Comparison of Three Video Laryngoscopes and Direct Laryngoscopy for Emergency Endotracheal Intubation While Wearing PPE-AGP: A Randomized, Crossover, Simulation Trial
Healthcare,
Journal Year:
2023,
Volume and Issue:
11(6), P. 884 - 884
Published: March 18, 2023
Background:
The
COVID-19
pandemic
has
necessitated
changes
in
the
safety
protocols
of
endotracheal
intubation
at
every
level
care.
This
study
aimed
to
compare
first-pass
success
rates
(FPS)
and
times
(IT)
three
video
laryngoscopes
(VL)
direct
laryngoscopy
(DL)
for
simulated
patient
emergency
(EI).
Methods:
was
a
prospective,
randomized,
crossover
trial.
Fifty-three
active
paramedics
performed
with
I-viewTM
VL,
UESCOPE®
ProVu®
VL
Macintosh
laryngoscope
(MAC)
wearing
personal
protective
equipment
aerosol-generating
procedures
(PPE-AGP)
on
manikin
normal
airway
conditions.
Results:
longest
IT
noted
when
(29.4
s)
(27.7
were
used.
median
I-view
17.4
s
MAC
DL
17.9
s.
FPS
88.6%,
81.1%,
83.0%
84.9%,
respectively,
I-view,
ProVu®,
DL.
difficulty
EI
attempts
showed
statistically
significant
difference
between
ProVu®.
Conclusions:
by
PPE-AGP
using
significantly
longer
than
those
laryngoscopes.
use
prehospital
providers
PPE
did
not
result
more
effective
laryngoscope.
Language: Английский
Styletubation versus Laryngoscopy: A New Paradigm for Routine Tracheal Intubation
Surgeries,
Journal Year:
2024,
Volume and Issue:
5(2), P. 135 - 161
Published: March 26, 2024
Laryngoscopy
for
tracheal
intubation
has
been
developed
many
decades.
Among
various
conventional
laryngoscopes,
videolaryngoscopes
(VLs)
have
applied
in
different
patient
populations,
including
difficult
airways.
The
safety
and
effectiveness
of
VLs
repeatedly
studied
both
normal
superiority
then
observed
is
advocated
as
the
standard
care.
In
contrast
to
laryngoscopy,
development
video-assisted
intubating
stylet
(VS,
also
named
styletubation)
was
noticed
two
decades
ago.
Since
then,
sporadic
clinical
experiences
use
appeared
literature.
this
review
article,
we
presented
our
vast
styletubation
(more
than
55,000
patients
since
2016).
We
found
technique
be
swift
(the
time
intubate
from
3
s
10
s),
smooth
(first-attempt
success
rate:
100%),
safe
(no
airway
complications),
easy
(high
subjective
satisfaction
fast
learning
curve
novice
trainees)
scenarios.
We,
therefore,
propose
that
can
feasibly
universal
routine
intubation.
Language: Английский
Current trends in emergency airway management: a clinical review
Clinical and Experimental Emergency Medicine,
Journal Year:
2024,
Volume and Issue:
11(3), P. 243 - 258
Published: March 15, 2024
Airway
management
is
a
fundamental
and
complex
process
that
involves
sequence
of
integrated
tasks.
Situations
requiring
emergency
airway
may
occur
in
the
department,
intensive
care
units,
various
other
clinical
spaces.
A
variety
challenges
can
arise
during
preparation,
intubation,
postintubation,
which
result
significant
complications
for
patients.
Therefore,
many
countries
are
establishing
step-by-step
systemization
detailed
guidelines
and/or
updating
their
content
based
on
latest
research.
This
review
introduces
current
trends
management,
such
as
algorithms,
comparison
video
direct
laryngoscopy,
rapid
pediatric
prehospital
surgical
education.
Language: Английский