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ETView SL versus Macintosh Direct Laryngoscope for Endotracheal Intubation Amid Simulated COVID-19 Cardiac Arrest: A Randomized Crossover Study
Airway management procedures, such as endotracheal intubation (ETI), pose a significant risk of aerosol generation, requiring robust personal protective equipment (PPE) against aerosol-generating procedures (AGP). This study aimed to assess the impact of PPE-AGP on intubation success rates, time to...
Autores principales: | , , , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
MDPI
2023
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10419956/ https://www.ncbi.nlm.nih.gov/pubmed/37568476 http://dx.doi.org/10.3390/jcm12155074 |
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author | Evrin, Togay Dabkowski, Miroslaw Pruc, Michal Hernik, Jacek Wieczorek, Wojciech Chabowski, Lukasz Wieczorek, Pawel Chmielewski, Jaroslaw Feduniw, Stepan Szarpak, Lukasz |
author_facet | Evrin, Togay Dabkowski, Miroslaw Pruc, Michal Hernik, Jacek Wieczorek, Wojciech Chabowski, Lukasz Wieczorek, Pawel Chmielewski, Jaroslaw Feduniw, Stepan Szarpak, Lukasz |
author_sort | Evrin, Togay |
collection | PubMed |
description | Airway management procedures, such as endotracheal intubation (ETI), pose a significant risk of aerosol generation, requiring robust personal protective equipment (PPE) against aerosol-generating procedures (AGP). This study aimed to assess the impact of PPE-AGP on intubation success rates, time to intubation, and glottic visualization using ETView and a standard Macintosh laryngoscope (MAC). A total of 52 physicians participated in this prospective, observational, randomized crossover study conducted in a medical simulation setting. Participants included COVID-19 patients with cardiac arrest scenarios with and without PPE-AGP who were intubated with ETView and MAC. During intubation without PPE-AGP, ETView showed a similar first-pass success rate (FPS) but had a shorter intubation time and better glottal hydration compared to MAC. In scenario B (with PPE-AGP), ETView outperformed MAC in FPS, initiation time, and glottic visualization. The use of PPE-AGP had little impact on ETView’s performance. However, it negatively affected the Macintosh laryngoscope, reducing FPS and glottic visibility. Participants found intubation with ETView easier in both scenarios. In conclusion, as compared to the Macintosh laryngoscope, ETView demonstrated higher performance under the circumstances of the simulation, especially when PPE-AGP was used. |
format | Online Article Text |
id | pubmed-10419956 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2023 |
publisher | MDPI |
record_format | MEDLINE/PubMed |
spelling | pubmed-104199562023-08-12 ETView SL versus Macintosh Direct Laryngoscope for Endotracheal Intubation Amid Simulated COVID-19 Cardiac Arrest: A Randomized Crossover Study Evrin, Togay Dabkowski, Miroslaw Pruc, Michal Hernik, Jacek Wieczorek, Wojciech Chabowski, Lukasz Wieczorek, Pawel Chmielewski, Jaroslaw Feduniw, Stepan Szarpak, Lukasz J Clin Med Article Airway management procedures, such as endotracheal intubation (ETI), pose a significant risk of aerosol generation, requiring robust personal protective equipment (PPE) against aerosol-generating procedures (AGP). This study aimed to assess the impact of PPE-AGP on intubation success rates, time to intubation, and glottic visualization using ETView and a standard Macintosh laryngoscope (MAC). A total of 52 physicians participated in this prospective, observational, randomized crossover study conducted in a medical simulation setting. Participants included COVID-19 patients with cardiac arrest scenarios with and without PPE-AGP who were intubated with ETView and MAC. During intubation without PPE-AGP, ETView showed a similar first-pass success rate (FPS) but had a shorter intubation time and better glottal hydration compared to MAC. In scenario B (with PPE-AGP), ETView outperformed MAC in FPS, initiation time, and glottic visualization. The use of PPE-AGP had little impact on ETView’s performance. However, it negatively affected the Macintosh laryngoscope, reducing FPS and glottic visibility. Participants found intubation with ETView easier in both scenarios. In conclusion, as compared to the Macintosh laryngoscope, ETView demonstrated higher performance under the circumstances of the simulation, especially when PPE-AGP was used. MDPI 2023-08-02 /pmc/articles/PMC10419956/ /pubmed/37568476 http://dx.doi.org/10.3390/jcm12155074 Text en © 2023 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/). |
spellingShingle | Article Evrin, Togay Dabkowski, Miroslaw Pruc, Michal Hernik, Jacek Wieczorek, Wojciech Chabowski, Lukasz Wieczorek, Pawel Chmielewski, Jaroslaw Feduniw, Stepan Szarpak, Lukasz ETView SL versus Macintosh Direct Laryngoscope for Endotracheal Intubation Amid Simulated COVID-19 Cardiac Arrest: A Randomized Crossover Study |
title | ETView SL versus Macintosh Direct Laryngoscope for Endotracheal Intubation Amid Simulated COVID-19 Cardiac Arrest: A Randomized Crossover Study |
title_full | ETView SL versus Macintosh Direct Laryngoscope for Endotracheal Intubation Amid Simulated COVID-19 Cardiac Arrest: A Randomized Crossover Study |
title_fullStr | ETView SL versus Macintosh Direct Laryngoscope for Endotracheal Intubation Amid Simulated COVID-19 Cardiac Arrest: A Randomized Crossover Study |
title_full_unstemmed | ETView SL versus Macintosh Direct Laryngoscope for Endotracheal Intubation Amid Simulated COVID-19 Cardiac Arrest: A Randomized Crossover Study |
title_short | ETView SL versus Macintosh Direct Laryngoscope for Endotracheal Intubation Amid Simulated COVID-19 Cardiac Arrest: A Randomized Crossover Study |
title_sort | etview sl versus macintosh direct laryngoscope for endotracheal intubation amid simulated covid-19 cardiac arrest: a randomized crossover study |
topic | Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10419956/ https://www.ncbi.nlm.nih.gov/pubmed/37568476 http://dx.doi.org/10.3390/jcm12155074 |
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