Utility of the Pentax-AWS in performing tracheal intubation while wearing chemical, biological, radiation and nuclear personal protective equipment: a randomised crossover trial using a manikin

Shin, Dong Hyuk; Choi, Pil Cho; Na, Ji Ung; Cho, Jun Hwi; Han, Sang Kuk

doi:10.1136/emermed-2012-201463

Cited by 20 publications

(27 citation statements)

References 21 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…We included 22 manikin studies (42 trials) . The Pentax AWS was more effective than the Macintosh laryngoscope for all outcomes except the rate of audible dental clicks or significant dental compression (equivalent to oral or pharyngeal injury in human studies, Table ).…”

Section: Resultsmentioning

confidence: 99%

Pentax Airway Scope^® vs Macintosh laryngoscope for tracheal intubation in adult patients: a systematic review and meta‐analysis

et al. 2014

View full text Add to dashboard Cite

SummaryThe Pentax Airway Scope â is a single-use optical videolaryngoscope designed to assist with difficult tracheal intubation. We systematically reviewed the efficacy of the Pentax Airway Scope with that of a conventional laryngoscope for tracheal intubation in adults with 'normal' and 'difficult' airways. We included 17 randomised controlled trials with a total of 1801 participants. We used the DerSimonian and Laird random-effects model to calculate pooled relative risk or weighted mean differences. The relative risk (95%

show abstract

Section: Resultsmentioning

confidence: 99%

Pentax Airway Scope^® vs Macintosh laryngoscope for tracheal intubation in adult patients: a systematic review and meta‐analysis

et al. 2014

View full text Add to dashboard Cite

show abstract

“… 11 A previous study of the use of a Pentax-AWS video laryngoscope in a CBRN-PPE scenario has shown that suited intubation with a Pentax-AWS can be performed in a shorter period of time than unsuited intubation with an MAC. 12 …”

Section: Discussionmentioning

confidence: 99%

“… 10 11 However, there is little current evidence for or against the use of videolaryngoscopy when wearing chemical protective equipment (CPE). 12 13 The aim of the current small, unblinded, pilot study is to describe the performance characteristics of various laryngoscopic techniques.…”

Section: Introductionmentioning

confidence: 99%

Intubation performance using different laryngoscopes while wearing chemical protective equipment: a manikin study

et al. 2016

View full text Add to dashboard Cite

ObjectivesThis study aimed to compare visualisation of the vocal cords and performance of intubation by anaesthetists using four different laryngoscopes while wearing full chemical protective equipment.SettingMedical simulation center of a university hospital, department of anaesthesiology.Participants42 anaesthetists (15 females and 27 males) completed the trial. The participants were grouped according to their professional education as anaesthesiology residents with experience of <2 years or <5 years, or as anaesthesiology specialists with experience of >5 years.InterventionsIn a manikin scenario, participants performed endotracheal intubations with four different direct and indirect laryngoscopes (Macintosh (MAC), Airtraq (ATQ), Glidescope (GLS) and AP Advance (APA)), while wearing chemical protective gear, including a body suit, rubber gloves, a fire helmet and breathing apparatus.Primary and secondary outcome measuresWith respect to the manikin, setting time to complete ‘endotracheal intubation’ was defined as primary end point. Glottis visualisation (according to the Cormack-Lehane score (CLS) and impairments caused by the protective equipment, were defined as secondary outcome measures.ResultsThe times to tracheal intubation were calculated using the MAC (31.4 s; 95% CI 26.6 to 36.8), ATQ (37.1 s; 95% CI 28.3 to 45.9), GLS (35.4 s; 95% CI 28.7 to 42.1) and APA (23.6 s; 95% CI 19.1 to 28.1), respectively. Intubation with the APA was significantly faster than with all the other devices examined among the total study population (p<0.05). A significant improvement in visualisation of the vocal cords was reported for the APA compared with the GLS.ConclusionsDespite the restrictions caused by the equipment, the anaesthetists intubated the manikin successfully within adequate time. The APA outperformed the other devices in the time to intubation, and it has been evaluated as an easily manageable device for anaesthetists with varying degrees of experience (low to high), providing good visualisation in scenarios that require the use of chemical protective equipment.

