Tracheal intubation by inexperienced medical residents using the Airtraq and Macintosh laryngoscopes—a manikin study
| Autor: | B. H. Harte, John G. Laffey, Brendan D. Higgins, C. H. Maharaj, Martina Ni Chonghaile |
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| Rok vydání: | 2006 |
| Předmět: |
Time Factors
medicine.medical_treatment Laryngoscopy Laryngoscopes Manikins Airtraq Random Allocation Intubation Intratracheal medicine Humans Intubation Cross-Over Studies medicine.diagnostic_test business.industry Tracheal intubation Internship and Residency Equipment Design General Medicine Anesthesia Emergency Medicine Airway management Clinical Competence Airway business |
| Zdroj: | The American Journal of Emergency Medicine. 24:769-774 |
| ISSN: | 0735-6757 |
| Popis: | The Airtraq laryngoscope is a novel intubation device that may possess advantages over conventional direct laryngoscopes for use by personnel that are infrequently required to perform tracheal intubation. We conducted a prospective study in 20 medical residents with little prior airway management experience. After brief didactic instruction, each participant took turns performing laryngoscopy and intubation using the Macintosh (Welch Allyn, Welch Allyn, NY) and Airtraq (Prodol Ltd. Vizcaya, Spain) devices, in 3 laryngoscopy scenarios in a Laerdal Intubation Trainer (Laerdal, Stavanger, Norway) and 1 scenario in a Laerdal SimMan manikin (Laerdal, Kent, UK). They then performed tracheal intubation of the normal airway a second time to characterize the learning curve. In all scenarios tested, the Airtraq decreased the duration of intubation attempts, reduced the number of optimization maneuvers required, and reduced the potential for dental trauma. The residents found the Airtraq easier to use in all scenarios compared with the Macintosh laryngoscope. The Airtraq may constitute a superior device for use by personnel infrequently required to perform tracheal intubation. |
| Databáze: | OpenAIRE |
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