Turing machine task analysis: specifying emergency assistance functions for a telemedicine system

Bernard, Cécile Isabelle; Thierry, Séamus; Morineau, Thierry

doi:10.1007/s10111-020-00651-y

Cited by 2 publications

(1 citation statement)

References 27 publications

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“…Any other configuration imposes operators to switch to supraglottic devices for initial advanced airway management. Promising lines of research regarding this topic could focus on devices (robotic intubation 71 , 72 or new video-laryngoscope designs 63 ) but also on procedures assistances such as artificial intelligence for clinical decision support in austere environment 73 , 74 .…”

Section: Discussionmentioning

confidence: 99%

Evaluation of free-floating tracheal intubation in weightlessness via ice-pick position with a direct laryngoscopy and classic approach with indirect videolaryngoscopy

Thierry,

Jaulin,

Starck

et al. 2023

npj Microgravity

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Long duration spaceflights to the Moon or Mars are at risk for emergency medical events. Managing a hypoxemic distress and performing an advanced airway procedure such as oro-tracheal intubation may be complicated under weightlessness due to ergonomic constraints. An emergency free-floating intubation would be dangerous because of high failure rates due to stabilization issues that prohibits its implementation in a space environment. Nevertheless, we hypothesized that two configurations could lead to a high first-pass success score for intubation performed by a free-floating operator. In a non-randomized, controlled, cross-over simulation study during a parabolic flight campaign, we evaluated and compared the intubation performance of free-floating trained operators, using either a conventional direct laryngoscope in an ice-pick position or an indirect laryngoscopy with a video-laryngoscope in a classic position at the head of a high-fidelity simulation manikin, in weightlessness and in normogravity. Neither of the two tested conditions reached the minimal terrestrial ILCOR recommendations (95% first-pass success) and therefore could not be recommended for general implementation under weightlessness conditions. Free-floating video laryngoscopy at the head of the manikin had a significant better success score than conventional direct laryngoscopy in an ice-pick position. Our results, combined with the preexisting literature, emphasis the difficulties of performing oro-tracheal intubation, even for experts using modern airway devices, under postural instability in weightlessness. ClinicalTrials registration number NCT05303948.

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