Video Laryngoscopy Versus Direct Laryngoscopy in Novices: A Randomized Clinical Trial
Intubating the trachea is a challenging task, especially for novice intubators. Successful intubation, in the shortest possible time, prevents hypoxia and hemodynamic disturbances. During the last few decades, video laryngoscopy has proven to be a helpful tool for intubating patients successfully,...
| Main Authors: | , , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Tehran University of Medical Sciences
2024-03-01
|
| Series: | Acta Medica Iranica |
| Subjects: | |
| Online Access: | https://acta.tums.ac.ir/index.php/acta/article/view/11013 |
| _version_ | 1797219174681935872 |
|---|---|
| author | Reza Effatdoos Babak Eslami Omid Nabavian Maziar Maghsoudloo Khalil Pestei Shahram Samadi Mohammad Dehghan Tazerjani |
| author_facet | Reza Effatdoos Babak Eslami Omid Nabavian Maziar Maghsoudloo Khalil Pestei Shahram Samadi Mohammad Dehghan Tazerjani |
| author_sort | Reza Effatdoos |
| collection | DOAJ |
| description |
Intubating the trachea is a challenging task, especially for novice intubators. Successful intubation, in the shortest possible time, prevents hypoxia and hemodynamic disturbances. During the last few decades, video laryngoscopy has proven to be a helpful tool for intubating patients successfully, especially in difficult cases. However, novices must be proficient with a video laryngoscopy. It is not entirely clear which method, direct laryngoscopy or video laryngoscopy, is more successful for tracheal intubation in individuals who have recently started their airway management training. In this study, we aim to investigate this issue. 150 patients were randomly assigned to either direct laryngoscopy or video laryngoscopy by first-year anesthesia assistants. Intubation time, intubation success rate, Cormack-Lehane score, and instances of using the Optimal external laryngeal manipulation (OELM) maneuver, were recorded. The rate of successful intubation was higher in the direct laryngoscopy group, and the time taken was less. The direct laryngoscopy provided a better view of the glottis than the video laryngoscopy, although this difference was not statistically significant. Direct laryngoscopy resulted in a higher frequency of OELM. Based on our study, the success rate and speed of intubation in novices were higher with direct laryngoscopy compared to video laryngoscopy.
|
| first_indexed | 2024-04-24T12:29:27Z |
| format | Article |
| id | doaj.art-422507230880447b86cdb89b85ce280c |
| institution | Directory Open Access Journal |
| issn | 0044-6025 1735-9694 |
| language | English |
| last_indexed | 2024-04-24T12:29:27Z |
| publishDate | 2024-03-01 |
| publisher | Tehran University of Medical Sciences |
| record_format | Article |
| series | Acta Medica Iranica |
| spelling | doaj.art-422507230880447b86cdb89b85ce280c2024-04-08T06:25:20ZengTehran University of Medical SciencesActa Medica Iranica0044-60251735-96942024-03-0161910.18502/acta.v61i9.15283Video Laryngoscopy Versus Direct Laryngoscopy in Novices: A Randomized Clinical TrialReza Effatdoos0Babak Eslami1Omid Nabavian2Maziar Maghsoudloo3Khalil Pestei4Shahram Samadi5Mohammad Dehghan Tazerjani6Department of Anesthesiology and Intensive Care, Imam Khomeini Hospital Complex, Tehran University of Medical Sciences, Tehran, IranDepartment of Anesthesiology and Intensive Care, Imam Khomeini Hospital Complex, Tehran University of Medical Sciences, Tehran, Iran. AND Anesthesia, Critical Care and Pain Management Research Center, Tehran University of Medical Sciences, Tehran, IranDepartment of Anesthesiology and Intensive Care, Imam Khomeini Hospital Complex, Tehran University of Medical Sciences, Tehran, IranDepartment of Anesthesiology and Intensive Care, Imam Khomeini Hospital Complex, Tehran University of Medical Sciences, Tehran, IranDepartment of Anesthesiology and Intensive Care, Imam Khomeini Hospital Complex, Tehran