Using the Human Patient Simulator to Test the Efficacy of an Experimental Emergency Percutaneous Transtracheal Airway

Sanders, Joe M.; Haas, Richard E.; Geisler, Michael; Lupien, Alfred E.

doi:10.1093/milmed/163.8.544

Cited by 19 publications

(8 citation statements)

References 5 publications

(6 reference statements)

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Failure to establish a patent upper airway is rare in critical care, and, therefore, emergency cricothyroidotomy is performed infrequently 15. Other studies have used cadavers,21 standard resuscitation mannequins22 and pig larynxes to compare the efficiency of commercially available cricothyroidotomy sets. Unfortunately, as with this study, the ability to provide effective ventilation on the basis of these studies cannot be extrapolated to live patients.…”

Section: Resultsmentioning

confidence: 99%

Airflow efficacy of ballpoint pen tubes: a consideration for use in bystander cricothyrotomy

Owens

Greenwood

Galley

et al. 2010

Emergency Medicine Journal

View full text Add to dashboard Cite

show abstract

Section: Resultsmentioning

confidence: 99%

Airflow efficacy of ballpoint pen tubes: a consideration for use in bystander cricothyrotomy

Owens

Greenwood

Galley

et al. 2010

Emergency Medicine Journal

View full text Add to dashboard Cite

show abstract

“…There are ethical and practical issues in conducting trials of new equipment in patients. Other devices have been evaluated in simulators for these reasons and these have validated the importance of graduated training including simulator training [6,7]. Difficult intubation in a real patient is often multifactorial.…”

Section: Discussionmentioning

confidence: 99%

Evaluation of ease of intubation with the GlideScope^® or Macintosh laryngoscope by anaesthetists in simulated easy and difficult laryngoscopy*

2005

View full text Add to dashboard Cite

SummaryThe GlideScope Ò is a new video laryngoscope developed for management of the difficult airway. We compared the GlideScope with the Macintosh laryngoscope in simulated easy and difficult laryngoscopy. Twenty anaesthetists were allowed three attempts to intubate in each of four laryngoscopy scenarios in a high fidelity simulator. In the simulated easy laryngoscopy scenarios, the anaesthetists took longer to intubate using the GlideScope than the Macintosh laryngoscope (mean (SD) 19.0 (9.7) s vs. 12.7 (5.9) s, respectively; p = 0.006). There was no difference in the number of successful intubations, ease of intubation or choice of intubating device. In the simulated difficult laryngoscopy scenarios, the anaesthetists took less time to intubate using the GlideScope (23.5 (12.7) s vs. 70.5 (101.2) s, respectively; p = 0.001). The slightly higher success rate with the GlideScope was not statistically significant (20 ⁄ 20 vs. 18 ⁄ 20, respectively; p = 0.5). However, the anaesthetists found it easier to intubate using the GlideScope (median (interquartile range [range]) 1 (1-2 [1-2]) vs. 2 (2-3 [1-3]), respectively; p < 0.0001).

show abstract

“…It is unethical and impractical to provide training and to perform studies in a real 'life and death' situation. In the past, studies have been performed on cadavers [2], inanimate mannequins [3] and pig larynxes in order to compare the efficacy of different cricothyroidotomy sets. The conclusions of these studies cannot be reliably extrapolated to live patients.…”

mentioning

confidence: 99%

Comparison of four different emergency airway access equipment sets on a human patient simulator*

2004

View full text Add to dashboard Cite

This study used a patient simulator to study the ease of use and efficacy of four currently available cricothyroidotomy sets. We assessed the success of insertion of each piece of equipment and measured the subsequent adequacy of oxygenation and ventilation. We also examined the complications encountered using each set. We found that there was a 100% success rate of achieving an adequate airway within acceptable time limits using the 'Quiktrach' and 'Melker' sets, with good airway patency and ease of ventilation. There was an unacceptably high failure rate in achieving a patent airway when using the 'Transtracheal airway catheter with ENK-flow modulator' and 'Patil's airway'. The pre-assembled and user-friendly 'Quiktrach' set provided the fastest and most effective means of oxygenation in the simulated patient requiring an emergency surgical airway.

show abstract

Using the Human Patient Simulator to Test the Efficacy of an Experimental Emergency Percutaneous Transtracheal Airway

Cited by 19 publications

References 5 publications

Airflow efficacy of ballpoint pen tubes: a consideration for use in bystander cricothyrotomy

Airflow efficacy of ballpoint pen tubes: a consideration for use in bystander cricothyrotomy

Evaluation of ease of intubation with the GlideScope^® or Macintosh laryngoscope by anaesthetists in simulated easy and difficult laryngoscopy*

Comparison of four different emergency airway access equipment sets on a human patient simulator*

Contact Info

Product

Resources

About

Using the Human Patient Simulator to Test the Efficacy of an Experimental Emergency Percutaneous Transtracheal Airway

Cited by 19 publications

References 5 publications

Airflow efficacy of ballpoint pen tubes: a consideration for use in bystander cricothyrotomy

Airflow efficacy of ballpoint pen tubes: a consideration for use in bystander cricothyrotomy

Evaluation of ease of intubation with the GlideScope® or Macintosh laryngoscope by anaesthetists in simulated easy and difficult laryngoscopy*

Comparison of four different emergency airway access equipment sets on a human patient simulator*

Contact Info

Product

Resources

About

Evaluation of ease of intubation with the GlideScope^® or Macintosh laryngoscope by anaesthetists in simulated easy and difficult laryngoscopy*