Cargando…

Endotracheal Intubation Using the Macintosh Laryngoscope or KingVision Video Laryngoscope during Uninterrupted Chest Compression

Objective. Advanced airway management, endotracheal intubation (ETI), during CPR is more difficult than, for example, during anesthesia. However, new devices such as video laryngoscopes should help in such circumstances. The aim of this study was to assess the performance of the KingVision video lar...

Descripción completa

Detalles Bibliográficos
Autores principales: Gaszynska, Ewelina, Gaszynski, Tomasz
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Hindawi Publishing Corporation 2014
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4065673/
https://www.ncbi.nlm.nih.gov/pubmed/24995278
http://dx.doi.org/10.1155/2014/250820
_version_ 1782322121198796800
author Gaszynska, Ewelina
Gaszynski, Tomasz
author_facet Gaszynska, Ewelina
Gaszynski, Tomasz
author_sort Gaszynska, Ewelina
collection PubMed
description Objective. Advanced airway management, endotracheal intubation (ETI), during CPR is more difficult than, for example, during anesthesia. However, new devices such as video laryngoscopes should help in such circumstances. The aim of this study was to assess the performance of the KingVision video laryngoscopes in a manikin cardiopulmonary resuscitation (CPR) scenario. Methods. Thirty students enrolled in the third year of paramedic school took part in the study. The simulated CPR scenario was ETI using the standard laryngoscope with a Macintosh blade (MCL) and ETI using the KingVision video laryngoscope performed during uninterrupted chest compressions. The primary endpoints were the time needed for ETI and the success ratio. Results. The mean time required for intubation was similar for both laryngoscopes: 16.6 (SD 5.11, median 15.64, range 7.9–27.9) seconds versus 17.91 (SD 5.6, median 16.28, range 10.6–28.6) seconds for the MCL and KingVision, respectively (P = 0.1888). On the first attempt at ETI, the success rate during CPR was comparable between the evaluated laryngoscopes: P = 0.9032. Conclusion. The KingVision video laryngoscope proves to be less superior when used for endotracheal intubation during CPR compared to the standard laryngoscope with a Mackintosh blade. This proves true in terms of shortening the time needed for ETI and increasing the success ratio.
format Online
Article
Text
id pubmed-4065673
institution National Center for Biotechnology Information
language English
publishDate 2014
publisher Hindawi Publishing Corporation
record_format MEDLINE/PubMed
spelling pubmed-40656732014-07-03 Endotracheal Intubation Using the Macintosh Laryngoscope or KingVision Video Laryngoscope during Uninterrupted Chest Compression Gaszynska, Ewelina Gaszynski, Tomasz Biomed Res Int Research Article Objective. Advanced airway management, endotracheal intubation (ETI), during CPR is more difficult than, for example, during anesthesia. However, new devices such as video laryngoscopes should help in such circumstances. The aim of this study was to assess the performance of the KingVision video laryngoscopes in a manikin cardiopulmonary resuscitation (CPR) scenario. Methods. Thirty students enrolled in the third year of paramedic school took part in the study. The simulated CPR scenario was ETI using the standard laryngoscope with a Macintosh blade (MCL) and ETI using the KingVision video laryngoscope performed during uninterrupted chest compressions. The primary endpoints were the time needed for ETI and the success ratio. Results. The mean time required for intubation was similar for both laryngoscopes: 16.6 (SD 5.11, median 15.64, range 7.9–27.9) seconds versus 17.91 (SD 5.6, median 16.28, range 10.6–28.6) seconds for the MCL and KingVision, respectively (P = 0.1888). On the first attempt at ETI, the success rate during CPR was comparable between the evaluated laryngoscopes: P = 0.9032. Conclusion. The KingVision video laryngoscope proves to be less superior when used for endotracheal intubation during CPR compared to the standard laryngoscope with a Mackintosh blade. This proves true in terms of shortening the time needed for ETI and increasing the success ratio. Hindawi Publishing Corporation 2014 2014-06-04 /pmc/articles/PMC4065673/ /pubmed/24995278 http://dx.doi.org/10.1155/2014/250820 Text en Copyright © 2014 E. Gaszynska and T. Gaszynski. https://creativecommons.org/licenses/by/3.0/ This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Research Article
Gaszynska, Ewelina
Gaszynski, Tomasz
Endotracheal Intubation Using the Macintosh Laryngoscope or KingVision Video Laryngoscope during Uninterrupted Chest Compression
title Endotracheal Intubation Using the Macintosh Laryngoscope or KingVision Video Laryngoscope during Uninterrupted Chest Compression
title_full Endotracheal Intubation Using the Macintosh Laryngoscope or KingVision Video Laryngoscope during Uninterrupted Chest Compression
title_fullStr Endotracheal Intubation Using the Macintosh Laryngoscope or KingVision Video Laryngoscope during Uninterrupted Chest Compression
title_full_unstemmed Endotracheal Intubation Using the Macintosh Laryngoscope or KingVision Video Laryngoscope during Uninterrupted Chest Compression
title_short Endotracheal Intubation Using the Macintosh Laryngoscope or KingVision Video Laryngoscope during Uninterrupted Chest Compression
title_sort endotracheal intubation using the macintosh laryngoscope or kingvision video laryngoscope during uninterrupted chest compression
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4065673/
https://www.ncbi.nlm.nih.gov/pubmed/24995278
http://dx.doi.org/10.1155/2014/250820
work_keys_str_mv AT gaszynskaewelina endotrachealintubationusingthemacintoshlaryngoscopeorkingvisionvideolaryngoscopeduringuninterruptedchestcompression
AT gaszynskitomasz endotrachealintubationusingthemacintoshlaryngoscopeorkingvisionvideolaryngoscopeduringuninterruptedchestcompression