Effect of Real-Time Carbon Dioxide Sensing Stylet Assisted Endotracheal Intubation: A Pilot Study Using the Porcine Model
Introduction: Safe and prompt endotracheal intubation is crucial to prevent morbidity and mortality in patients requiring airway management. The aim of this pilot study was to test the effect of real-time carbon dioxide (CO2) sensing stylet assisted intubation compared with conventional intubation i...
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| Format: | Article |
| Language: | English |
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IEEE
2022-01-01
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| Series: | IEEE Journal of Translational Engineering in Health and Medicine |
| Subjects: | |
| Online Access: | https://ieeexplore.ieee.org/document/9910000/ |
| _version_ | 1828324958431870976 |
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| author | Dong Hyun Choi Yoon Ha Joo Ki Hong Kim Hyouk Jae Lim Ki Jeong Hong Hyun Jeong Kang Bo Hyeon Moon Kyoung Jun Song Jung Chan Lee |
| author_facet | Dong Hyun Choi Yoon Ha Joo Ki Hong Kim Hyouk Jae Lim Ki Jeong Hong Hyun Jeong Kang Bo Hyeon Moon Kyoung Jun Song Jung Chan Lee |
| author_sort | Dong Hyun Choi |
| collection | DOAJ |
| description | Introduction: Safe and prompt endotracheal intubation is crucial to prevent morbidity and mortality in patients requiring airway management. The aim of this pilot study was to test the effect of real-time carbon dioxide (CO2) sensing stylet assisted intubation compared with conventional intubation in porcine experiment. Methods: Thirty-four swine were assigned to either the intervention or control group in a 1:1 ratio. Real-time CO2 sensing stylet was manually manufactured and used for assisting intubation in the intervention group. Conventional intubation using direct laryngoscopy was performed in the control group. The primary outcome was total procedure time and the secondary outcome was first attempt success rate. Cumulative hazard curves were obtained by analyzing the total procedure time to successful intubation for each swine, and the log-rank test was used to compare between the two groups. Results: Compared to the control group, a trend of shorter total procedure time was observed in the intervention group (mean ± standard deviation, 59.8 ± 34.6 s vs. 92.2 ± 68.2 s; p-value = 0.09). The cumulative hazard plot showed a consistent trend of shorter total procedure time in the intervention group compared to the control group (p-value = 0.16). The first attempt success rate showed a higher trend (70.6% vs. 52.9%; p-value = 0.29) in the intervention group. Conclusion: The real-time CO2 sensing stylet assisted endotracheal intubation has potential to reduce the time to successful intubation and improve first attempt success rate. |
| first_indexed | 2024-04-13T19:15:07Z |
| format | Article |
| id | doaj.art-d53a340b9a5248a18e63a3e6022e744c |
| institution | Directory Open Access Journal |
| issn | 2168-2372 |
| language | English |
| last_indexed | 2024-04-13T19:15:07Z |
| publishDate | 2022-01-01 |
| publisher | IEEE |
| record_format | Article |
| series | IEEE Journal of Translational Engineering in Health and Medicine |
| spelling | doaj.art-d53a340b9a5248a18e63a3e6022e744c2022-12-22T02:33:42ZengIEEEIEEE Journal of Translational Engineering in Health and Medicine2168-23722022-01-01101610.1109/JTEHM.2022.32116609910000Effect of Real-Time Carbon Dioxide Sensing Stylet Assisted Endotracheal Intubation: A Pilot Study Using the Porcine ModelDong Hyun Choi0https://orcid.org/0000-0001-6036-1404Yoon Ha Joo1https://orcid.org/0000-0002-2133-6297Ki Hong Kim2https://orcid.org/0000-0003-2115-0078Hyouk Jae Lim3Ki Jeong Hong4Hyun Jeong Kang5Bo Hyeon Moon6Kyoung Jun Song7Jung Chan Lee8https://orcid.org/0000-0002-4546-0962Department of Biomedical Engineering, College of Medicine, Seoul National University, Jongno, Seoul, South KoreaInterdisciplinary Program in Bioengineering, Graduate School, Seoul