Tracheal intubation of pediatric manikins during ongoing chest compressions. Does Glidescope® videolaryngoscope improve pediatric residents’ performance?

Abstract

In simulated infant and child cardiac arrest scenarios, pediatric residents are able to intubate the trachea during CC. The videolaryngoscope Glidescope® does not improve performance in this setting.

Reply to the correspondence letter by Szarpak L et al. “Can Glidescope® videolaryngoscope be an alternative to direct laryngoscopy for child and infant tracheal intubation during chest compression?”

“…We appreciate the letter about our paper [4] and the results reported by Dr. Szarpak et al Airway management in children is a challenge even for expert professionals [2,5]. In cardiac arrest (CA), quality of cardiopulmonary resuscitation (CPR) is a main outcome factor.…”

“…We congratulate Dr. Szarpak and colleagues for their good results of first attempt intubation of children/infant manikins with Glidescope ® by paramedics without prior experience, significantly higher than those reported (in manikins and patients) when the intubations were performed by physicians with different backgrounds [2,4,5]. It is possible that factors like paramedics' prior training and abilities, the use of a mechanical device for CC in the child manikin, CC quality in the infant manikin, or other circumstances could explain this discrepancy.…”

“…Anyway, a rescue intubation should be completed as quickly as possible to minimize the negative consequences or airway management [5]. In this sense, the goal should not be the number of attempts but the time needed to achieve a confirmed tracheal intubation [4,5]. Clearly, further studies are needed to obtain evidences on the role of videolaryngoscopes for intubation in children in CA.…”

Porównanie skuteczności Pentax AWS S-100 i laryngoskopu z łopatką Macintosha podczas intubacji dotchawiczej dziecka w warunkach symulowanej resuscytacji – badanie randomizowane

“…Dla porówna-nia w badaniach Rodrígueza-Núñeza i wsp. [13] czas niezbędny na wykonanie intubacji za pomocą laryngoskopu z łopatką Millera podczas RKO wynosił 28,2 s (IQR, 20,4-34,4), zaś w badaniach Szarpaka i wsp. 35,4 s [14].…”

Can GlideScope® videolaryngoscope be an alternative to direct laryngoscopy for child and infant tracheal intubation during chest compression?

“…In the article from Rodriguez-Nunez et al entitled “Tracheal intubation of pediatric manikins during ongoing chest compressions. Does GlideScope® videolaryngoscope improve pediatric residents’ performance?” [ 1 ], the authors conducted a study on the time taken to intubate children and infants using the GlideScope and Miller (MIL) laryngoscopes. Due to the small number of participants in the aforementioned trial and a lack of data concerning the effectiveness of individual attempts at endotracheal intubation (ETI), decided decision was made to conduct extended research on intubation using the GlideScope and Miller Laryngoscopes.…”