Learning Endotracheal Intubation Using a Novel Videolaryngoscope Improves Intubation Skills of Medical Students

Herbstreit, Frank; Faßbender, Philipp; Haberl, Helge; Kehren, Clemens; Peters, Jürgen

doi:10.1213/ane.0b013e3182222a66

Cited by 70 publications

(46 citation statements)

References 18 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Most previously published studies on C-MAC have been conducted using experienced personnel [8][9][10], whereas at least one has used medical students [17]. We decided to involve our residents in this study to simulate actual in-training conditions, reduce variability in laryngoscopy performance, and reduce training time.…”

Section: Discussionmentioning

confidence: 99%

Utilization of C-MAC videolaryngoscopy for direct and indirect assisted endotracheal intubation

Cattano¹,

Ferrario²,

Maddukuri³

et al. 2013

J Anesthesiol Clin Sci

View full text Add to dashboard Cite

Background: The experiences of seasoned practitioners with the new C-MAC indirect videolaryngoscope system have shown promising results in the management of difficult airways. However, a comparison of direct and indirect laryngoscopy utilizing the C-MAC system as its own control has not been performed in a cohort of anesthesiologists-in-training. The primary aim was to compare direct and indirect laryngoscopy in terms of intubation time with secondary outcomes including laryngoscopy time and airway view with the same size 3 blade. Methods: The study was registered with www.clinicaltrials.gov (NCT01104090). Oral and written informed consent was obtained from 50 adult patients with BMI < 40 kg/m 2 who required general anesthesia for elective surgery with tracheal tube placement. The patients were randomized to two groups, each receiving two laryngoscopies, n=25 direct-first and n=25 indirect-first. Results: All patients except for one were successfully intubated on the first attempt. The intubation time was 12.3±11.1 sec immediately following videolaryngoscopy (direct laryngoscopy first group) and 9.8±7.1 sec immediately following direct laryngoscopy (videolaryngoscopy first group), p=0.35. The first laryngoscopy time was 8.7±4.7 sec in the direct group and 13.3±10.7 sec in the indirect group, p=0.06. Twenty-percent of direct first cases compared to 0% of indirect first cases showed an improvement in airway view score by at least two classes on the second laryngoscopy, p=0.02. Backward-upward-rightward pressure was used in 36% of direct first and 12% of indirect first patients, p=0.047. Conclusions: This study corroborates previous results on the use of the C-MAC videolaryngoscopy system during endotracheal-assisted intubation. Although there was no difference in intubation time between direct laryngoscopy and videolaryngoscopy, the C-MAC system was found to improve laryngeal views and reduce the number of necessary laryngeal manipulations. A larger randomized study utilizing a similar model is necessary to definitively determine significant clinical results.

show abstract

Section: Discussionmentioning

confidence: 99%

Utilization of C-MAC videolaryngoscopy for direct and indirect assisted endotracheal intubation

Cattano¹,

Ferrario²,

Maddukuri³

et al. 2013

J Anesthesiol Clin Sci

View full text Add to dashboard Cite

show abstract

“…Video can also facilitate assessment with global rating scores [65]. A number of studies describe the benefit of imaging the larynx with videolaryngoscopes to assist instruction during training in laryngoscopy [66][67][68][69].…”

Section: ó 2011 the Authorsmentioning

confidence: 99%

Education in airway management

et al. 2011

View full text Add to dashboard Cite

SummaryIn airway management, poor judgment, education and training are leading causes of patient morbidity and mortality. The traditional model of medical education, which relies on experiential learning in the clinical environment, is inconsistent and often inadequate. Curriculum change is underway in many medical organisations in an effort to correct these problems, and airway management is likely to be explicitly addressed as a clinical fundamental within any new anaesthetic curriculum. Competency‐based medical education with regular assessment of clinical ability is likely to be introduced for all anaesthetists engaged in airway management. Essential clinical competencies need to be defined and improvements in training techniques can be expected based on medical education research. Practitioners need to understand their equipment and diversify their airway skills to cope with a variety of clinical presentations. Expertise stems from deliberate practice and a desire constantly to improve performance with a career‐long commitment to education.

show abstract

“…Several studies have demonstrated that compared to the training with the DL, video-assisted instruction with a combined VL/DL device may shorten the learning curve of tracheal intubation for students, improve intubation success rate and decrease rate of oesophageal intubation (72)(73)(74)(75). Following training, moreover, the novices trained by using a combined VL/DL device perform better with respect to number of intubation attempts, needs of adjunct maneuvres and teeth trauma in simulated difficult airway conditions compared to those trained by using a Macintosh DL (76).…”

Section: Should Videolaryngoscopy Be Used For All Intubations?mentioning

confidence: 99%

Videolaryngoscopy in Airway Management: What Every Anesthesiologist Should Know!

Xue¹,

Liu²,

Li³

et al. 2018

J Anesth Perioper Med

View full text Add to dashboard Cite

Aim of review:The aim of this article is to convey several hotspot issues regarding the use of videolaryngoscopy (VL) in airway management that anesthesiologists are often concerned. Methods: Recent literature in the past 20 years about the use of VL in the clinical airway management were searched from the Pubmed and Cochrane databases and reviewed, in order to determine the strengths and weakness of VL and conflicting issues regarding the role of VL in airway management. Recent findings: The benefits of VL are most significant in patients with difficult airways, with an improved laryngeal view and an increased success rate of intubation. However, VL cannot give a 100% success rate and there is no specific evaluation system of difficult or failed VL as with direct laryngoscopy. Awake VL-assisted intubation is a useful alternative to awake fiberoptic intubation, but the fiberoptic bronchoscope cannot be discarded and still is gold standard tool of difficult airway management. There are several differenttype VLs available and their efficacies may be different between devices due to various designs and shapes. Due to the limited number of comparative studies, however, there is inconclusive evidence to recommend which VL design is more advantageous in various clinical situations. A Macintosh-type VL allows residents to learn laryngoscopy and intubation more quickly and effectively. Given that VL has tremendous advantages, it should be used as the first-line device for all tracheal intubations. Summary: The introduction of VL has resulted in a dramatic transformation of clinical airway management and is seen as the evolutionary step in intubation technology. There are considerable disagreements over the role of VL in airway management and the need of more investigation, but VL continues to get popularity both inside and outside the operating room. With increasing use of VL in airway management, experience and skill will undoubtedly increase, and the evidence will suggest that the attempt numbers and complications of intubations may be decreased, and patient safety can be improved. (Funded by the Major Project of Zhejiang Science and Technology Fund.) ABSTRACT

show abstract

Learning Endotracheal Intubation Using a Novel Videolaryngoscope Improves Intubation Skills of Medical Students

Abstract: Education using a video system mounted into a traditional Macintosh blade improves intubation skills in medical students.

Cited by 70 publications

References 18 publications

Utilization of C-MAC videolaryngoscopy for direct and indirect assisted endotracheal intubation

Utilization of C-MAC videolaryngoscopy for direct and indirect assisted endotracheal intubation

Education in airway management

Videolaryngoscopy in Airway Management: What Every Anesthesiologist Should Know!

Contact Info

Product

Resources

About