Comparison of the Airtraq<sup>® </sup>and Truview<sup>® </sup>laryngoscopes to the Macintosh laryngoscope for use by Advanced Paramedics in easy and simulated difficult intubation in manikins
<p>Abstract</p> <p>Background</p> <p>Paramedics are frequently required to perform tracheal intubation, a potentially life-saving manoeuvre in severely ill patients, in the prehospital setting. However, direct laryngoscopy is often more difficult in this environment, an...
| Main Authors: | , , , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
BMC
2009-02-01
|
| Series: | BMC Emergency Medicine |
| Online Access: | http://www.biomedcentral.com/1471-227X/9/2 |
| _version_ | 1811267213934460928 |
|---|---|
| author | O' Donnell John Malik Muhammad A Butt Ihsan Maharaj Chrisen H Nasim Sajid Higgins Brendan D Harte Brian H Laffey John G |
| author_facet | O' Donnell John Malik Muhammad A Butt Ihsan Maharaj Chrisen H Nasim Sajid Higgins Brendan D Harte Brian H Laffey John G |
| author_sort | O' Donnell John |
| collection | DOAJ |
| description | <p>Abstract</p> <p>Background</p> <p>Paramedics are frequently required to perform tracheal intubation, a potentially life-saving manoeuvre in severely ill patients, in the prehospital setting. However, direct laryngoscopy is often more difficult in this environment, and failed tracheal intubation constitutes an important cause of morbidity. Novel indirect laryngoscopes, such as the Airtraq<sup>® </sup>and Truview<sup>® </sup>laryngoscopes may reduce this risk.</p> <p>Methods</p> <p>We compared the efficacy of these devices to the Macintosh laryngoscope when used by 21 Paramedics proficient in direct laryngoscopy, in a randomized, controlled, manikin study. Following brief didactic instruction with the Airtraq<sup>® </sup>and Truview<sup>® </sup>laryngoscopes, each participant took turns performing laryngoscopy and intubation with each device, in an easy intubation scenario and following placement of a hard cervical collar, in a SimMan<sup>® </sup>manikin.</p> <p>Results</p> <p>The Airtraq<sup>® </sup>reduced the number of optimization manoeuvres and reduced the potential for dental trauma when compared to the Macintosh, in both the normal and simulated difficult intubation scenarios. In contrast, the Truview<sup>® </sup>increased the duration of intubation attempts, and required a greater number of optimization manoeuvres, compared to both the Macintosh and Airtraq<sup>® </sup>devices.</p> <p>Conclusion</p> <p>The Airtraq<sup>® </sup>laryngoscope performed more favourably than the Macintosh and Truview<sup>® </sup>devices when used by Paramedics in this manikin study. Further studies are required to extend these findings to the clinical setting.</p> |
| first_indexed | 2024-04-12T20:58:29Z |
| format | Article |
| id | doaj.art-c85bdc4c1c9b49c4a4c1299fca9df94a |
| institution | Directory Open Access Journal |
| issn | 1471-227X |
| language | English |
| last_indexed | 2024-04-12T20:58:29Z |
| publishDate | 2009-02-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Emergency Medicine |
| spelling | doaj.art-c85bdc4c1c9b49c4a4c1299fca9df94a2022-12-22T03:16:56ZengBMCBMC Emergency Medicine1471-227X2009-02-0191210.1186/1471-227X-9-2Comparison of the Airtraq<sup>® </sup>and Truview<sup>® </sup>laryngoscopes to the Macintosh laryngoscope for use by Advanced Paramedics in easy and simulated difficult intubation in manikinsO' Donnell JohnMalik Muhammad AButt IhsanMaharaj Chrisen HNasim SajidHiggins Brendan DHarte Brian HLaffey John G<p>Abstract</p> <p>Background</p> <p>Paramedics are frequently required to perform tracheal intubation, a potentially life-saving manoeuvre in severely ill patients, in the prehospital setting. However, direct laryngoscopy is often more difficult in this environment, and failed tracheal intubation constitutes an important cause of morbidity. Novel indirect laryngoscopes, such as the Airtraq<sup>® </sup>and Truview<sup>® </sup>laryngoscopes may reduce this risk.