A Comparison Success of Video Laryngoscope and Gum Elastic Bougie with Macintosh Laryngoscope for Simulated C-Spine Immobilization Tracheal Intubation by Experienced in Emergency Room Kantharalak Hospital
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Abstract
Intubation of trauma patients can be difficult the neck is usually immobilized to prevent further injury. To improve the intubation success rate, video laryngoscopes and gum elastic bougies require different techniques for intubation. This study aims to compare the speed and first-pass success rate of endotracheal intubation between video laryngoscopes and gum elastic bougies with Macintosh laryngoscopes in a C-spine immobilization. A manikin-based experimental study by 30 experienced in the emergency room at Kantharalak Hospital was conducted from July to August 2024 (physician, emergency nurse practitioner, nurse anesthetist, paramedic). Participants were randomly divided into two groups; Group 1 intubation with a video laryngoscope and Group 2 intubation with a gum elastic bougie with a Macintosh laryngoscope before switching to the other, time to intubation and the first-pass success rate were recorded and analyzed, collected data using a data recording research tool and experiment, data were analyzed using descriptive statistics and inferential statistics.
The results showed that the time to intubation in a C-spine immobilization manikin was 30.74±23.67 seconds and 24.76±6.16 seconds in the video laryngoscope and gum elastic bougie with Macintosh laryngoscope, respectively, which had no statistical significance difference between group (p-value = 0.157). There was no statistically significant difference in the first-pass success rates between these groups, with 100% and 93.33%, respectively (p-value = 0.500).
Conclusions: the use of Video Laryngoscope and Gum Elastic Bougie with Macintosh Laryngoscope are similarly effective for C-spine immobilization tracheal intubation.
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