Tracheal intubation with a VivaSight-SL endotracheal tube by paramedics in a cervical-immobilized manikin

Szarpak, Łukasz; Truszewski, Zenon; Kurowski, Andrzej; Czyżewski, Łukasz; Evrın, Togay; Bogdański, Łukasz

doi:10.1016/j.ajem.2015.10.013

Cited by 11 publications

(24 citation statements)

References 5 publications

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“…An intubation duration of approximately 30 s has been recorded for experienced anaesthesiologists using the VST and DL [ 8 , 33 , 34 ], although one study identified a difference of 5 s in favour of the VST [ 33 ]. On the other hand, the use of VL could prolong the time to intubation [ 8 , 34 ]. Regarding our data and previously published data [ 33 ], there is no indication that intubation with the VST prolongs the duration of intubation.…”

Section: Discussionmentioning

confidence: 99%

Endotracheal tube-mounted camera-assisted intubation versus conventional intubation in intensive care: a prospective, randomised trial (VivaITN)

et al. 2018

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BackgroundFor critically ill patients, effective airway management with a high first-attempt success rate for endotracheal intubation is essential to prevent hypoxic complications during securing of the airway. Video guidance may improve first-attempt success rate over direct laryngoscopy (DL).MethodsWith ethics approval, this randomised controlled trial involved 54 critically ill patients who received endotracheal intubation using a tube with an integrated video camera (VivaSight™-SL tube, VST, ETView Ltd., Misgav, Israel) or using conventional intubation under DL.ResultsThe two groups did not differ in terms of intubation conditions. The first-attempt success rate was VST 96% vs. DL 93% (not statistically significant (n. s.)). When intubation at first attempt failed, it was successful in the second attempt in all patients. There was no difference in the median average time to intubation (VST 34 s (interquartile range 28–39) vs. DL 35 s (28–40), n. s.). Neither vomiting nor aspiration or accidental oesophageal intubation were observed in either group. The lowest pulsoxymetric oxygen saturation for VST was 96 (82–99) % vs. 99 (95–100) % for DL (n. s.). Hypotension defined as systolic blood pressure < 70 mmHg occurred in the VST group at 20% vs. the DL group at 15% (n. s.).ConclusionIn this pilot study, no advantage was shown for the VST. The VST should be examined further to identify patient groups that could benefit from intubation with the VST, that is, patients with difficult airway conditions.Trial registrationClinicalTrials.gov, NCT02837055. Registered on 13 June 2016.

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Section: Discussionmentioning

confidence: 99%

Endotracheal tube-mounted camera-assisted intubation versus conventional intubation in intensive care: a prospective, randomised trial (VivaITN)

et al. 2018

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“…65% in the ETView and Macintosh groups, respectively. [23] Using a paired 2-sided t test, accepting an α risk of ≤0.05, powered to 80%, 32 participants were required.…”

Section: Methodsmentioning

confidence: 99%

“…[20–22] Furthermore, the ETView SL tube was described to be superior compared to direct laryngoscopy using a Macintosh blade in various resuscitation and trauma scenarios, by either paramedics, novice physicians, anesthesia residents, or certified anesthesiologists. [23–25] …”

Section: Introductionmentioning

confidence: 99%

Comparison of the ETView Single Lumen and Macintosh laryngoscopes for endotracheal intubation in an airway manikin with immobilized cervical spine by novice paramedics