University of Medical Sciences, Tehran, IranAnesthesia, Critical Care and Pain Management Research Center, Tehran University of Medical Sciences, Tehran, Iran. AND Sleep Breathing Disorders Research Center (SBDRC), Tehran University of Medical Sciences, Tehran, IranDepartment of Anesthesiology and Intensive Care, Imam Khomeini Hospital Complex, Tehran University of Medical Sciences, Tehran, Iran. ANDDepartment of Anesthesiology and Intensive Care, Shahid Sadoughi University of Medical Sciences, Yazd, Iran. Intubating the trachea is a challenging task, especially for novice intubators. Successful intubation, in the shortest possible time, prevents hypoxia and hemodynamic disturbances. During the last few decades, video laryngoscopy has proven to be a helpful tool for intubating patients successfully, especially in difficult cases. However, novices must be proficient with a video laryngoscopy. It is not entirely clear which method, direct laryngoscopy or video laryngoscopy, is more successful for tracheal intubation in individuals who have recently started their airway management training. In this study, we aim to investigate this issue. 150 patients were randomly assigned to either direct laryngoscopy or video laryngoscopy by first-year anesthesia assistants. Intubation time, intubation success rate, Cormack-Lehane score, and instances of using the Optimal external laryngeal manipulation (OELM) maneuver, were recorded. The rate of successful intubation was higher in the direct laryngoscopy group, and the time taken was less. The direct laryngoscopy provided a better view of the glottis than the video laryngoscopy, although this difference was not statistically significant. Direct laryngoscopy resulted in a higher frequency of OELM. Based on our study, the success rate and speed of intubation in novices were higher with direct laryngoscopy compared to video laryngoscopy. https://acta.tums.ac.ir/index.php/acta/article/view/11013Tracheal intubationDirect laryngoscopyVideo laryngoscopyAirway managementNovice intubatorsAnesthesia assistants |
| spellingShingle | Reza Effatdoos Babak Eslami Omid Nabavian Maziar Maghsoudloo Khalil Pestei Shahram Samadi Mohammad Dehghan Tazerjani Video Laryngoscopy Versus Direct Laryngoscopy in Novices: A Randomized Clinical Trial Acta Medica Iranica Tracheal intubation Direct laryngoscopy Video laryngoscopy Airway management Novice intubators Anesthesia assistants |
| title | Video Laryngoscopy Versus Direct Laryngoscopy in Novices: A Randomized Clinical Trial |
| title_full | Video Laryngoscopy Versus Direct Laryngoscopy in Novices: A Randomized Clinical Trial |
| title_fullStr | Video Laryngoscopy Versus Direct Laryngoscopy in Novices: A Randomized Clinical Trial |
| title_full_unstemmed | Video Laryngoscopy Versus Direct Laryngoscopy in Novices: A Randomized Clinical Trial |
| title_short | Video Laryngoscopy Versus Direct Laryngoscopy in Novices: A Randomized Clinical Trial |
| title_sort | video laryngoscopy versus direct laryngoscopy in novices a randomized clinical trial |
| topic | Tracheal intubation Direct laryngoscopy Video laryngoscopy Airway management Novice intubators Anesthesia assistants |
| url | https://acta.tums.ac.ir/index.php/acta/article/view/11013 |
| work_keys_str_mv | AT rezaeffatdoos videolaryngoscopyversusdirectlaryngoscopyinnovicesarandomizedclinicaltrial AT babakeslami videolaryngoscopyversusdirectlaryngoscopyinnovicesarandomizedclinicaltrial AT omidnabavian videolaryngoscopyversusdirectlaryngoscopyinnovicesarandomizedclinicaltrial AT maziarmaghsoudloo videolaryngoscopyversusdirectlaryngoscopyinnovicesarandomizedclinicaltrial AT khalilpestei videolaryngoscopyversusdirectlaryngoscopyinnovicesarandomizedclinicaltrial AT shahramsamadi videolaryngoscopyversusdirectlaryngoscopyinnovicesarandomizedclinicaltrial AT mohammaddehghantazerjani videolaryngoscopyversusdirectlaryngoscopyinnovicesarandomizedclinicaltrial |