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기도 내 이물 제거를 위한 카데바 모델에서 매킨토시 후두경과 GlideScope 비디오 후두경의 비교

Other Titles
 Comparison of the Macintosh Laryngoscope and the GlideScope Video Laryngoscope in a Cadaver Model of Foreign Body Airway Obstruction 
Authors
 김윤준  ;  고동률  ;  이준영  ;  제상모  ;  정태녕  ;  정현수  ;  정성필 
Citation
 Journal of the Korean Society of Emergency Medicine (대한응급의학회지), Vol.21(6) : 783-787, 2010 
Journal Title
 Journal of the Korean Society of Emergency Medicine (대한응급의학회지) 
ISSN
 1226-4334 
Issue Date
2010
Keywords
Foreign bodies ; Airway obstruction ; Laryngoscopes ; Cadaver
Abstract
Purpose: The GlideScope video laryngoscope (GL) has been known to help inexperienced health care providers become able to manage even difficult airways. The purpose of this study was to compare foreign body removal efficacies between the Macintosh laryngoscope (ML) and the GL in a setting of airway obstruction. Methods: Participants were asked to remove the simulated foreign body (2×2 cm rice cake) from the supraglottic area of a freshly embalmed cadaver. This simulated a normal airway and a difficult airway with cervical spine immobilization. Participants performed the removal maneuver 4 times in random order using a Magill forceps with both the ML and the GL. We measured the time to removal (sec) and preference of the participant (5-point scale) and compared results according to the type of laryngoscope. Successful removal was defined as a removal time that was less than 120 sec. Results: Forty participants were enrolled in this simulation experiment. The success rate, time to removal and provider preference were not significantly different betweeh the two types of laryngoscope. In subgroup analysis for experienced providers, the time to removal was significantly shorter shorter in the ML group than the GL group (14 vs 20 sec, p<0.05). The preference of experienced provider was also significantly higher for ML than GL. Conclusion: This study suggests that ML has comparable efficacy for foreign body removal to GL and is acceptable to experienced providers
Files in This Item:
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Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Emergency Medicine (응급의학교실) > 1. Journal Papers
Yonsei Authors
Chung, Sung Pil(정성필) ORCID logo https://orcid.org/0000-0002-3074-011X
Chung, Tae Nyoung(정태녕)
Je, Sang Mo(제상모)
URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/102768
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