</p> <p>Methods</p> <p>We compared the efficacy of these devices to the Macintosh laryngoscope when used by 21 Paramedics proficient in direct laryngoscopy, in a randomized, controlled, manikin study. Following brief didactic instruction with the Airtraq<sup>® </sup>and Truview<sup>® </sup>laryngoscopes, each participant took turns performing laryngoscopy and intubation with each device, in an easy intubation scenario and following placement of a hard cervical collar, in a SimMan<sup>® </sup>manikin.</p> <p>Results</p> <p>The Airtraq<sup>® </sup>reduced the number of optimization manoeuvres and reduced the potential for dental trauma when compared to the Macintosh, in both the normal and simulated difficult intubation scenarios. In contrast, the Truview<sup>® </sup>increased the duration of intubation attempts, and required a greater number of optimization manoeuvres, compared to both the Macintosh and Airtraq<sup>® </sup>devices.</p> <p>Conclusion</p> <p>The Airtraq<sup>® </sup>laryngoscope performed more favourably than the Macintosh and Truview<sup>® </sup>devices when used by Paramedics in this manikin study. Further studies are required to extend these findings to the clinical setting.</p>http://www.biomedcentral.com/1471-227X/9/2 |
| spellingShingle | O' Donnell John Malik Muhammad A Butt Ihsan Maharaj Chrisen H Nasim Sajid Higgins Brendan D Harte Brian H Laffey John G Comparison of the Airtraq<sup>® </sup>and Truview<sup>® </sup>laryngoscopes to the Macintosh laryngoscope for use by Advanced Paramedics in easy and simulated difficult intubation in manikins BMC Emergency Medicine |
| title | Comparison of the Airtraq<sup>® </sup>and Truview<sup>® </sup>laryngoscopes to the Macintosh laryngoscope for use by Advanced Paramedics in easy and simulated difficult intubation in manikins |
| title_full | Comparison of the Airtraq<sup>® </sup>and Truview<sup>® </sup>laryngoscopes to the Macintosh laryngoscope for use by Advanced Paramedics in easy and simulated difficult intubation in manikins |
| title_fullStr | Comparison of the Airtraq<sup>® </sup>and Truview<sup>® </sup>laryngoscopes to the Macintosh laryngoscope for use by Advanced Paramedics in easy and simulated difficult intubation in manikins |
| title_full_unstemmed | Comparison of the Airtraq<sup>® </sup>and Truview<sup>® </sup>laryngoscopes to the Macintosh laryngoscope for use by Advanced Paramedics in easy and simulated difficult intubation in manikins |
| title_short | Comparison of the Airtraq<sup>® </sup>and Truview<sup>® </sup>laryngoscopes to the Macintosh laryngoscope for use by Advanced Paramedics in easy and simulated difficult intubation in manikins |
| title_sort | comparison of the airtraq sup r sup and truview sup r sup laryngoscopes to the macintosh laryngoscope for use by advanced paramedics in easy and simulated difficult intubation in manikins |
| url | http://www.biomedcentral.com/1471-227X/9/2 |
| work_keys_str_mv | AT odonnelljohn comparisonoftheairtraqsupsupandtruviewsupsuplaryngoscopestothemacintoshlaryngoscopeforusebyadvancedparamedicsineasyandsimulateddifficultintubationinmanikins AT malikmuhammada comparisonoftheairtraqsupsupandtruviewsupsuplaryngoscopestothemacintoshlaryngoscopeforusebyadvancedparamedicsineasyandsimulateddifficultintubationinmanikins AT buttihsan comparisonoftheairtraqsupsupandtruviewsupsuplaryngoscopestothemacintoshlaryngoscopeforusebyadvancedparamedicsineasyandsimulateddifficultintubationinmanikins AT maharajchrisenh comparisonoftheairtraqsupsupandtruviewsupsuplaryngoscopestothemacintoshlaryngoscopeforusebyadvancedparamedicsineasyandsimulateddifficultintubationinmanikins AT nasimsajid comparisonoftheairtraqsupsupandtruviewsupsuplaryngoscopestothemacintoshlaryngoscopeforusebyadvancedparamedicsineasyandsimulateddifficultintubationinmanikins AT higginsbrendand comparisonoftheairtraqsupsupandtruviewsupsuplaryngoscopestothemacintoshlaryngoscopeforusebyadvancedparamedicsineasyandsimulateddifficultintubationinmanikins AT hartebrianh comparisonoftheairtraqsupsupandtruviewsupsuplaryngoscopestothemacintoshlaryngoscopeforusebyadvancedparamedicsineasyandsimulateddifficultintubationinmanikins AT laffeyjohng comparisonoftheairtraqsupsupandtruviewsupsuplaryngoscopestothemacintoshlaryngoscopeforusebyadvancedparamedicsineasyandsimulateddifficultintubationinmanikins |