Simulated difficult intubation

Gataure, P. S.; Vaughan, R. S.; Latto, I. P.

doi:10.1111/j.1365-2044.1996.tb14961.x

Cited by 128 publications

(11 citation statements)

References 13 publications

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“…However, applying cricoid pressure may cause difficulty with tracheal intubation by distorting larynx. 7 .In their study of 200 patients shows that overall Total Intubation time in Macintosh group was 34secs and in Truview group was 51secs.M.A.Mallik, C.H.Maharaja 8 .In their similar study of 120 patients shows the overall intubation time in Macintosh group was 13.9±9.2 secs, in the Truview group the Intubation time was 22.5±7.5 secs.Gataure, P. S., Vaughan et al 9 in a study of 100 patients found mean time taken for intubation in bogie group in first attempt was 14.4 sec and in second attempt it was 30.1 sec. It was 15.1 sec in first attempt and 36.6 sec in second attempt in stylet group.…”

Section: Discussionmentioning

confidence: 93%

“…Nishant Kumar, KapilLamba et al 11 found that the Macintosh group 85% patients were intubated in the 1 st attempt and 15% patients were intubated in the 2 nd attempt, in the McCoy group 95% patients were intubated in the 1 st attempt and 5% patients were intubated in the 2 nd attempt, in the Truview group 85% patients were intubated in the 1 st attempt and 15% patients were intubated in the 2 nd attempt. Gataure, P. S.et al 9 shows that success rate at first attempt was 82%in bougie group and 48% in stylet group (p<0.001). Success rate after 2 attempts in the two groups were 96% and 66% respectively (p<0.001).…”

Section: Discussionmentioning

confidence: 94%

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Comparison of Truview Evo2 and McCoy Laryngoscope for Tracheal Intubation Using Malleable or Straight or Directable Stylet

Walzade¹,

Shinde²,

Patel³

et al. 2016

IOSR

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Anesthesiologists as a clinician is always ready with various plan and instrument to safeguard the airway. He is ready with backup plan whether it is anticipated or unanticipated difficult airway. Unusual anatomic configurations may be encountered when the airway is difficult itself. Best accessories such as bougie, stylet, prism, angle adaptorand mirrors as well as various methods of laryngoscopy such as modified straight blade laryngoscopes were tried to overcome the problem of difficult intubation. Anesthesiologist should be familiar and master in handling these instrument. Our study was randomized prospectively consisting of 300 patients randomly allotted into 6 groups with 50 in each group. Combination of either Truview laryngoscope or McCoy blade with malleablestylet, straight stylet and directable stylet done. Parameter studied was duration of laryngoscopy and intubation, number of attempt for successful intubation, Cormack-Lehane grading improvement either by elevation of tip of McCoy blade or after cricoid pressure in Truview laryngoscope. Complications like trauma to any oropharyngeal structurenoted. In this prospective randomized clinical study, we observed that the duration of intubation was prolonged in the Truview group as compared to the McCoy group but the laryngoscopic optimal view which was determined by Cormack-Lehane grading was better with the Truview group. Amongst the stylet the directable stylet reduced the duration of intubation in both the McCoy and the Truview group as compared to malleable and straight stylet. The number of patients who were intubated in the 1 st attempt were more in the McCoy group as compared to the Truview group. Also there was no statistically significant difference between the rates of complications amongst the groups.

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Section: Discussionmentioning

confidence: 93%

Section: Discussionmentioning

confidence: 94%

Comparison of Truview Evo2 and McCoy Laryngoscope for Tracheal Intubation Using Malleable or Straight or Directable Stylet

Walzade¹,

Shinde²,

Patel³

et al. 2016

IOSR

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“…The GEB is a commonly used airway adjunct in intubation and is recommended by several guidelines for use at an early stage in cases of difficult intubation [ 6 , 7 ]. Evidence from adult patients suggests that anesthesiologists can secure the airway with a high success rate when using the GEB [ 16 ].…”

Section: Discussionmentioning

confidence: 99%

Utility of a Gum-Elastic Bougie for Difficult Airway Management in Infants: A Simulation-Based Crossover Analysis

Komasawa

Hyoda

Matsunami

et al. 2015

BioMed Research International

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Background. Direct laryngoscopy with the Miller laryngoscope (Mil) for infant tracheal intubation is often difficult to use even for skilled professionals. We performed a simulation trial evaluating the utility of a tracheal tube introducer (gum-elastic bougie (GEB)) in a simulated, difficult infant airway model. Methods. Fifteen anesthesiologists performed tracheal intubation on an infant manikin at three different degrees of difficulty (normal [Cormack-Lehane grades (Cormack) 1-2], cervical stabilization [Cormack 2-3], and anteflexion [Cormack 3-4]) with or without a GEB, intubation success rate, and intubation time. Results. In the normal and cervical stabilization trials, all intubation attempts were successful regardless of whether or not the GEB was used. In contrast, only one participant succeeded in tracheal intubation without the GEB in the anteflexion trial; the success rate significantly improved with the GEB (P = 0.005). Intubation time did not significantly change under the normal trial with or without the GEB (without, 12.7 ± 3.8 seconds; with, 13.4 ± 3.6 seconds) but was significantly shorter in the cervical stabilization and anteflexion trials with the GEB. Conclusion. GEB use shortened the intubation time and improved the success rate of difficult infant tracheal intubation by anesthesiologists in simulations.

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“…Vielmehr glauben wir, dass die Zeit bis zur ETI in beiden Gruppen in einem Bereich liegt, der -berück-sichtigt man die Komplexität der RSI -eine deutliche Verkürzung nicht mehr zulässt. Hierfür sprechen die Zeiten bis zur ETI, wie sie in verschiedenen Studien angegeben werden [3,17]. Dabei zeigt sich, dass die Zeiten bis zur ETI in der vorliegenden Studie -bemerkenswerter Weise ohne Unterschied zwischen FÄ und WA -ohnehin relativ kurz sind.…”

Section: Tab 2 Zeit Bis Zum Ersten Adäquaten Laryngoskopiebefund (T unclassified

Videolaryngoskopie zur modifizierten „Rapid-sequence-Narkoseeinleitung“

et al. 2006

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Simulated difficult intubation

Abstract: SummaryA rundomised study M

Cited by 128 publications

References 13 publications

Comparison of Truview Evo2 and McCoy Laryngoscope for Tracheal Intubation Using Malleable or Straight or Directable Stylet

Comparison of Truview Evo2 and McCoy Laryngoscope for Tracheal Intubation Using Malleable or Straight or Directable Stylet

Utility of a Gum-Elastic Bougie for Difficult Airway Management in Infants: A Simulation-Based Crossover Analysis

Videolaryngoskopie zur modifizierten „Rapid-sequence-Narkoseeinleitung“

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