Analysis of the 3D printing open-source video laryngoscope for orotracheal intubation

Introduction Orotracheal intubation becomes a challenge for the anesthesiologist when the glottis is not visualized with direct laryngoscopy. Videolaryngoscopes emerged as an alternative in these situations, but the costs of these devices restrict their popularization. Doubts remain as to whether...

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Main Authors: Isadora Juliana Opolski, Samuel da Rosa Sousa, Claudio Luciano Franck
Format: Article
Language:English
Published: Society of Mechanical Ventilation 2023-03-01
Series:Journal of Mechanical Ventilation
Subjects:
Online Access:https://www.journalmechanicalventilation.com/analysis-of-the-3d-printing-open-source-video-laryngoscope-for-orotracheal-intubation/
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author Isadora Juliana Opolski
Samuel da Rosa Sousa
Claudio Luciano Franck
author_facet Isadora Juliana Opolski
Samuel da Rosa Sousa
Claudio Luciano Franck
author_sort Isadora Juliana Opolski
collection DOAJ
description Introduction Orotracheal intubation becomes a challenge for the anesthesiologist when the glottis is not visualized with direct laryngoscopy. Videolaryngoscopes emerged as an alternative in these situations, but the costs of these devices restrict their popularization. Doubts remain as to whether low-cost devices would be safe and effective, such as the 3D printing Open-Source video laryngoscope. Aim To analyze the 3D printing Open-Source video laryngoscope for orotracheal intubation for general anesthesia in its the rate of achieving, glottis visualization time, intubation time and its correlation with the order of execution. Methods Clinical, prospective, analytical study of a questionnaire carried out after the procedure. Statistical analysis was performed using Spearman’s correlation, Kruskal-Wallis test, and chi-square test. Results There was a total of 64 uncomplicated orotracheal intubation procedures with an overall success rate of 93.8%. Mean time for viewing the glottis (16.4”), mean times of endotracheal intubation with Mallampati I (26.5”), ll (33.7”), lll (57.3”), lV (38.5”) were obtained with no statistical significance (P 0.170) and overall mean time of orotracheal intubation (36.4”) with a moderate negative correlation of –0.36 across the orotracheal intubation execution order. Conclusion In the analysis of endotracheal intubation with the 3D printing Open-Source video laryngoscope a high success rate was demonstrated without any complications. The time to obtain endotracheal intubation tends to reduce with subsequent experiences and learning, but it is more than twice the time required to adequately visualize the glottis and the Mallampati classification was not a relevant time predictor.
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spelling doaj.art-5956a5001d1648e38fc35dae7f395ce62023-06-04T07:02:44ZengSociety of Mechanical VentilationJournal of Mechanical Ventilation2694-04502023-03-0141101710.53097/JMV.10070Analysis of the 3D printing open-source video laryngoscope for orotracheal intubationIsadora Juliana OpolskiSamuel da Rosa SousaClaudio Luciano Franckhttps://orcid.org/0000-0002-4326-8109Introduction Orotracheal intubation becomes a challenge for the anesthesiologist when the glottis is not visualized with direct laryngoscopy. Videolaryngoscopes emerged as an alternative in these situations, but the costs of these devices restrict their popularization. Doubts remain as to whether low-cost devices would be safe and effective, such as the 3D printing Open-Source video laryngoscope. Aim To analyze the 3D printing Open-Source video laryngoscope for orotracheal intubation for general anesthesia in its the rate of achieving, glottis visualization time, intubation time and its correlation with the order of execution. Methods Clinical, prospective, analytical study of a questionnaire carried out after the procedure. Statistical analysis was performed using Spearman’s correlation, Kruskal-Wallis test, and chi-square test. Results There was a total of 64 uncomplicated orotracheal intubation procedures with an overall success rate of 93.8%. Mean time for viewing the glottis (16.4”), mean times of endotracheal intubation with Mallampati I (26.5”), ll (33.7”), lll (57.3”), lV (38.5”) were obtained with no statistical significance (P 0.170) and overall mean time of orotracheal intubation (36.4”) with a moderate negative correlation of –0.36 across the orotracheal intubation execution order. Conclusion In the analysis of endotracheal intubation with the 3D printing Open-Source video laryngoscope a high success rate was demonstrated without any complications. The time to obtain endotracheal intubation tends to reduce with subsequent experiences and learning, but it is more than twice the time required to adequately visualize the glottis and the Mallampati classification was not a relevant time predictor.https://www.journalmechanicalventilation.com/analysis-of-the-3d-printing-open-source-video-laryngoscope-for-orotracheal-intubation/orotracheal intubationvideolaryngoscopyairway management
spellingShingle Isadora Juliana Opolski
Samuel da Rosa Sousa
Claudio Luciano Franck
Analysis of the 3D printing open-source video laryngoscope for orotracheal intubation
Journal of Mechanical Ventilation
orotracheal intubation
videolaryngoscopy
airway management
title Analysis of the 3D printing open-source video laryngoscope for orotracheal intubation
title_full Analysis of the 3D printing open-source video laryngoscope for orotracheal intubation
title_fullStr Analysis of the 3D printing open-source video laryngoscope for orotracheal intubation
title_full_unstemmed Analysis of the 3D printing open-source video laryngoscope for orotracheal intubation
title_short Analysis of the 3D printing open-source video laryngoscope for orotracheal intubation
title_sort analysis of the 3d printing open source video laryngoscope for orotracheal intubation
topic orotracheal intubation
videolaryngoscopy
airway management
url https://www.journalmechanicalventilation.com/analysis-of-the-3d-printing-open-source-video-laryngoscope-for-orotracheal-intubation/
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AT claudiolucianofranck analysisofthe3dprintingopensourcevideolaryngoscopefororotrachealintubation