Comparison of the Airway Scope®, gum elastic bougie and fibreoptic bronchoscope in simulated difficult tracheal intubation: a manikin study
Authors: Koyama, Y.1; Inagawa, G.1; Miyashita, T.2; Kikuchi, T.2; Miura, N.1; Miki, T.1; Kurihara, R.1; Kamiya, Y.1; Goto, T.3
Source: Anaesthesia, Volume 62, Number 9, September 2007 , pp. 936-939(4)
Publisher: Blackwell Publishing
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Abstract:
Summary We compared the Airway Scope® with a gum elastic bougie and fibreoptic bronchoscope in a manikin with a simulated Cormack and Lehane Grade 3 laryngoscopic view. Twenty-seven anaesthetists intubated the trachea of the manikin with these devices and the time required for intubation was measured. They were then asked to rate the subjective difficulty of intubation (1 = very easy; 5 = very difficult). Mean (SD) intubation times were 16.6 (11.2) s with the Airway Scope, 29.4 (10.9) s with the gum elastic bougie (p < 0.0001), and 30.6 (20.0) s with the fibreoptic bronchoscope (p < 0.0001). The median (range) difficulty was 2 (1-4) with the Airway Scope, 3 (2-4) with the gum elastic bougie (p < 0.001), and 2 (1-5) with the fibreoptic bronchoscope (p = 0.014). In Cormack and Lehane grade 3 laryngoscopic views, the Airway Scope may enable faster and easier tracheal intubation than does a Macintosh laryngoscope with a gum elastic bougie or a fibreoptic bronchoscope.Document Type: Research article
DOI: 10.1111/j.1365-2044.2007.05152.x
Affiliations: 1: Staff Anaesthetist 2: Associate Professor 3: Professor and Chairman, Department of Anaesthesiology and Critical Care Medicine, Yokohama City University School of Medicine, 3-9 Fukuura, Kanazawa-ku, Yokohama-shi, 236-0004, Japan
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