Comparison of Four Laryngoscopes for Orotracheal Intubation by Nurses During Resuscitation With and Without Chest Compressions: A Randomized Crossover Manikin Trial

Stawicka, Iwona; Czyżewski, Łukasz; Smereka, Jacek; Szarpak, Łukasz

doi:10.5603/demj.2016.0003

Cited by 2 publications

(1 citation statement)

References 26 publications

(38 reference statements)

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“…It is worth emphasizing that during cardiopulmonary resuscitation, interruptions in chest compressions should be minimized; therefore, endotracheal intubation should be performed as soon as possible, with compressions resumed immediately after inserting the endotracheal tube between the vocal folds, or completely without interruptions in chest compressions [7]. Endotracheal intubation during continuous chest compressions may result in reduced effectiveness if chest compression is stopped for the duration of the procedure [25][26][27].…”

Section: оригинальные исследованияmentioning

confidence: 99%

Comparison of Various Intubation Deviced During Resuscitation of Covid-19-Suspected Patients by Paramedics Wearing Personal Protective Equipment

Piechowski¹,

Smereka

Drozd³

et al. 2020

Journal GrSMU

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Background: Endotracheal intubation is one of the basic methods for airway control during cardiopulmonary resuscitation. In the era of the prevailing pandemic of SARS-CoV-2, medical personnel may face a necessity of resuscitating aninfected patient. Objective: The objective was to compare three intubation methods for suspected/confirmed COVID-19 adult patient resuscitation performed by paramedics wearing personal protective equipment (PPE) for aerosol generating procedures (AGP). Material and Methods: The multicentre, single-blind, prospective, randomized, crossover simulation trial involved 32 paramedics. The participants wearing PPE AGP performed tracheal intubations with the Macintosh, Airtraq, and McGrath MAC laryngoscopes in a patient with suspected COVID-19 in two resuscitation scenarios: scenario A-without chest compressions; scenario B-with continuous chest compressions. The primary outcome was time to intubation. Results: In scenario A, the intubation time for the respective devices equalled 35 s (IQR: 29-46) vs. 44s (IQR: 35-67) vs. 49 (IQR: 34-72) (p = 0.003). The total efficacy of each intubation method was 100%; however, the efficacy of the first intubation attempt was highest for McGrath MAC (90.6%), followed by Macintosh (68.1%) and Airtraq 62.5%) (p<0.001). In scenario B, the results with McGrath MAC were significantly better than those with Macintosh and Airtraq(p<0.05) for all the analysed variables. Conclusions: In conclusion, the McGrath MAC videolaryngoscope offers better intubation conditions as compared with the Macintosh laryngoscope or Airtraq in the resuscitation COVID-19.

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Section: оригинальные исследованияmentioning

confidence: 99%

Comparison of Various Intubation Deviced During Resuscitation of Covid-19-Suspected Patients by Paramedics Wearing Personal Protective Equipment

Piechowski¹,

Smereka

Drozd³

et al. 2020

Journal GrSMU

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Laryngoscopes for difficult airway scenarios: a comparison of the available devices

Szarpak

2018

Expert Review of Medical Devices

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According to the American Society of Anesthesiologists, the incidence of difficult intubation in the operating room is 1.2-3.8%; however, in emergency conditions, this rate is higher and reaches even 5.3%. Successful emergency airway management is an essential component of the modern practice of medicine. Areas covered: The aim of the study is to review the literature regarding different devices used to perform endotracheal intubation (Macintosh, Miller, and McCoy laryngoscopes; ETView, GlideScope, TruView, Airtraq, McGrath MAC, Pentax AWS, Trachlight, Shikani, and Bullard) and discuss their clinical and experimental role in difficult airway management. Expert commentary: Owing to the development of medical technology, there are an increasing number of videolaryngoscopes and other devices facilitating endotracheal intubation in difficult airway scenarios, including cardiopulmonary resuscitation, cervical spine injury, or face-to-face intubation. Each of these devices may bring benefits in the form of increasing the intubation effectiveness, as well as shortening the procedure, provided that the person performing intubation is familiar with the use of the device.

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Comparison of Four Laryngoscopes for Orotracheal Intubation by Nurses During Resuscitation With and Without Chest Compressions: A Randomized Crossover Manikin Trial

Cited by 2 publications

References 26 publications

Comparison of Various Intubation Deviced During Resuscitation of Covid-19-Suspected Patients by Paramedics Wearing Personal Protective Equipment

Comparison of Various Intubation Deviced During Resuscitation of Covid-19-Suspected Patients by Paramedics Wearing Personal Protective Equipment

Laryngoscopes for difficult airway scenarios: a comparison of the available devices

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