Comparison of LMA CTrach and Video Laryngoscope in Endotracheal Intubation

Gümüş, Nevzat; Dilek, Ahmet; Ülger, Fatma; Köksal, Ersin; Çetinoğlu, Erhan Çetin; Özkan, Fatih; Güldoğuş, Fuat

doi:10.5152/tjar.2014.58815

Cited by 3 publications

(1 citation statement)

References 13 publications

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“…According to previous studies, when anesthesiologists faced patients with general anesthesia in the operating room, the time to complete endotracheal intubation was about 84 seconds [ 10 ], the time to complete LMA Supreme laryngeal mask implantation was about 27 seconds, and the time to complete I-gel laryngeal mask implantation was about 19 seconds [ 11 ], which were shorter than those in this study. The time in the operating room comes from patients after general anesthesia, while the time of this study comes from the simulated human.…”

Section: Discussionmentioning

confidence: 56%

An Exploration and Technical Notes for Advanced Airway Management on the Ski Slope: A Simulation Experiment

Bai

Xia

Yang

et al. 2021

Emergency Medicine International

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Background. Skiing is a high-risk winter sport, and the rate of injury fatality is the highest compared to other winter sports. During skiing rescue, the harsh natural environments will increase the difficulty of artificial airway establishment. There has been no research focusing on the establishment of the artificial airway during skiing rescue site. This study aims to simulate the real-world scenario, calculating and comparing the operation time of different artificial airways on the cold slope, and to explore the optimal method of establishing artificial airway on the cold slope, sharing our experience, technical notes, and pitfalls we encountered, hoping to help establish a standard operating procedure in advanced airway management on the ski slope. Methods. The simulated human was placed on the cold slope with the head under the feet. Artificial airway was established by the same anesthesiologist using endotracheal intubation (endotracheal intubation group), LMA Supreme laryngeal mask (LMA group), and I-gel laryngeal mask (I-gel group). Each method was repeated 5 times, and the operation time and whether it was successful by one attempt were recorded and compared between groups. Results. Three groups of artificial airway were successful by one attempt.. The bite block dropped and drifted away for one time in the endotracheal intubation group. Operation time is 209.2 ± 32.7 seconds in the endotracheal intubation group, 72.2 ± 3.1 seconds in the LMA group, and 52.6 ± 4.2 seconds in the I-gel group. ANOVA showed that there was a significant difference in the operation time among the three groups ( p < 0.001 ). Tukey’s post hoc test showed that there were statistically significant differences between the endotracheal intubation group and the other two groups in operation time, p < 0.001 , while there was no significant difference between the LMA group and I-gel group ( p = 0.275 ). Conclusion. The artificial airway can be completed by endotracheal intubation and LMA and I-gel laryngeal mask insertion on the cold slope. Artificial airway with the I-gel laryngeal mask takes the shortest time in this study. Extra caution should be paid to slippery and drifting.

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Section: Discussionmentioning

confidence: 56%

An Exploration and Technical Notes for Advanced Airway Management on the Ski Slope: A Simulation Experiment

Bai

Xia

Yang

et al. 2021

Emergency Medicine International

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Video screen visualization patterns when using a video laryngoscope for tracheal intubation: A systematic review

Dean

Kerrey

2022

JACEP Open

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Objective Published studies of video laryngoscopes are often limited by the lack of a clear definition of video laryngoscopy (VL). We performed a systematic review to determine how often published studies of VL report on video screen visualization. Methods We searched PubMed, EMBASE and Scopus for interventional and observational studies in which a video laryngoscope equipped with a standard geometry blade was used for tracheal intubation. We excluded simulation based studies. Our primary outcome was data on video laryngoscope screen visualization. Secondary outcomes were explicit methodology for screen visualization. Results We screened 4838 unique studies and included 207 (120 interventional and 87 observational). Only 21 studies (10% of 207) included any data on video screen visualization by the proceduralist, 19 in a yes/no fashion only (ie, screened viewed or not) and 2 with detail beyond whether the screen was viewed or not. In 11 more studies, visualization patterns could be inferred based on screen availability and in 16 more studies, the methods section stated how screen visualization was expected to be performed without reporting data collection on how the proceduralist interacted with the video screen. Risk of bias was high in the majority of included studies. Conclusions Published studies of VL, including many clinical trials, rarely include data on video screen visualization. Given the nuances of using a video laryngoscope, this is a critical deficiency, which largely prevents us from knowing the treatment effect of using a video laryngoscope in clinical practice. Future studies of VL must address this deficiency.

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Effects of three endotracheal tube cuff pressure control measures on microaspiration of gastric content: Study protocol for randomised controlled trial

Gıersbergen

Çeli̇k

2022

Journal of Clinical Nursing

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Aim:To analyse the effect of endotracheal tube cuff pressure control measures on the microaspiration of the stomach contents by measuring at the level of pepsin in deep tracheal aspiration.Design: A single-blind, randomised controlled trial.Methods: This trial protocol was reported using the SPIRIT checklist. Endotracheal tube cuff pressure control will be provided with pilot balloon finger palpation, intermittent and continuous. The pepsin level will be measured during deep tracheal secretions in order to assess the effect of different endotracheal tube cuff pressure control measures on the microaspiration of the stomach contents. The samples will be examined within the first 4 h, between the 5th and 24th hours, and between the 25th and 48th hours after intubation. The level of pepsin will be considered positive according to the cut-off value. In addition, the effect of different endotracheal tube cuff pressure controls on the incidence of ventilator-associated pneumonia will be examined. In study group 1, study group 2 and the control group, the number of patients is planned to be 56. Trial registration: Clini calTr ials.gov Identifier, Number NCT04061083. Registered in 2019. Discussion: The findings will show the effect of different endotracheal tube cuff pressure control methods on microaspiration of stomach content and the possible changes in pepsin level in deep tracheal aspirates. Conclusion:This study will shed light on future studies regarding pepsin level as a biomarker in treatment and follow-up patients receiving mechanical ventilator support using an ETT and emphasise the importance of multidisciplinary studies. Relevance to clinical practice:As a result of the findings to be obtained from this study, the effect of endotracheal tube cuff pressure control on gastric content microaspiration and ventilator-associated pneumonia will be determined and the most appropriate endotracheal tube cuff pressure control method will be identified to prevent it. Nurses' awareness of endotracheal tube cuff pressure measurement methods will be increased. The frequency and methods of endotracheal tube cuff pressure | 1477 ER et al.

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Comparison of LMA CTrach and Video Laryngoscope in Endotracheal Intubation

Cited by 3 publications

References 13 publications

An Exploration and Technical Notes for Advanced Airway Management on the Ski Slope: A Simulation Experiment

An Exploration and Technical Notes for Advanced Airway Management on the Ski Slope: A Simulation Experiment

Video screen visualization patterns when using a video laryngoscope for tracheal intubation: A systematic review

Effects of three endotracheal tube cuff pressure control measures on microaspiration of gastric content: Study protocol for randomised controlled trial

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