Cargando…

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...

Descripción completa

Detalles Bibliográficos
Autores principales: Evrin, Togay, Dabkowski, Miroslaw, Pruc, Michal, Hernik, Jacek, Wieczorek, Wojciech, Chabowski, Lukasz, Wieczorek, Pawel, Chmielewski, Jaroslaw, Feduniw, Stepan, Szarpak, Lukasz
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2023
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
_version_ 1785088655652552704
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
work_keys_str_mv AT evrintogay etviewslversusmacintoshdirectlaryngoscopeforendotrachealintubationamidsimulatedcovid19cardiacarrestarandomizedcrossoverstudy
AT dabkowskimiroslaw etviewslversusmacintoshdirectlaryngoscopeforendotrachealintubationamidsimulatedcovid19cardiacarrestarandomizedcrossoverstudy
AT prucmichal etviewslversusmacintoshdirectlaryngoscopeforendotrachealintubationamidsimulatedcovid19cardiacarrestarandomizedcrossoverstudy
AT hernikjacek etviewslversusmacintoshdirectlaryngoscopeforendotrachealintubationamidsimulatedcovid19cardiacarrestarandomizedcrossoverstudy
AT wieczorekwojciech etviewslversusmacintoshdirectlaryngoscopeforendotrachealintubationamidsimulatedcovid19cardiacarrestarandomizedcrossoverstudy
AT chabowskilukasz etviewslversusmacintoshdirectlaryngoscopeforendotrachealintubationamidsimulatedcovid19cardiacarrestarandomizedcrossoverstudy
AT wieczorekpawel etviewslversusmacintoshdirectlaryngoscopeforendotrachealintubationamidsimulatedcovid19cardiacarrestarandomizedcrossoverstudy
AT chmielewskijaroslaw etviewslversusmacintoshdirectlaryngoscopeforendotrachealintubationamidsimulatedcovid19cardiacarrestarandomizedcrossoverstudy
AT feduniwstepan etviewslversusmacintoshdirectlaryngoscopeforendotrachealintubationamidsimulatedcovid19cardiacarrestarandomizedcrossoverstudy
AT szarpaklukasz etviewslversusmacintoshdirectlaryngoscopeforendotrachealintubationamidsimulatedcovid19cardiacarrestarandomizedcrossoverstudy