Performance of emergency physicians utilizing a video-assisted semi-rigid fiberoptic stylet for intubation of a difficult airway in a high-fidelity simulated patient: a pilot study

Cooney, Derek R; Cooney, Norma L; Wallus, Harry; Wojcik, Susan

doi:10.1186/1865-1380-5-24

Cited by 10 publications

(7 citation statements)

References 12 publications

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“…In addition, the Trachway intubating stylet did not have any complication event as the direct laryngoscope [ 11 ]. In Cooney et al's [ 12 ] study, attending and resident emergency physicians were included for intubation of a difficult airway in high-fidelity simulated patients with stylet intubation in comparison with direct laryngoscopy. The results showed a 100% first attempt success rate and a lower cumulative attempt time in the stylet intubation group.…”

Section: Discussionmentioning

confidence: 99%

Role of Trachway versus Conventional Modes of Intubation in Difficult Airway Management in COVID-19 Setups

Yiang

et al. 2021

Emergency Medicine International

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Difficult airway management in critically ill patients remains a difficult task associated with high morbidity and mortality rates. In difficult airway populations, prompt effective intubation is more important to prevent hypoxia and neurological injury. During the ongoing COVID-19 pandemic, prolonged intubation time and repeated intubation can lead to an increase in the risk of infection. Therefore, digital devices can shorten intubation times and decrease the risk of infection among clinical staff. The advantages of the Trachway videolight intubating stylet suit these conditions. Trachway stylet intubation is an effective method for video laryngoscopy to enhance patient safety and improve the intubation success rate. However, a few studies have focused on the effect of stylet intubation by reducing repeated intubation and oxygen desaturation. In this study, we reviewed current data of Trachway intubation and shared our four major training scenarios in Taipei Tzu Chi Hospital via the Trachway videolight intubating stylet system for emergency intubation, comparing them with other modes of intubation.

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Section: Discussionmentioning

confidence: 99%

Role of Trachway versus Conventional Modes of Intubation in Difficult Airway Management in COVID-19 Setups

Yiang

et al. 2021

Emergency Medicine International

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“…A study by Yun et al showed that a group of paramedics were able to achieve similar times using DL as compared to an optical device and a video laryngoscope after only limited instruction [ 12 ]. In a previous study, the CVS in the hands of emergency physicians showed significantly positive results in a difficult airway model when compared to DL after limited instruction on the use of the device [ 13 ].…”

Section: Discussionmentioning

confidence: 99%

Endotracheal intubation with a video-assisted semi-rigid fiberoptic stylet by prehospital providers

et al. 2014

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BackgroundEmergency medical technicians intubate patients in unfamiliar surroundings and with less than ideal positioning. This study was designed to evaluate advanced life support (ALS) emergency medical technicians' (EMTs) ability to successfully intubate a simulated airway using a video-assisted semi-rigid fiberoptic stylet, the Clarus Video System (CVS).MethodsALS EMTs were first shown a brief slideshow and three example videos and then given 20 min to practice intubating a mannequin using both the CVS and standard direct laryngoscopy (DL). The mannequin was then placed on the floor to simulate field intubation at the scene. Each participant was given up to three timed attempts with each technique. Endotracheal tube position was confirmed with visualization by one of the study authors. Comparisons and statistical analysis were conducted using SPSS® Statistics 21 (IBM®). Demographics and survey results were also collected and analyzed.ResultsThe median total time for intubation was 15.00 s for DL and 15.50 s for CVS revealing no significant difference between the two techniques (p = 0.425), and there was no significant difference in the number of attempts required to successfully place the endotracheal tube (ETT) (p = 0.997). Demographic factors including handedness and eye dominance did not seem to affect outcomes. Participants reported a relatively high level of satisfaction with the CVS.ConclusionsALS EMTs were able to obtain intubation results similar to those of their usual direct laryngoscopy technique when utilizing a video-assisted semi-rigid fiberoptic stylet with very limited instruction and experience with the device. The CVS technique warrants further study for use as an alternative to DL and video laryngoscopy in the prehospital difficult airway scenario.

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“…There are many fibreoptic stylet intubation devices available , but few studies have established intubation experience with the Clarus Video System, as it is a recently introduced fibreoptic stylet . Kim et al.…”

Section: Discussionmentioning

confidence: 99%

A comparison of the BURP and conventional and modified jaw thrust manoeuvres for orotracheal intubation using the Clarus Video System

et al. 2013

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SummaryWe evaluated the effects of three airway manipulation manoeuvres: (a) conventional (single-handed chin lift); (b) backward, upward and right-sided pressure (BURP) manoeuvre; and (c) modified jaw thrust manoeuvre (two-handed aided by an assistant) on laryngeal view and intubation time using the Clarus Video System in 215 patients undergoing general anaesthesia with orotracheal intubation. In the first part of this study, the laryngeal view was recorded as a modified Cormack-Lehane grade with each manoeuvre. In the second part, intubation was performed using the assigned airway manipulation. The primary outcome was the time to intubation, and the secondary outcomes were the modified Cormack-Lehane grade, the number of attempts and the overall success rate. There were significant differences in modified Cormack-Lehane grade between the three airway manipulations (p < 0.0001). Post-hoc analysis indicated that the modified jaw thrust improved the laryngeal view compared with the conventional (p < 0.0001) and the BURP manoeuvres (p < 0.0001). The BURP worsened the laryngeal view compared with the conventional manoeuvre (p = 0.0132). The time to intubation in the modified jaw thrust group was shorter than with the conventional manoeuvre (p = 0.0004) and the BURP group (p < 0.0001). We conclude that the modified jaw thrust is the most effective manoeuvre at improving the laryngeal view and shortening intubation time with the Clarus Video System.

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Performance of emergency physicians utilizing a video-assisted semi-rigid fiberoptic stylet for intubation of a difficult airway in a high-fidelity simulated patient: a pilot study

Cited by 10 publications

References 12 publications

Role of Trachway versus Conventional Modes of Intubation in Difficult Airway Management in COVID-19 Setups

Role of Trachway versus Conventional Modes of Intubation in Difficult Airway Management in COVID-19 Setups

Endotracheal intubation with a video-assisted semi-rigid fiberoptic stylet by prehospital providers

A comparison of the BURP and conventional and modified jaw thrust manoeuvres for orotracheal intubation using the Clarus Video System

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