IngentaConnect Evaluation of the Airway Scope, a new video laryngoscope, in trac...

Authors: Miki¹; Inagawa; Kikuchi¹; Koyama¹; Goto¹

Source: Acta Anaesthesiologica Scandinavica, Volume 51, Number 10, November 2007 , pp. 1378-1381(4)

Abstract:

Background and aim:

The Airway Scope (AWS) is a new video laryngoscope. The purpose of this study was to compare the AWS and Macintosh laryngoscopes with regard to their usefulness for beginners in tracheal intubation. Methods:

Thirty-one nurses with no previous experience of tracheal intubation used each device 10 times to intubate the trachea of a manikin (Laerdal Airway Managemant Trainer, Laerdal, Stavanger, Norway). Intubation correctly completed within 30 s was regarded as successful. The intubation time, success rate, number of esophageal intubations and dental clicks, and subjective evaluation of difficulty of intubation [rated from 1 (extremely easy) to 5 (extremely difficult)] were recorded. Results:

The average intubation time was significantly shorter for AWS than for the Macintosh laryngoscope (16.7 ± 11.0 s vs. 23.2 ± 24.9 s; mean ± standard deviation; P = 0.0297), and the success rate with AWS was significantly greater (91.3% vs. 79.4%; P < 0.001). In the total of 310 intubation attempts for each device, the number of esophageal intubations (0/310 with AWS vs. 20/310 with the Macintosh laryngoscope) and dental clicks (0/310 with AWS vs. 40/310 with the Macintosh laryngoscope) differed significantly (P < 0.001). AWS was rated as easier to use than the Macintosh laryngoscope (P < 0.001). Conclusion:

AWS is more useful for beginners as it provides quicker and easier tracheal intubation.

Keywords: Airway management; beginners; manikin; naive operators; tracheal intubation

Document Type: Research article

DOI: 10.1111/j.1399-6576.2007.01450.x

Affiliations: 1: Department of Anesthesiology and Critical Care Medicine, Yokohama City University, School of Medicine, Yokohama, Japan

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Evaluation of the Airway Scope, a new video laryngoscope, in tracheal intubation by naive operators: a manikin study