A comparison of the Pentax Airway Scope™ with the Airtraq™ in an infant manikin

Tampo, Akihito; Suzuki, Akihiro; Sako, S.; Kunisawa, Takayuki; Iwasaki, Hiroshi; Fujita, Satoshi

doi:10.1111/j.1365-2044.2012.07153.x

Cited by 15 publications

(9 citation statements)

References 22 publications

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“…There are previous studies comparing Airtraq with Storz DCI and Bullard (3), the airway scope (11,12) and the C-MAC and Glidescope (13) devices in manikin-based simulations. However, we did not come across any clinical or manikin-based simulation study comparing the LMA CTrach with the Airtraq and Macintosh laryngoscopes.…”

Section: Introductionmentioning

confidence: 99%

Airtraq, LMA CTrach and Macintosh Laryngoscopes in Tracheal Intubation Training: A Randomized Comparative Manikin Study

Saraçoğlu¹,

Dal²,

Baygın³

et al. 2016

Turk J Anaesth Reanim

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Amaç: Hastalar ile doğrudan temasa izin vermeden önce öğrenci-lerin simülatörler üzerinde eğitimi kabul edilen bir tekniktir. Daha önce entübasyon deneyimi olmayan tıp öğrencileri tarafından gerçekleştirilen Airtraq, Laryngeal Mask Airway (LMA) CTrach ve Macintosh laringoskop ile trakeal entübasyonu karşılaştıran klinik veya manken -bazlı bir simülasyon çalışması bulunmamaktadır.Yöntemler: Yazılı bilgilendirilmiş onamların ardından, 123 katı-lımcı çalışmaya dahil edildi. Katılımcılardan rastgele her bir cihaz ile mankeni beş kez entübe etmeleri istendi. Tüm öğrenciler beşinci entübasyonu tamamladıktan sonra ölçümler yapıldı. Primer amaç birinci denemede başarı oranı, başarılı entübasyon zamanı, ikincil amaç dental travma, zorluk Görsel Analog Ölçeği ve optimizasyon manevralarını belirlemekti. Bulgular:Entübasyon girişim sayısı LMA CTrach grubunda anlamlı olarak daha yüksekti. Başarılı entübasyon için ortalama süre LMA CTrach grubunda en uzundu (17,66±8,22 sn, p<0,05). Öğrenciler öğrenme ve kullanma bakımından Airtraq'i en kolay, Macintosh laringoskopu ise en zor olarak tanımladı. Dental travma şiddeti Airtraq grubunda diğer gruplardan anlamlı olarak daha düşüktü (p<0,05) ve %81,1'inde 0 bulundu. Baş ekstansiyon optimizasyon manevra oranı Airtraq ile karşılaştırıldığında Macintosh laringoskop grubunda anlamlı olarak daha yüksekti (p<0,05).Sonuç: Farklı türde laringoskopların karşılaştırıldığı bu çalışmada Airtraq'in kısa entübasyon süresi, daha az ek optimizasyon manevraları, daha düşük dental travma şiddeti ve daha kolay öğrenilebi-lirliği ile avantajlı olduğu ortaya konulmuştur. Anahtar kelimeler: Havayolu, trakeal entübasyon, laringoskopObjective: Training students on simulators before allowing their direct contact with patients is well accepted. There is no clinical or manikin-based simulation study in the literature comparing tracheal intubation with Airtraq, laryngeal mask airway (LMA) CTrach and Macintosh laryngoscopes performed by medical students having no prior intubation experience. Methods:After obtaining written informed consents, 123 participants were included in the study. The participants were asked to intubate the manikin five times with each device randomly. After all the participants had completed their fifth intubations, the measurements were performed. The primary outcome variables were the first-attempt success rate and the time for a successful intubation, while the secondary outcome variables were to determine the scores of dental trauma, the difficulty visual analogue scale and the optimization manoeuvres. Results:The LMA CTrach group revealed a significantly higher number of intubation attempts. The mean time for a successful intubation was the longest in the LMA CTrach group (17.66±8.22 s, p<0.05). Students defined the Airtraq as the easiest to use and the Macintosh laryngoscope as the most difficult device to use and learn. Dental trauma severity was significantly lower in the Airtraq group than in the other groups (p<0.05), and it was found to be 0 in 81.1% in the Airtraq group. The h...

