The Success of Tracheal Intubation in Manikins by Direct versus Video Laryngoscope under PPE with Simulation Manikin on Emergency Ambulances in Paramedic Students
DOI:
https://doi.org/10.14456/jemst.2023.6Keywords:
video- laryngoscopes vs direct laryngoscope, paramedic students, endotracheal intubationAbstract
Airway management is a key element of the resuscitation process but unfortunately the first-pass success of emergency intubations is inconsistent and relatively low. The objectives of this study were to compare intubation success rates (ISR) and intubation time (IT) of different laryngoscopes for simulated patients. It was designed as a quasi-experimental manikin simulation study. Thirty paramedic students who experienced 3 times success of endotracheal intubation attempted by Macintosh direct laryngoscope with manikin were recruiting to be the participants in this study. Before start the trial, all participants had been trained both video laryngoscope and direct laryngoscope in the patient with normal airway under situation of using PPE for intubate the COVID-19 patient in ambulance. It was found that the ISR were 83.3% and 76.7% for video laryngoscope and direct laryngoscope, respectively. The intubation time was 41.5 second (IQR:4.2-79.9.) and 45.9 second (IQR19.9-105.9) for video laryngoscope and direct laryngoscope, respectively. Thus, endotracheal intubation by novice personnel appeared to be more successful and faster using the video laryngoscope than the direct laryngoscope.
References
Kurt R, Lukasz S, jacek S, Marek D, Szymon B, Lauretta M, et al. 2019. Comparison of direct and video laryngoscopes during different airway scenarios performed by experienced paramedic: a randomized cross-over manikin study. Biomed Res Int 2020;2020:1-8.
Samankatiwat S. The problems and tips for use of the GlideScope video laryngoscope for endotracheal intubation in the COVID-19 pandemic. Thai J Anesthesiol 2020;46(3):136-9.
Ibinson JW, Ezaru CS, Comican DS, Mangione MP. GlideScope use improves intubation success rates: an observational study using propensity score matching. BMC Anesthesiology 2014;14(1):101.
Ehsan G, Navid D, Hossein R, Jonas A. Simulation-based randomized paired cross-over comparison of direct versus video-assisted laryngoscopy for endotracheal intubation by inexperienced operators. Health Professions Education 2019;5(5):210-17.
Thongmee S, Mingsuan A, Polkhet C, Wongsuk S, Prakobseang K. Development of a clinical nursing practice guideline for preventing of infection during endotracheal intubation in patients with confirmed or suspected COVID-19. Thai J of Nursing 2022;71(3):18-26.
World Health Organization. Rational use of personal protective equipment (PPE) for coronavirus disease (COVID-19): interim guidance, 19 March 2020 [Internet]. [cited 2022 Dec 15]. Available from: https:// apps.who.int/iris/handle/10665/331498
Calvin AB, Jarrod M, Michael AG. Pragmatic recommendations for intubating critically ill patients with suspected COVID-19. J Am Coll Emerg Physicians Open 2020;1(2):80-4.
Chongarunngamsang W, Luanpholcharoenchai J, Sriramatr D, Siripokaraks D, Thumrongchot S. Comparing success rate of tracheal intubation by medical students with direct laryngoscope or Glidescope® video-guided laryngoscope with manual-in-line stabilization. Thai J Anesthesiol 2020;46(2):102-6.
Myunju S, Sun joon B, Ki-young L, Hyunjoo K. Comparing McGRATH® MAC, C-MAC®, and Macintosh laryngoscopes operated by medical students: a randomized, crossover, manikin study. Biomed Res Int 2016;2016:1- 8.
Szarpak L, Madziala A, Czekajlo M, Smereka J, Kaserer A, Dabrowski M, et al. Comparison of the UEScope videolaryngoscope with the Macintosh laryngoscope during simulated cardiopulmonary resuscitation: a randomized, cross-over, multi-center manikin study. Medicine 2018;97(36):e12085.
Park SO, Kim JW, Na JH, Lee KH, Lee KR, Hong DY, et al. Video laryngoscope improves the first attemptsuccess in endotracheal intubation during cardiopulmonary resuscitation among novice physicians. Resuscitation 2015;89:188-94.
Szilard R, Dora K, Gabor W, Akos M, Martin R, Matyas R, et al. Comparison of Vividtrac, Airtraq, King Vision, Macintosh laryngoscope and a custom-made video laryngoscope for difficult and normal airways in mannequins by novices. BMC Anesthesiology 2017;17:1-6.
Tyron M, Benjamin DW. A comparison of direct laryngoscopy to video laryngoscopy by paramedic students in manikin-simulated airway management scenarios. African J Emerg Med 2017;7(4):183-8.
Ludwin K, Bialka S, Czyzewski L, Smereka J, Dabrowski M, Dabrowska A, et al. Video laryngoscope forendotracheal intubation of adult patient with suspected confirmed COVID-19: a systematic review and meta-analysis of RCT. Disaster & Emergency Med J 2020; 5(2):85-97.
Wim B, Mark G.V.V, Michael H. J. V, Albert V, Esther M. M. VL. First attempt success of video direct laryngoscopy for endotracheal intubation by ambulance nurses: a prospective observational study. Eur J Trauma Emerg Surg 2020;46:1039-45.
Arulkumaran N, Lowe J, Ions R, Mendoza M, Bennett V, Dunser MW. Videolaryngoscopy versus direct laryngoscopy for emergency orotracheal intubation outside the operating room: a systematic review and meta-analysis. Br J Anesth 2018;120(4):712-24.
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2023 Journal of Emergency Medical Services of Thailand
This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.
