The Success of Endotracheal Intubation with a Modified Laryngoscope Using Night Vision Goggles

Aydın, Attila; Bilge, Sedat; Aydin, Cemile; Bilge, Meltem; Cevik, Erdem; Eryılmaz, Mehmet

doi:10.5505/tjtes.2017.27546

Cited by 2 publications

(4 citation statements)

References 15 publications

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“…MNVGs are often used by the ground units, whereas BNVG and PNVG are preferred by special forces and military helicopter pilots, as they provide wider temporal vision and depth perception 5 6. Although the tactical use of NVGs has been included in the routine training programme of combatant units, their use has not become widespread in the training and practice of CMS 3 7 8. It has been recommended that the use of NVGs must be included in practical and theoretical training in medical/tactical scenarios in dark conditions 3 4 7 9.…”

Section: Discussionmentioning

confidence: 99%

“…Although the tactical use of NVGs has been included in the routine training programme of combatant units, their use has not become widespread in the training and practice of CMS 3 7 8. It has been recommended that the use of NVGs must be included in practical and theoretical training in medical/tactical scenarios in dark conditions 3 4 7 9. It has also been reported that increasing user experience through practical training increases success rates in interventions using NVGs under dark conditions 3.…”

Section: Discussionmentioning

confidence: 99%

“…In a study on mannequins using BNVG in night conditions, Gellerfors et al 8 attributed the improved success rates and completion times in ETI compared with those reported by Brummer et al 9 using MNVG to the experience of the providers. In their study, Attila et al 7 attributed their 100% success rate for ETI to the more than 5 years of experience of the providers in tactical emergency medicine and tactical night operations and their familiarity with NVG use. Similar to the studies by Attila et al 7 and Gellerfors et al ,8 the present study associated the high success rate to the tertiary education level of the providers and the experience they gained in an emergency department of a training and research hospital in intravenous line placement.…”

Section: Discussionmentioning

confidence: 99%

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Comparative evaluation of the efficacy of using monocular, binocular and panoramic night vision goggles in successful venous access in darkness

Bilge¹,

Aydın

Yakut³

2019

BMJ Mil Health

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IntroductionThe use of night vision goggles (NVGs) by medical staff operating in active combat areas may present a tactical advantage in maintaining unit concealment. This study seeks to assess the degree to which NVG use improves speed and ease of intravenous access in comparison to no NVG use, and which NVG system (monocular, binocular or panoramic) provides the best conditions for the clinician.MethodsCannulation was carried out using both eyes open (BEO) and one eye open (OEO) in well-lit conditions to establish a baseline measurement. The same procedure was then performed with a variety of NVGs, with and without infrared (IR) light sources in a dark room, and the degree of difficulty, time to procedural completion and success rate were compared.ResultsNVG use improved procedure speed in comparison to the BEO method in the dark. Among the NVG methods trialled, binocular NVG (BNVG) methods outperformed panoramic NVG (PNVG) and monocular NVG in terms of success rate.ConclusionsUse of BNVG resulted with a better success rate in our study. We would like to emphasise that although combatant units prefer PNVGs for the wider temporal vision they provide, it must be kept in mind that this may pose a disadvantage in peripheral vascular access procedures while providing first aid to the casualty at close distances.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Comparative evaluation of the efficacy of using monocular, binocular and panoramic night vision goggles in successful venous access in darkness

Bilge¹,

Aydın

Yakut³

2019

BMJ Mil Health

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“…In the power analysis, based on previous study findings (completion time 14.46 ± 2.31 s) [19], assuming a completion time of 17.0 s for ETI with an 80% power and a two-sided error margin of 0.05, 18 participants were required. Thus, we planned to include a total of 20 participants who would be randomized to the study groups.…”

Section: Methodsmentioning

confidence: 99%

Endotracheal Intubation by Paramedics Using Neodymium Magnet and Modified Stylet in Simulated Difficult Airway: A Prospective, Randomized, Crossover Manikin Study

Bilge¹,

Tezel²,

Acar³

et al. 2019

Emergency Medicine International

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Background The present study evaluates the success and efficacy of endotracheal intubation (ETI) using a modified intubation stylet and a magnet system to direct the stylet into the trachea. The system was developed by the researchers in an attempt to increase the success and efficacy of ETI. Methods ETI procedures were performed on an airway management manikin by emergency medical technicians with at least four years of experience in ETI. The technicians used a stylet modified with an iron ball affixed to the tip and a neodymium magnet, designed specifically for the study. The intention was to guide the endotracheal tube into the trachea at the level of the thyroid and cricoid cartilages on the manikin with the aid of the modified stylet and the magnetic force of the neodymium magnet. The success rate, completion time, and degree of difficulty of two procedures were compared: magnetic endotracheal intubation (METI) and classic ETI (CETI). Results The success rate was 100% in both groups. The mean completion times for the METI and CETI procedures were 18.31 ± 2.46 s and 20.01 ± 1.95 s, respectively. There were significant differences in completion time and degree of difficulty between the METI and CETI procedures (both p=0.001). Conclusions We found the use of a neodymium magnet and modified stylet to be an effective method to guide the endotracheal tube into the trachea. The present study may provide a basis for future studies.

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The Success of Endotracheal Intubation with a Modified Laryngoscope Using Night Vision Goggles

Cited by 2 publications

References 15 publications

Comparative evaluation of the efficacy of using monocular, binocular and panoramic night vision goggles in successful venous access in darkness

Comparative evaluation of the efficacy of using monocular, binocular and panoramic night vision goggles in successful venous access in darkness

Endotracheal Intubation by Paramedics Using Neodymium Magnet and Modified Stylet in Simulated Difficult Airway: A Prospective, Randomized, Crossover Manikin Study

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