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Section: Introductionmentioning

confidence: 99%

Airtraq, LMA CTrach and Macintosh Laryngoscopes in Tracheal Intubation Training: A Randomized Comparative Manikin Study

Saraçoğlu¹,

Dal²,

Baygın³

et al. 2016

Turk J Anaesth Reanim

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“…The Pentax Airway ScopeÔ AWS-S200 has been shown to enable faster glottic visualization and tracheal intubation than the AirtraqÔ in an infant manikin study. 2 It seems likely that the role of videolaryngoscopes in the management of the paediatric difficult airway will continue to expand, and as the evidence of their value grows, they may even supersede the flexible fibrescope in some circumstances. Videolaryngoscopy was introduced as an aid for difficult airway management, but its use in routine airway management is expanding.…”

Section: Learning Objectivesmentioning

confidence: 98%

Equipment and monitoring for paediatric anaesthesia

Leslie¹,

Froom²,

Gildersleve³

2015

Anaesthesia & Intensive Care Medicine

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There have been considerable developments in the equipment and monitoring available for paediatric anaesthesia over the past 3 years. Advances in airway management have come about primarily through the increased use of videolaryngoscopes. Numerous second-generation supraglottic airway devices are also now available with features aimed at improving both their safety profile and utility during difficult airway management. Concerns surrounding the endocrine effects of phthalates have led to the introduction of phthalate-free airway devices. The role of ultrasound continues to expand, with good evidence for its use where vascular access is challenging, while evidence in favour of alternative vascular access aids remains sparse. Smartphones and tablets have become an almost ubiquitous part of the paediatric anaesthetist's armoury, functioning as distraction devices for children and providing a wealth of useful information through applications. A number of cardiac output monitors are now available for use in paediatric anaesthesia and, with the advent of enhanced recovery programmes after surgery, it is likely that their use will increase in the future. This review will discuss a number of these devices and provide insight into the rationale for their use, focusing on those for which the best evidence is available.

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“…The Airtraq ™ (Prodol Meditec, Vizcaya, Spain) disposable optical laryngoscope and the Pentax AWS ® (Pentax Corporation, Tokyo, Japan) are designed for indirect laryngoscopy and have an optical blade with a side‐channel that guides the endotracheal tube toward the glottis. These devices have been compared in an infant manikin study, and they both gave excellent views of the larynx but the Pentax enabled faster intubation . The Bullard Infant Elite Laryngoscope (Gyrus ACMI, Southborough, MA, USA) scope comes with a curved blade, a fiberoptic light source and a stylet for the endotracheal tube.…”

Section: Current Devices For Managing the Pediatric Airwaymentioning

confidence: 99%

Pediatric airway management: current practices and future directions

Sunder

Haile

Farrell

et al. 2012

Pediatric Anesthesia

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Management of a pediatric airway can be a challenge, especially for the non-pediatric anesthesiologists. Structured algorithms for an unexpected difficult pediatric airway have been missing so far. A recent step wise algorithm, based on the Difficult Airway society (DAS) adult protocol, is a step in the right direction. There have been some exciting advances in development of pediatric extra-glottic devices for maintaining ventilation, and introduction of pediatric versions of new 'non line of sight' laryngoscopes and optical stylets. The exact role of these devices in routine and emergent situations is still evolving. Recent advances in simulation technology has become a valuable tool in imparting psychomotor and procedural skills to trainees and allied healthcare workers. Moving toward the goal of eliminating serious adverse events during the management of routine and difficult pediatric airway, authors propose that institutions develop a dedicated Difficult Airway Service comprising of a team of experts in advanced airway management.

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A comparison of the Pentax Airway Scope™ with the Airtraq™ in an infant manikin

Cited by 15 publications

References 22 publications

Airtraq, LMA CTrach and Macintosh Laryngoscopes in Tracheal Intubation Training: A Randomized Comparative Manikin Study

Airtraq, LMA CTrach and Macintosh Laryngoscopes in Tracheal Intubation Training: A Randomized Comparative Manikin Study

Equipment and monitoring for paediatric anaesthesia

Pediatric airway management: current practices and future directions

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