| Utility of the Pentax-AWS without interruption of chest compression: comparison of the Macintosh laryngoscope with the Pentax-AWS in manikin model. | |
| | |
MedLine Citation:
|
PMID: 19919888 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
|
BACKGROUND: Emergency airway management in suboptimal conditions can result in difficulties in tracheal intubation. The video laryngoscope (Pentax-AWS) has potential advantages during difficult tracheal intubations. According to the 2005 guidelines for cardiopulmonary resuscitation (CPR), all rescuers should minimize interruption of chest compressions. Our hypothesis is that tracheal intubation using the Pentax-AWS is possible without interruption of chest compressions. We tested this using tracheal intubation performed by less experienced medical personnel in a manikin model. METHODS: Thirty-two less experienced (<10 tracheal intubations) medical interns performed intubation using the Pentax-AWS and the Macintosh laryngoscope in an ALS simulator (Laerdal, Stavanger, Norway) in each of three scenarios. The three scenarios were: (1) normal airway without chest compression, (2) normal airway with continuous chest compression, and (3) difficult airway with continuous chest compression. The success rate, time required to complete tracheal intubation and to visualize vocal cords, POGO (percentage of glottic opening) score, dental compression and the ease of intubation were recorded. RESULTS: All participants performed successful intubation with the Pentax-AWS in the three scenarios. In the two continuous chest compression scenarios (scenarios 2 and 3), the success rate was significantly higher with the Pentax-AWS than with the Macintosh laryngoscope. CONCLUSIONS: The Pentax-AWS was an effective tool for endotracheal intubation during chest compression performed by less experienced medical personnel in a manikin model simulating cardiac arrest, both under conditions of normal and difficult airways. |
| | |
Authors:
|
Sang Kuk Han; Dong Hyuk Shin; Pil Cho Choi |
Related Documents
:
|
1610578 - Which is the safest endotracheal tube for use with the co2 laser? a comparative study. 21265298 - Use of computerized neuropsychological testing to help determine fitness to return to c... 19584648 - Intravitreal injection of therapeutic agents. 3492948 - The pharyngeo-tracheal lumen airway: an assessment of airway control in the setting of ... 22302198 - Green oncology: cultivating sustainability in medical oncology. 22643618 - Rural medical-legal partnership and advocacy: a three-year follow-up study. |
Publication Detail:
|
Type: Comparative Study; Journal Article Date: 2009-11-17 |
Journal Detail:
|
Title: Resuscitation Volume: 81 ISSN: 1873-1570 ISO Abbreviation: Resuscitation Publication Date: 2010 Jan |
Date Detail:
|
Created Date: 2010-02-01 Completed Date: 2010-05-04 Revised Date: 2010-06-29 |
Medline Journal Info:
|
Nlm Unique ID: 0332173 Medline TA: Resuscitation Country: Ireland |
Other Details:
|
Languages: eng Pagination: 69-73 Citation Subset: IM |
Copyright Information:
|
Copyright 2009 Elsevier Ireland Ltd. All rights reserved. |
Affiliation:
|
Department of Emergency Medicine, Kangbuk Samsung Hospital, Sungkyunkwan University School of Medicine, Seoul, Republic of Korea. |
Export Citation:
|
APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
|
Adult Cardiopulmonary Resuscitation / education, instrumentation* Clinical Competence Disposable Equipment Emergency Medicine / education Female Heart Arrest / therapy* Heart Massage / methods* Humans Internship and Residency* Intubation, Intratracheal / instrumentation* Laryngoscopes* Male Manikins Statistics, Nonparametric Video Recording Vocal Cords |
| Comments/Corrections | |
Comment In:
|
Resuscitation. 2010 Jul;81(7):912-3; authro reply 913
[PMID:
20435399
]
|
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
Previous Document: Robotic system-based fractionated stereotactic radiotherapy in locally recurrent nasopharyngeal carc...
Next Document: Preoperative assessment of complete tumour resection by magnetic resonance imaging in patients under...