Document Detail

Faster intubation with direct laryngoscopy vs handheld videoscope in uncomplicated manikin airways.
MedLine Citation:
PMID:  19328366     Owner:  NLM     Status:  MEDLINE    
OBJECTIVE: To compare average time to successful intubation and success rates using direct laryngoscopy (DL) with those using a battery-operated videoscope (VS) in uncomplicated manikin intubations. METHODS: Forty-four paramedics and emergency medicine faculty and residents received training with DL and VS. Participants performed 3 timed trials using each device. A single group repeated-measures analysis of variance for average time measurements was performed. RESULTS: Grouping physicians and paramedics, mean time to successful intubation for DL was 14.6 seconds (SD, 4.3 seconds) and for VS was 25.9 seconds (SD, 9.2 seconds; P < .001). All attempts were successful with both devices. A secondary measure compared intubation times for physicians and paramedics on both devices. For DL, mean time to successful intubation for physicians was 13.2 seconds (SD, 3.8 seconds) and for paramedics, 15.9 seconds (SD, 4.3 seconds; P > .43). For VS, mean time for physicians was 26.0 seconds (SD, 10.0 seconds) and for paramedics, 25.7 seconds (SD, 8.6 seconds; P > .43). CONCLUSIONS: Intubation with DL in uncomplicated manikin airways was faster than with VS (P < .001). Success rates were equal.
Shawn M Varney; Melissa Dooley; Vikhyat S Bebarta
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Publication Detail:
Type:  Comparative Study; Journal Article    
Journal Detail:
Title:  The American journal of emergency medicine     Volume:  27     ISSN:  1532-8171     ISO Abbreviation:  Am J Emerg Med     Publication Date:  2009 Mar 
Date Detail:
Created Date:  2009-03-30     Completed Date:  2009-04-23     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8309942     Medline TA:  Am J Emerg Med     Country:  United States    
Other Details:
Languages:  eng     Pagination:  259-61     Citation Subset:  IM    
Department of Emergency Medicine, Wilford Hall Medical Center, San Antonio, TX, USA.
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MeSH Terms
Allied Health Personnel
Clinical Competence
Equipment Design
Inservice Training
Intubation, Intratracheal / instrumentation*
Laryngoscopy / methods*
Prospective Studies
Time Factors
Treatment Outcome

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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