National University, Gwanak, Seoul, South KoreaDepartment of Emergency Medicine, Seoul National University Hospital, Jongno, Seoul, South KoreaDepartment of Emergency Medicine, Seoul National University Hospital, Jongno, Seoul, South KoreaDepartment of Emergency Medicine, Seoul National University Hospital, Jongno, Seoul, South KoreaLaboratory of Emergency Medical Services, Biomedical Research Institute, Seoul National University Hospital, Jongno, Seoul, South KoreaLaboratory of Emergency Medical Services, Biomedical Research Institute, Seoul National University Hospital, Jongno, Seoul, South KoreaDepartment of Emergency Medicine, Seoul Metropolitan BORAMAE Medical Center, Donjak, Seoul, South KoreaDepartment of Biomedical Engineering, Medical Research Center, College of Medicine, Institute of Medical and Biological Engineering, Seoul National University, Jongno, Seoul, South KoreaIntroduction: Safe and prompt endotracheal intubation is crucial to prevent morbidity and mortality in patients requiring airway management. The aim of this pilot study was to test the effect of real-time carbon dioxide (CO2) sensing stylet assisted intubation compared with conventional intubation in porcine experiment. Methods: Thirty-four swine were assigned to either the intervention or control group in a 1:1 ratio. Real-time CO2 sensing stylet was manually manufactured and used for assisting intubation in the intervention group. Conventional intubation using direct laryngoscopy was performed in the control group. The primary outcome was total procedure time and the secondary outcome was first attempt success rate. Cumulative hazard curves were obtained by analyzing the total procedure time to successful intubation for each swine, and the log-rank test was used to compare between the two groups. Results: Compared to the control group, a trend of shorter total procedure time was observed in the intervention group (mean ± standard deviation, 59.8 ± 34.6 s vs. 92.2 ± 68.2 s; p-value = 0.09). The cumulative hazard plot showed a consistent trend of shorter total procedure time in the intervention group compared to the control group (p-value = 0.16). The first attempt success rate showed a higher trend (70.6% vs. 52.9%; p-value = 0.29) in the intervention group. Conclusion: The real-time CO2 sensing stylet assisted endotracheal intubation has potential to reduce the time to successful intubation and improve first attempt success rate.https://ieeexplore.ieee.org/document/9910000/Gas detectorsmedical simulationmedical treatmentreal-time systems |
| spellingShingle | Dong Hyun Choi Yoon Ha Joo Ki Hong Kim Hyouk Jae Lim Ki Jeong Hong Hyun Jeong Kang Bo Hyeon Moon Kyoung Jun Song Jung Chan Lee Effect of Real-Time Carbon Dioxide Sensing Stylet Assisted Endotracheal Intubation: A Pilot Study Using the Porcine Model IEEE Journal of Translational Engineering in Health and Medicine Gas detectors medical simulation medical treatment real-time systems |
| title | Effect of Real-Time Carbon Dioxide Sensing Stylet Assisted Endotracheal Intubation: A Pilot Study Using the Porcine Model |
| title_full | Effect of Real-Time Carbon Dioxide Sensing Stylet Assisted Endotracheal Intubation: A Pilot Study Using the Porcine Model |
| title_fullStr | Effect of Real-Time Carbon Dioxide Sensing Stylet Assisted Endotracheal Intubation: A Pilot Study Using the Porcine Model |
| title_full_unstemmed | Effect of Real-Time Carbon Dioxide Sensing Stylet Assisted Endotracheal Intubation: A Pilot Study Using the Porcine Model |
| title_short | Effect of Real-Time Carbon Dioxide Sensing Stylet Assisted Endotracheal Intubation: A Pilot Study Using the Porcine Model |
| title_sort | effect of real time carbon dioxide sensing stylet assisted endotracheal intubation a pilot study using the porcine model |
| topic | Gas detectors medical simulation medical treatment real-time systems |
| url | https://ieeexplore.ieee.org/document/9910000/ |
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