Novel Video-Laryngoscope with Wireless Image Transmission via Wi-Fi towards a Smartphone

A low-cost video laryngoscope (VDL) called Hybrid 1.0 was developed using smart devices for visualization. To test its performance, we compared it with a high-end VDL device, using both in vitro and in vivo studies. During the in vitro study, medical students without experience in airway intubation...

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Main Authors: Mauricio Guerra-Hernández, Gabriela Josefina Vidaña-Martínez, José S. Camacho-Juárez, Hugo Barragán-Villegas, José Enrique Calacuayo-Rojas, Bersaín Alexander Reyes, Jorge Alberto Castañón-González, Oscar Fernando Núñez-Olvera, Ma. del Pilar Fonseca-Leal
Format: Article
Language:English
Published: MDPI AG 2020-10-01
Series:Electronics
Subjects:
Online Access:https://www.mdpi.com/2079-9292/9/10/1629
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author Mauricio Guerra-Hernández
Gabriela Josefina Vidaña-Martínez
José S. Camacho-Juárez
Hugo Barragán-Villegas
José Enrique Calacuayo-Rojas
Bersaín Alexander Reyes
Jorge Alberto Castañón-González
Oscar Fernando Núñez-Olvera
Ma. del Pilar Fonseca-Leal
author_facet Mauricio Guerra-Hernández
Gabriela Josefina Vidaña-Martínez
José S. Camacho-Juárez
Hugo Barragán-Villegas
José Enrique Calacuayo-Rojas
Bersaín Alexander Reyes
Jorge Alberto Castañón-González
Oscar Fernando Núñez-Olvera
Ma. del Pilar Fonseca-Leal
author_sort Mauricio Guerra-Hernández
collection DOAJ
description A low-cost video laryngoscope (VDL) called Hybrid 1.0 was developed using smart devices for visualization. To test its performance, we compared it with a high-end VDL device, using both in vitro and in vivo studies. During the in vitro study, medical students without experience in airway intubation were randomly asked to intubate a mannequin with different degrees of difficulty (Cormack–Lehane scales) by using either the Hybrid 1.0 VDL (GI) or a conventional laryngoscope (GII). During the in vivo study, <i>N</i> = 60 endotracheal intubations were performed by resident and base physicians, divided into two groups; the first group intubated with the Hybrid 1.0 VDL (GI) while the second group used a VDL C-Mac shovel (GII). As performance indexes, both studies reported the number of successful intubations (correct capnography signal) and intubation time. For the in vitro testing, no statistically significant differences were found regarding the number of successful intubations, while statistically significant differences were found regarding the intubation times. During the in vivo tests, procedures were performed by residents and by base physicians, and no statistically significant differences were found. The provided results point out that the VDL proposed can be clinically useful and offers technical characteristics similar to other VDLs that currently exist on the market.
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spelling doaj.art-78c81ebfbd5a4ea58311033e3961de232023-11-20T15:58:13ZengMDPI AGElectronics2079-92922020-10-01910162910.3390/electronics9101629Novel Video-Laryngoscope with Wireless Image Transmission via Wi-Fi towards a SmartphoneMauricio Guerra-Hernández0Gabriela Josefina Vidaña-Martínez1José S. Camacho-Juárez2Hugo Barragán-Villegas3José Enrique Calacuayo-Rojas4Bersaín Alexander Reyes5Jorge Alberto Castañón-González6Oscar Fernando Núñez-Olvera7Ma. del Pilar Fonseca-Leal8Anestesiology Department, Hospital Central “Dr. Ignacio Morones Prieto”, 78290 San Luis Potosi, MexicoFaculty of Medicine, Universidad Autonoma de San Luis Potosi, 78210 San Luis Potosi, MexicoFaculty of Science, Universidad Autonoma de San Luis Potosi, 78210 San Luis Potosi, MexicoFaculty of Medicine, Universidad Autonoma de San Luis Potosi, 78210 San Luis Potosi, MexicoFaculty of Science, Universidad Autonoma de San Luis Potosi, 78210 San Luis Potosi, MexicoFaculty of Science, Universidad Autonoma de San Luis Potosi, 78210 San Luis Potosi, MexicoSecretaría de Salud, Hospital Juarez de Mexico, Intensive Care and Critical Medicine Unit, 07760 Mexico City, MexicoInstituto de Investigación en Comunicación Optica, Universidad Autonoma de San Luis Potosi, 78210 San Luis Potosi, MexicoFaculty of Medicine, Universidad Autonoma de San Luis Potosi, 78210 San Luis Potosi, MexicoA low-cost video laryngoscope (VDL) called Hybrid 1.0 was developed using smart devices for visualization. To test its performance, we compared it with a high-end VDL device, using both in vitro and in vivo studies. During the in vitro study, medical students without experience in airway intubation were randomly asked to intubate a mannequin with different degrees of difficulty (Cormack–Lehane scales) by using either the Hybrid 1.0 VDL (GI) or a conventional laryngoscope (GII). During the in vivo study, <i>N</i> = 60 endotracheal intubations were performed by resident and base physicians, divided into two groups; the first group intubated with the Hybrid 1.0 VDL (GI) while the second group used a VDL C-Mac shovel (GII). As performance indexes, both studies reported the number of successful intubations (correct capnography signal) and intubation time. For the in vitro testing, no statistically significant differences were found regarding the number of successful intubations, while statistically significant differences were found regarding the intubation times. During the in vivo tests, procedures were performed by residents and by base physicians, and no statistically significant differences were found. The provided results point out that the VDL proposed can be clinically useful and offers technical characteristics similar to other VDLs that currently exist on the market.https://www.mdpi.com/2079-9292/9/10/1629video-laryngoscopewirelessWi-Fismartphoneendotracheal intubation
spellingShingle Mauricio Guerra-Hernández
Gabriela Josefina Vidaña-Martínez
José S. Camacho-Juárez
Hugo Barragán-Villegas
José Enrique Calacuayo-Rojas
Bersaín Alexander Reyes
Jorge Alberto Castañón-González
Oscar Fernando Núñez-Olvera
Ma. del Pilar Fonseca-Leal
Novel Video-Laryngoscope with Wireless Image Transmission via Wi-Fi towards a Smartphone
Electronics
video-laryngoscope
wireless
Wi-Fi
smartphone
endotracheal intubation
title Novel Video-Laryngoscope with Wireless Image Transmission via Wi-Fi towards a Smartphone
title_full Novel Video-Laryngoscope with Wireless Image Transmission via Wi-Fi towards a Smartphone
title_fullStr Novel Video-Laryngoscope with Wireless Image Transmission via Wi-Fi towards a Smartphone
title_full_unstemmed Novel Video-Laryngoscope with Wireless Image Transmission via Wi-Fi towards a Smartphone
title_short Novel Video-Laryngoscope with Wireless Image Transmission via Wi-Fi towards a Smartphone
title_sort novel video laryngoscope with wireless image transmission via wi fi towards a smartphone
topic video-laryngoscope
wireless
Wi-Fi
smartphone
endotracheal intubation
url https://www.mdpi.com/2079-9292/9/10/1629
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