| Endotracheal intubation in a medical transport helicopter - comparing direct laryngoscopy with the prototype Storz CMAC videolaryngoscope in a simulated difficult intubating position. | |
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MedLine Citation:
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PMID: 19377110 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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This pilot study examined backward intubation of the Laerdal Difficult Airway Manikin in a medical transport helicopter using the prototype (a new more compact) Storz CMAC videolaryngoscope. The standard manikin airway Cormack Lehane (CL) view scores were 2.00 +/- 1.00 for direct view and 1.375 +/- 0.517 for the indirect view (CMAC). Success rates for backward intubation in the standard airway were 100% (CMAC) and 87.5% (DV). Average CL grades in the difficult airway were 3.63 +/- 0.74 (DV) and 2.00 +/- 0.926 (CMAC)(p = 0.002). The success rates for backward intubation of the difficult airway were 12.5% (DV) and 63% (CMAC). Our results show that in backward intubation of the difficult airway in a helicopter setting, the prototype CMAC videolaryngoscope significantly improved the airway score by 1-2 grades and improved intubation success 5-fold. Studies using the portable CMAC videolaryngoscope under challenging rescue conditions and positions should be considered. |
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Authors:
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Ben H Boedeker; Benjamin W Berg; Mary Bernhagen; W Bosseau Murray |
Publication Detail:
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Type: Comparative Study; Journal Article |
Journal Detail:
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Title: Studies in health technology and informatics Volume: 142 ISSN: 0926-9630 ISO Abbreviation: Stud Health Technol Inform Publication Date: 2009 |
Date Detail:
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Created Date: 2009-04-20 Completed Date: 2009-06-23 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 9214582 Medline TA: Stud Health Technol Inform Country: Netherlands |
Other Details:
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Languages: eng Pagination: 40-2 Citation Subset: T |
Affiliation:
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University of Nebraska Medical Center, Omaha, NE, USA. boedeker1@aol.com |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Air Ambulances* Emergency Medical Technicians / education Humans Intubation, Intratracheal / instrumentation* Laryngoscopes* Laryngoscopy Manikins Professional Competence Video Recording / methods* |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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