The Performance of Flexible Tip Bougie™ in Intubating Simulated Difficult Airway Model
| Autor: | Muhammad Maaya, Liu Chian Yong, Nurfadilah Mahli, Ahmad Fairuz Abdul Shokri, Jaafar Md Zain, Yeoh Chih Nie, Siti Nidzwani Mohamad Mahdi |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2021 |
| Předmět: |
anesthesiology trainee
Medicine (General) medicine.medical_treatment Laryngoscopy Endotracheal intubation 03 medical and health sciences flexible tip bougie R5-920 0302 clinical medicine 030202 anesthesiology Interquartile range medicine Intubation difficult intubation direct laryngoscopy Difficult airway Difficult intubation Original Research First pass bougie medicine.diagnostic_test business.industry 030208 emergency & critical care medicine General Medicine simulation Median time Anesthesia Medicine business |
| Zdroj: | Frontiers in Medicine Frontiers in Medicine, Vol 8 (2021) |
| ISSN: | 2296-858X |
| Popis: | This prospective, randomized, cross-over study compared the performance of the novel Flexible Tip Bougie™ (FTB) with a conventional bougie as an intubation aid in a simulated difficult airway manikin model among anaesthesiology trainees with regards of first pass success rate, time to intubation, number of attempts and ease of use. Sixty-two anesthesiology trainees, novice to the usage of FTB, participated in this study. Following a video demonstration, each participant performed endotracheal intubation on a manikin standardized to a difficult airway view. Each participant performed direct laryngoscopy and intubated the manikin using a conventional bougie and FTB, at least 1 day in between devices, in a randomized order. The first pass success rate was significantly higher with FTB (98.4%) compared to conventional bougie (85.5%), p = 0.008. The median time to intubation was significantly faster when using FTB, median = 32.0 s [Interquartile range (IQR): 23.8–41.3 s] compared to when using conventional bougie, median = 41.5 s (IQR: 31.8–69.5 s), p < 0.001. The FTB required significantly less intubation attempts compared to conventional bougie, p = 0.024. The overall ease of use, scored on a Likert scale from 1 to 5, was significantly higher in the FTB (4.26 ± 0.53) compared to the conventional bougie (3.19 ± 0.83), p < 0.001. This simulated difficult airway manikin study finding suggested that FTB is a useful adjunct for difficult airway intubation. The FTB offered a higher first pass success rate with a faster time to intubation and less required attempts. |
| Databáze: | OpenAIRE |
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