show abstract

“…performed all over the world, the United Kingdom (10), [19][20][21][22][23][24][25][26][27][28] Israel (6), [29][30][31][32][33][34] and the United States (5) 15,[35][36][37][38][52][53][54] ,published the majority of the studies. Australia (3), [39][40][41] South Africa (2), 42,43 Canada (1), 44 France (1), 45 and South Korea (1) 46 published the rest. Only 3 (10%) of the studies were performed by military organizations.…”

Section: Cbrn-ppe Effects On Medical Device Use During Emergency Respmentioning

confidence: 99%

Impact of Clinician Personal Protective Equipment on Medical Device Use During Public Health Emergency: A Review

Wiyor

Coburn²,

Siegel

2019

Disaster med. public health prep.

View full text Add to dashboard Cite

The aim of this systematic review is to evaluate the impact of personal protective equipment (PPE) on medical device use during public health emergency responses. We conducted a systematic literature search of peer-reviewed journals in PubMed, Web of Science, and EBSCO databases. Twenty-nine of 92 articles published between 1984 and 2015 met the inclusion criteria for the review. Although many medical device use impacts were reported, they predominantly fell into 3 categories: airway management, drug administration, and diagnostics and monitoring. Chemical, biological, radiological, and nuclear (CBRN)-PPE increased completion times for emergency clinical procedures by as much as 130% and first attempt failure rates by 35% (anesthetist) versus 55% (non-anesthetist). Effects of CBRN-PPE use depend on device, CBRN-PPE level, and clinician experience and training. Continuous clinical training of responders in CBRN-PPE and device modifications can improve safety and effectiveness of medical device use during public health emergency response.

show abstract

Utility of the Pentax-AWS in performing tracheal intubation while wearing chemical, biological, radiation and nuclear personal protective equipment: a randomised crossover trial using a manikin

Abstract: Although the CBRN-PPE adversely affected time required to complete tracheal intubation with the AWS, suited intubations using the AWS were even superior to unsuited intubations using the McL. The AWS should be a promising device to perform tracheal intubation while wearing the CBRN-PPE.

Cited by 20 publications

References 21 publications

Pentax Airway Scope^® vs Macintosh laryngoscope for tracheal intubation in adult patients: a systematic review and meta‐analysis

Pentax Airway Scope^® vs Macintosh laryngoscope for tracheal intubation in adult patients: a systematic review and meta‐analysis

Intubation performance using different laryngoscopes while wearing chemical protective equipment: a manikin study

Impact of Clinician Personal Protective Equipment on Medical Device Use During Public Health Emergency: A Review

Contact Info

Product

Resources

About

Utility of the Pentax-AWS in performing tracheal intubation while wearing chemical, biological, radiation and nuclear personal protective equipment: a randomised crossover trial using a manikin

Abstract: Although the CBRN-PPE adversely affected time required to complete tracheal intubation with the AWS, suited intubations using the AWS were even superior to unsuited intubations using the McL. The AWS should be a promising device to perform tracheal intubation while wearing the CBRN-PPE.

Cited by 20 publications

References 21 publications

Pentax Airway Scope® vs Macintosh laryngoscope for tracheal intubation in adult patients: a systematic review and meta‐analysis

Pentax Airway Scope® vs Macintosh laryngoscope for tracheal intubation in adult patients: a systematic review and meta‐analysis

Intubation performance using different laryngoscopes while wearing chemical protective equipment: a manikin study

Impact of Clinician Personal Protective Equipment on Medical Device Use During Public Health Emergency: A Review

Contact Info

Product

Resources

About

Pentax Airway Scope^® vs Macintosh laryngoscope for tracheal intubation in adult patients: a systematic review and meta‐analysis

Pentax Airway Scope^® vs Macintosh laryngoscope for tracheal intubation in adult patients: a systematic review and meta‐analysis