC was 74%, 97% with McGrath, and 72% with PCD (p<0.001).
Intubation time was 21 s (IQR: 19–29) for MAC, 18 s (IQR: 18–24.5) for McGrath, and 30 s (IQR: 23–39) for PCD.
In scenario D, the success rate with MAC was 32%, 69% with McGrath, and 58% with PCD (p<0.001).
Intubation time was 26 s (IQR: 20–29) for MAC, 26 s (IQR: 20–29) for McGrath, and 45 s (IQR: 33–56) for PCD.
In scenario E, the success rate with MAC was 32%, but 64% with McGrath and 62% with PCD (p<0.001).
Intubation time was 28 s (IQR: 25–39) for MAC, 19 s (IQR: 18–26) for McGrath, and 34 s (IQR: 27–45) for PCD.
Conclusions.
The McGrath video laryngoscope proved better than Truview PCD and direct intubation with Macintosh laryngoscope in terms of success rate, duration of first intubation attempt, number of intubation attempts, Cormack-Lehane grade, percentage of glottis opening (POGO score), number of optimization manoeuvres, severity of dental compression, and ease of use.
نمط استشهاد جمعية علماء النفس الأمريكية (APA)
Ruetzler, Kurt& Szarpak, Lukasz& Smereka, Jacek& Dabrowski, Marek& Bialka, Szymon& Mosteller, Lauretta…[et al.]. 2020. Comparison of Direct and Video Laryngoscopes during Different Airway Scenarios Performed by Experienced Paramedics: A Randomized Cross-Over Manikin Study. BioMed Research International،Vol. 2020, no. 2020, pp.1-8.
https://search.emarefa.net/detail/BIM-1134732
نمط استشهاد الجمعية الأمريكية للغات الحديثة (MLA)
Ruetzler, Kurt…[et al.]. Comparison of Direct and Video Laryngoscopes during Different Airway Scenarios Performed by Experienced Paramedics: A Randomized Cross-Over Manikin Study. BioMed Research International No. 2020 (2020), pp.1-8.
https://search.emarefa.net/detail/BIM-1134732
نمط استشهاد الجمعية الطبية الأمريكية (AMA)
Ruetzler, Kurt& Szarpak, Lukasz& Smereka, Jacek& Dabrowski, Marek& Bialka, Szymon& Mosteller, Lauretta…[et al.]. Comparison of Direct and Video Laryngoscopes during Different Airway Scenarios Performed by Experienced Paramedics: A Randomized Cross-Over Manikin Study. BioMed Research International. 2020. Vol. 2020, no. 2020, pp.1-8.
https://search.emarefa.net/detail/BIM-1134732
نوع البيانات
مقالات
لغة النص
الإنجليزية
الملاحظات
Includes bibliographical references
رقم السجل
BIM-1134732
قاعدة معامل التأثير والاستشهادات المرجعية العربي "ارسيف Arcif"
أضخم قاعدة بيانات عربية للاستشهادات المرجعية للمجلات العلمية المحكمة الصادرة في العالم العربي
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