Impact of bed angle and height on intubation success during simulated endotracheal intubation in the ramped position
| Autor: | Jestin N. Carlson, Dhimitri A. Nikolla, Jessica L Lerman, Joseph S Datsko, Ryann R Beaumont |
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| Jazyk: | angličtina |
| Rok vydání: | 2020 |
| Předmět: |
medicine.medical_treatment
Laryngoscopy Endotracheal intubation intubation Primary outcome respiratory insufficiency Inframammary fold Medicine Intubation laryngoscopy Original Research airway management medicine.diagnostic_test business.industry hypoxia lcsh:Medical emergencies. Critical care. Intensive care. First aid lcsh:RC86-88.9 simulation Confidence interval intratracheal Airway position Anesthesia Airway management business |
| Zdroj: | Journal of the American College of Emergency Physicians Open Journal of the American College of Emergency Physicians Open, Vol 1, Iss 3, Pp 257-262 (2020) |
| ISSN: | 2688-1152 |
| Popis: | Objective The ramped position is often used during endotracheal intubation to improve oxygenation, improve laryngeal views, and reduce airway complications. We sought to compare the impact of ramp angle and bed height on intubation outcomes during simulated endotracheal intubation. Methods We enrolled emergency medicine residents and fourth‐year medical students to perform simulated direct laryngoscopy and endotracheal intubation in random order with the mannequin in the following combinations of ramp angles and bed heights; ramp angles of 25° and 45° at bed heights including knee, mid‐thigh, umbilicus, xiphoid, and nipple/intermammary fold. Our primary outcome was the reported percentage of glottic opening (POGO) score. Secondary outcomes included number of laryngoscopy attempts and intubation time. Results We enrolled 25 participants. There was no difference in reported POGO scores at 25° between bed heights, but at 45°, the umbilicus bed height had an improved reported POGO score (20; 95% confidence interval [CI] 7–33, P |
| Databáze: | OpenAIRE |
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