Comparison of effectiveness of intubation by way of “Gum Elastic Bougie” and “Intubating Laryngeal Mask Airway” in endotracheal intubation of patients with simulated cervical trauma

Süt, Esra; Günal, Solmaz; Yazar, Mehmet Akif; Dikmen, B.

doi:10.1016/j.bjane.2016.03.001

“…In the model study by Maruyama et al [16] successful ETI time via GEB significantly prolonged the time in all different scenarios (average, chest compression, cervical stabilization) compared to intervention with only Macintosh, and this situation is consistent with other studies in the literature [17][18][19]. However, using a single model in our study may make it difficult to compare it with other studies on this subject.…”

Section: Discussionsupporting

confidence: 84%

Comparison of Gum Elastic Bougie and Macintosh Laryngoscope in Pre-hospital Pediatric Airway Management; A Randomized, Prospective Study

Birinci¹,

Özerol²,

Divriklioğlu³

et al. 2022

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Objective: Endotracheal intubation (ETI) in children requires good techniques and experience. Gum elastic bougie (GEB) is a practical, inexpensive, easy-to-use airway method in the adult airway. Through GEB, ETI is a method that can be learned after a short training. We evaluated the effectiveness of this method, which has not yet been validated in pediatric patients in prehospital pediatric airway applications. Materials and Methods:This study was designed as a study simulating the prehospital period with a mankin. Practitioners were asked to perform intubation by conventional intubation or GEB.Results: This study was conducted with 48 emergency medical technicians and paramedics. Four (8.3%) of the practitioners had experience using GEB. In terms of first-pass success, no difference was found between ETI via GEB and Macintosh blade conventional ETI [91.7% (44/48), 93.8% (45/48), respectively, p=1.000]. Use of GEB increased ETI time [28.6±6.0 sec vs. 17.1±4.0 sec, mean df: 11.3 sec (95% CI: 9.7-12.8), p<0.001]. While 87.6% of the practitioners evaluated the use of GEB as very easy and easy, 83.3% of the practitioners evaluated the traditional method as very easy and easy (p=0.914). Conclusion:GEB does not make any difference in pediatric airway management in terms of first-pass success. However, the use of GEB in terms of ETI durations increases the duration of ETI. Besides, the use of GEB is seen as a method that can be applied more efficiently, even in inexperienced groups.

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“…In the model study by Maruyama et al [16] successful ETI time via GEB significantly prolonged the time in all different scenarios (average, chest compression, cervical stabilization) compared to intervention with only Macintosh, and this situation is consistent with other studies in the literature [17][18][19]. However, using a single model in our study may make it difficult to compare it with other studies on this subject.…”

Section: Discussionsupporting

confidence: 84%

Comparison of Gum Elastic Bougie and Macintosh Laryngoscope in Pre-hospital Pediatric Airway Management; A Randomized, Prospective Study

Birinci¹,

Özerol²,

Divriklioğlu³

et al. 2022

globecc

0

View full text Add to dashboard Cite

Objective: Endotracheal intubation (ETI) in children requires good techniques and experience. Gum elastic bougie (GEB) is a practical, inexpensive, easy-to-use airway method in the adult airway. Through GEB, ETI is a method that can be learned after a short training. We evaluated the effectiveness of this method, which has not yet been validated in pediatric patients in prehospital pediatric airway applications. Materials and Methods:This study was designed as a study simulating the prehospital period with a mankin. Practitioners were asked to perform intubation by conventional intubation or GEB.Results: This study was conducted with 48 emergency medical technicians and paramedics. Four (8.3%) of the practitioners had experience using GEB. In terms of first-pass success, no difference was found between ETI via GEB and Macintosh blade conventional ETI [91.7% (44/48), 93.8% (45/48), respectively, p=1.000]. Use of GEB increased ETI time [28.6±6.0 sec vs. 17.1±4.0 sec, mean df: 11.3 sec (95% CI: 9.7-12.8), p<0.001]. While 87.6% of the practitioners evaluated the use of GEB as very easy and easy, 83.3% of the practitioners evaluated the traditional method as very easy and easy (p=0.914). Conclusion:GEB does not make any difference in pediatric airway management in terms of first-pass success. However, the use of GEB in terms of ETI durations increases the duration of ETI. Besides, the use of GEB is seen as a method that can be applied more efficiently, even in inexperienced groups.

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Videolaryngoscopy for trauma patient intubation

Dąbrowski

¹

,

Dąbrowska

²

,

Sip

³

2017

The American Journal of Emergency Medicine

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Comparison of effectiveness of intubation by way of “Gum Elastic Bougie” and “Intubating Laryngeal Mask Airway” in endotracheal intubation of patients with simulated cervical trauma

Cited by 3 publications

References 36 publications

Comparison of Gum Elastic Bougie and Macintosh Laryngoscope in Pre-hospital Pediatric Airway Management; A Randomized, Prospective Study

Comparison of Gum Elastic Bougie and Macintosh Laryngoscope in Pre-hospital Pediatric Airway Management; A Randomized, Prospective Study

Comparison of Gum Elastic Bougie and Macintosh Laryngoscope in Pre-hospital Pediatric Airway Management; A Randomized, Prospective Study

Videolaryngoscopy for trauma patient intubation

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