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Tracheal intubation using Macintosh and 2 video laryngoscopes with and without chest compressions

Authors
 Young-Min Kim, MD  ;  Ji-Hoon Kim, MD  ;  Hyung-Goo Kang, MD  ;  Hyun Soo Chung, MD  ;  Hyeon-Woo Yim, MD, MPH  ;  Seung-Hee Jeong, MPH 
Citation
 AMERICAN JOURNAL OF EMERGENCY MEDICINE, Vol.29(6) : 682-686, 2011 
Journal Title
AMERICAN JOURNAL OF EMERGENCY MEDICINE
ISSN
 0735-6757 
Issue Date
2011
MeSH
Adult ; Analysis of Variance ; Cardiopulmonary Resuscitation/education* ; Cardiopulmonary Resuscitation/instrumentation* ; Clinical Competence ; Cross-Over Studies ; Emergency Medicine/education* ; Female ; Heart Massage/methods* ; Humans ; Inservice Training ; Intubation, Intratracheal/instrumentation* ; Laryngoscopes* ; Male ; Manikins ; Statistics, Nonparametric ; Time Factors ; Video Recording
Abstract
PURPOSE: The aim of the study was to compare the time taken for intubation (TTI) using the Macintosh and 2 video laryngoscopes (VLs) (GlideScope [GVL]; Saturn Biomedical System, Burnaby, British Columbia, Canada, and Airway Scope [AWS]; Pentax, Tokyo, Japan) with and without chest compressions by experienced intubators in a mannequin model.

METHODS: This was a randomized crossover study. Twenty-two experienced physicians who have limited experience in the VLs participated in the study. The TTI using 3 laryngoscopes with and without compressions were compared.

RESULTS: Median TTI difference between 2 conditions was only significant in the AWS (1.64 seconds; P = .01). There were no significant differences in the TTI between the Macintosh and the GVL or the AWS during compressions.

CONCLUSION: In a mannequin model, the Macintosh or the GVL was not affected by chest compressions. The TTI using the AWS was delayed by compressions but not clinically significant. Considering the lack of experience, 2 VLs may be useful adjuncts for intubation by experienced intubators during chest compressions.
Full Text
http://www.sciencedirect.com/science/article/pii/S0735675710000999
DOI
10.1016/j.ajem.2010.02.014
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Emergency Medicine (응급의학교실) > 1. Journal Papers
Yonsei Authors
Chung, Hyun Soo(정현수) ORCID logo https://orcid.org/0000-0001-6110-1495
URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/94427
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