Effect of the introduction of C-MAC videolaryngoscopy on first-pass intubation success rates for emergency medicine registrars
| Autor: | Peter A. Jones, Fen Moy, Stephanie Mackie, Sinan Kamona |
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| Rok vydání: | 2019 |
| Předmět: |
Adult
Male medicine.medical_specialty Multivariate analysis medicine.medical_treatment Video Recording 03 medical and health sciences 0302 clinical medicine medicine Intubation Intratracheal Intubation Humans 030212 general & internal medicine Retrospective Studies Laryngoscopy business.industry Incidence (epidemiology) 030208 emergency & critical care medicine Retrospective cohort study Odds ratio Middle Aged Confidence interval Emergency medicine Emergency Medicine Female Clinical Competence Complication Airway business Emergency Service Hospital New Zealand |
| Zdroj: | Emergency medicine Australasia : EMAReferences. 32(1) |
| ISSN: | 1742-6723 |
| Popis: | OBJECTIVES The present study investigated the impact of introducing C-MAC videolaryngoscopy as the standard method of visualising glottic structures on first-pass intubation success of emergency medicine (EM) registrars in a large tertiary academic hospital in New Zealand. METHODS In this retrospective cohort study, all patients receiving attempted orotracheal intubation in Auckland City Hospital ED 1 year prior to and 1 year after the introduction of C-MAC videolaryngoscopy were compared. The primary outcome was first-pass intubation success rates by EM registrars. Secondary outcomes were first-pass success rates by all intubators, and incidence of any complication of intubation. RESULTS There were 163 intubations by EM registrars from June 2015 to August 2017. There was a clinically important and statistically significant improvement in first-pass success from 59.2% (95% confidence interval [CI] 44.1-68.8%) to 85.1% (95% CI 76.0-91.2%, P |
| Databáze: | OpenAIRE |
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