Comparison of i-Gel as a Conduit for Intubation between under Fiberoptic Guidance and Blind Endotracheal Intubation during Cardiopulmonary Resuscitation: A Randomized Simulation Study
Joint Authors
Choi, Hyun Young
Kang, Gu Hyun
Jang, Yong Soo
Kim, Wonhee
Kim, Jae Guk
Kim, Hyeongtae
Source
Emergency Medicine International
Issue
Vol. 2019, Issue 2019 (31 Dec. 2019), pp.1-7, 7 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2019-10-31
Country of Publication
Egypt
No. of Pages
7
Main Subjects
Abstract EN
Purpose.
This study aimed to compare intubation performances among i-gel blind intubation (IGI), i-gel bronchoscopic intubation (IBRI), and intubation using Macintosh laryngoscope (MCL) applying two kinds of endotracheal tube during chest compressions.
We hypothesized that IGI using wire-reinforced silicone (WRS) tube could achieve endotracheal intubation most rapidly and successfully.
Methods.
In 23 emergency physicians, a prospective randomized crossover manikin study was conducted to examine the three intubation techniques using two kinds of endotracheal tubes.
The primary outcome was the intubation time.
The secondary outcome was the cumulative success rate for each intubation technique.
A significant difference was considered when identifying p<0.05 between two devices or p<0.017 in post hoc analysis of the comparison among three devices.
Results.
The mean intubation time using IGI was shorter (p<0.017) than that of using IBRI and MCL in both endotracheal tubes (17.6 vs.
29.3 vs.
20.2 in conventional polyvinyl chloride (PVC) tube; 14.6 vs.
27.4 vs.
19.9 in WRS tube; sec).
There were no significant (p<0.05) differences between PVC and WRS tubes for each intubation technique.
The intubation time to reach 100% cumulative success rate was also shorter in IGI (p<0.017) than that in IBRI and MCL in both PVC and WRS tubes.
Conclusions.
IGI was an equally successful and faster technique compared with IBRI or MCL regardless of the use of PVC or WRS tube.
IGI might be an appropriate technique for emergent intubation by experienced intubators during chest compressions.
American Psychological Association (APA)
Choi, Hyun Young& Kim, Wonhee& Jang, Yong Soo& Kang, Gu Hyun& Kim, Jae Guk& Kim, Hyeongtae. 2019. Comparison of i-Gel as a Conduit for Intubation between under Fiberoptic Guidance and Blind Endotracheal Intubation during Cardiopulmonary Resuscitation: A Randomized Simulation Study. Emergency Medicine International،Vol. 2019, no. 2019, pp.1-7.
https://search.emarefa.net/detail/BIM-1152321
Modern Language Association (MLA)
Choi, Hyun Young…[et al.]. Comparison of i-Gel as a Conduit for Intubation between under Fiberoptic Guidance and Blind Endotracheal Intubation during Cardiopulmonary Resuscitation: A Randomized Simulation Study. Emergency Medicine International No. 2019 (2019), pp.1-7.
https://search.emarefa.net/detail/BIM-1152321
American Medical Association (AMA)
Choi, Hyun Young& Kim, Wonhee& Jang, Yong Soo& Kang, Gu Hyun& Kim, Jae Guk& Kim, Hyeongtae. Comparison of i-Gel as a Conduit for Intubation between under Fiberoptic Guidance and Blind Endotracheal Intubation during Cardiopulmonary Resuscitation: A Randomized Simulation Study. Emergency Medicine International. 2019. Vol. 2019, no. 2019, pp.1-7.
https://search.emarefa.net/detail/BIM-1152321
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1152321