et al. 2017

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Context:Management of the airway of a trauma victim is considered challenging. Various approaches have been described to achieve airway control in this setup; many of them include video-assited viewing of the larynx during intubation. ETView Single Lumen (SL) is a novice single-use endotracheal tube equiped with a video camera and a light source at its distal tip. Its use was previously described in seeral clinical and training setups.Objective:The aim was to evaluate the efficacy of the VivaSight SL compared with classic direct laryngoscopy performed with a Macintosh blade in a manikin-simulated trauma setup presenting various degrees of airway challenge when performed by inexperienced physicians.Design, Setting, Participants:This was prospective, randomized, crossover, manikin trial. After short training on the ETView system, 67 novice paramedics attempted to perform oral intubation using both standard direct laryngoscopy (MAC group) and the VivaSight SL endotracheal tube (ETView group) in a randomized order on manikins in 3 increasingly more difficult scenarios (simple intubation, cervical spine manual stabilization, and with cervical collar in place).Outcome Measure:Overall success rate, time to intubation, number of intubation attempts, laryngeal view grade, dental compression, and overall participant satisfaction were monitored.Results:Duration of intubation and number of attempts were significantly superior in the ETView group in the latter 2 more challenging scenarios. All other parameters showed superiority to the ETView group in all 3 scenarios.Conclusion:The VivaSight SL system performed better in a complex scenario of airway management of a trauma victim in need for cervical spine stabilization performed by novice caregivers compared to standard direct laryngoscopy and should be considered in this clinical setup.

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“…15 Another four difficult intubation situation settings were used, 13,[18][19][20] including one scenario of faceto-face intubation with a tongue-swelling situation, 18 and two studies with a normal airway car scenario without chest compression. 11,12,14,15 In one case, access was through the open driver's door (reclining was a continuation of the study by Truszewski et al 20 b These outcomes were described in the trials but the complete data were not provided. CC, chest compression seat was not allowed), 20 and the other was a car back-seat scenario with the manikin trapped in the left front seat with the only access to the patient from the back seat.…”

Section: Study Characteristicsmentioning

confidence: 99%

“…Information on the first-attempt success rate was available in all the included studies. [11][12][13][14][15][18][19][20][21][22][23] The analysis demonstrated fewer failed intubations using the ETView in all scenarios (OR: 0.06, 95% CI: 0.04 to 0.10; P < 0.001, I 2 ¼ 18%). The pooled OR for the first-attempt success rate (decreased failure rate) in a normal airway at rest without chest compression was 0.05 (95% CI: 0.01 to 0.22, P < 0.001).…”

Section: Meta-analysis Of Primary Outcome Measuresmentioning

confidence: 99%

ETView VivaSight single lumen vs. conventional intubation in simulated studies: a systematic review and meta-analysis

Lim

Kim

et al. 2020

J Int Med Res

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Objective The ETView VivaSight single lumen airway tube (ETView) is a tracheal tube incorporating a video camera. We carried out a meta-analysis of previous simulation studies by inexperienced personnel to determine if the ETView could improve the success rate of first-attempt intubation. Methods We collected data from randomized controlled trials comparing the use of the ETView VivaSight single lumen versus a conventional endotracheal tube in a simulated manikin or cadaver study. Results Eleven studies (558 participants, 3,254 intubations, and 19 scenarios) were included. The ETView had a significantly higher success rate and shorter insertion time than conventional intubation in both normal airways (with or without chest compression) and in difficult airways. In addition, the ETView demonstrated better results in terms of a higher rate of Cormack−Lehane grade 1 and a lower incidence of dental trauma. Conclusions Inexperienced personnel can insert the ETView more rapidly and with a higher intubation success rate compared with a conventional tube.

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Tracheal intubation with a VivaSight-SL endotracheal tube by paramedics in a cervical-immobilized manikin

Cited by 11 publications

References 5 publications

Endotracheal tube-mounted camera-assisted intubation versus conventional intubation in intensive care: a prospective, randomised trial (VivaITN)

Endotracheal tube-mounted camera-assisted intubation versus conventional intubation in intensive care: a prospective, randomised trial (VivaITN)

Comparison of the ETView Single Lumen and Macintosh laryngoscopes for endotracheal intubation in an airway manikin with immobilized cervical spine by novice paramedics

ETView VivaSight single lumen vs. conventional intubation in simulated studies: a systematic review and meta-analysis

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