Intubation in Swine: What Recumbency to Choose?
Endotracheal intubation (ETI) is challenging in pigs. We compared the number of attempts and time to perform ETI, and the subjective perception of ease, while the animal was positioned in dorsal (DR) or sternal (SR) recumbency, as well as assessed whether operator experience influences the outcome....
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| Format: | Article |
| Language: | English |
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MDPI AG
2022-09-01
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| Series: | Animals |
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| Online Access: | https://www.mdpi.com/2076-2615/12/18/2430 |
| _version_ | 1797491997026549760 |
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| author | Alessandro Mirra Claudia Spadavecchia Fabiana Micieli |
| author_facet | Alessandro Mirra Claudia Spadavecchia Fabiana Micieli |
| author_sort | Alessandro Mirra |
| collection | DOAJ |
| description | Endotracheal intubation (ETI) is challenging in pigs. We compared the number of attempts and time to perform ETI, and the subjective perception of ease, while the animal was positioned in dorsal (DR) or sternal (SR) recumbency, as well as assessed whether operator experience influences the outcome. Participants were divided into three groups: undergraduates (ST; veterinary students), graduates (GR; veterinarians without specific anaesthesia training) and experts (EX; veterinary anaesthesia intern/resident and diplomate of the European College of Veterinary Anaesthesia and Analgesia). Each participant intubated one freshly euthanised pig in DR and ST. Number of attempts and time to correctly perform ETI, number of oesophageal intubations and answers to Likert-scale questions on larynx visualization and ease of endotracheal tube introduction and advancement were recorded. Thirty-three participants were enrolled (15 ST, 10 GR and 8 EX). Less attempts (<i>p</i> = 0.002) and time (<i>p</i> = 0.002) to correctly perform ETI were needed in SR for the ST group. In 21/119 and 5/48 ETI attempts, oesophageal intubation was performed in DR and SR, respectively. Larynx visualization (<i>p</i> < 0.001) and endotracheal tube introduction (<i>p</i> < 0.001) were perceived as easier in SR for the ST group. No difference between recumbencies was found in perceived ease to advance the endotracheal tube. For inexperienced operators, intubation in SR can be recommended. |
| first_indexed | 2024-03-10T00:56:16Z |
| format | Article |
| id | doaj.art-ef80c9e9d6404f92a8c3cdf1032a896b |
| institution | Directory Open Access Journal |
| issn | 2076-2615 |
| language | English |
| last_indexed | 2024-03-10T00:56:16Z |
| publishDate | 2022-09-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Animals |
| spelling | doaj.art-ef80c9e9d6404f92a8c3cdf1032a896b2023-11-23T14:42:47ZengMDPI AGAnimals2076-26152022-09-011218243010.3390/ani12182430Intubation in Swine: What Recumbency to Choose?Alessandro Mirra0Claudia Spadavecchia1Fabiana Micieli2Section of Anaesthesiology and Pain Therapy, Department of Clinical Veterinary Medicine, Vetsuisse Faculty, University of Bern, 3012 Bern, SwitzerlandSection of Anaesthesiology and Pain Therapy, Department of Clinical Veterinary Medicine, Vetsuisse Faculty, University of Bern, 3012 Bern, SwitzerlandDepartment of Veterinary Medicine and Animal Production, University of Naples “Federico II”, 80137 Naples, ItalyEndotracheal intubation (ETI) is challenging in pigs. We compared the number of attempts and time to perform ETI, and the subjective perception of ease, while the animal was positioned in dorsal (DR) or sternal (SR) recumbency, as well as assessed whether operator experience influences the outcome. Participants were divided into three groups: undergraduates (ST; veterinary students), graduates (GR; veterinarians without specific anaesthesia training) and experts (EX; veterinary anaesthesia intern/resident and diplomate of the European College of Veterinary Anaesthesia and Analgesia). Each participant intubated one freshly euthanised pig in DR and ST. Number of attempts and time to correctly perform ETI, number of oesophageal intubations and answers to Likert-scale questions on larynx visualization and ease of endotracheal tube introduction and advancement were recorded. Thirty-three participants were enrolled (15 ST, 10 GR and 8 EX). Less attempts (<i>p</i> = 0.002) and time (<i>p</i> = 0.002) to correctly perform ETI were needed in SR for the ST group. In 21/119 and 5/48 ETI attempts, oesophageal intubation was performed in DR and SR, respectively. Larynx visualization (<i>p</i> < 0.001) and endotracheal tube introduction (<i>p</i> < 0.001) were perceived as easier in SR for the ST group. No difference between recumbencies was found in perceived ease to advance the endotracheal tube. For inexperienced operators, intubation in SR can be recommended.https://www.mdpi.com/2076-2615/12/18/2430pigintubationrecumbencyveterinaryanaesthesiasternal |
| spellingShingle | Alessandro Mirra Claudia Spadavecchia Fabiana Micieli Intubation in Swine: What Recumbency to Choose? Animals pig intubation recumbency veterinary anaesthesia sternal |
| title | Intubation in Swine: What Recumbency to Choose? |
| title_full | Intubation in Swine: What Recumbency to Choose? |
| title_fullStr | Intubation in Swine: What Recumbency to Choose? |
| title_full_unstemmed | Intubation in Swine: What Recumbency to Choose? |
| title_short | Intubation in Swine: What Recumbency to Choose? |
| title_sort | intubation in swine what recumbency to choose |
| topic | pig intubation recumbency veterinary anaesthesia sternal |
| url | https://www.mdpi.com/2076-2615/12/18/2430 |
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