Cargando…

C-MAC Video Laryngoscope versus Conventional Direct Laryngoscopy for Endotracheal Intubation During Cardiopulmonary Resuscitation

Background and objectives: To compare the first pass success (FPS) rate of the C-MAC video laryngoscope (C-MAC) and conventional Macintosh-type direct laryngoscopy (DL) during cardiopulmonary resuscitation (CPR) in the emergency department (ED). Materials and Methods: This study was a single-center,...

Descripción completa

Detalles Bibliográficos
Autores principales: Min, Byeong Chul, Park, Jong Eun, Lee, Gun Tak, Kim, Tae Rim, Yoon, Hee, Cha, Won Chul, Shin, Tae Gun, Song, Keun Jeong, Park, Minsu, Han, Heewon, Hwang, Sung Yeon
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2019
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6631212/
https://www.ncbi.nlm.nih.gov/pubmed/31146497
http://dx.doi.org/10.3390/medicina55060225
_version_ 1783435470965833728
author Min, Byeong Chul
Park, Jong Eun
Lee, Gun Tak
Kim, Tae Rim
Yoon, Hee
Cha, Won Chul
Shin, Tae Gun
Song, Keun Jeong
Park, Minsu
Han, Heewon
Hwang, Sung Yeon
author_facet Min, Byeong Chul
Park, Jong Eun
Lee, Gun Tak
Kim, Tae Rim
Yoon, Hee
Cha, Won Chul
Shin, Tae Gun
Song, Keun Jeong
Park, Minsu
Han, Heewon
Hwang, Sung Yeon
author_sort Min, Byeong Chul
collection PubMed
description Background and objectives: To compare the first pass success (FPS) rate of the C-MAC video laryngoscope (C-MAC) and conventional Macintosh-type direct laryngoscopy (DL) during cardiopulmonary resuscitation (CPR) in the emergency department (ED). Materials and Methods: This study was a single-center, retrospective study conducted from April 2014 to July 2018. Patients were categorized into either the C-MAC or DL group, according to the device used on the first endotracheal intubation (ETI) attempt. The primary outcome was the FPS rate. A multiple logistic regression model was developed to identify factors related to the FPS. Results: A total of 573 ETIs were performed. Of the eligible cases, 263 and 310 patients were assigned to the C-MAC and DL group, respectively. The overall FPS rate was 75% (n = 431/573). The FPS rate was higher in the C-MAC group than in the DL group, but there was no statistically significant difference (total n = 431, 79% compared to 72%, p = 0.075). In the multiple logistic regression analysis, the C-MAC use had higher FPS rate (adjusted odds ratio: 1.80; 95% CI, 1.17–2.77; p = 0.007) than that of the DL use. Conclusions: The C-MAC use on the first ETI attempt during cardiopulmonary resuscitation in the emergency department had a higher FPS rate than that of the DL use.
format Online
Article
Text
id pubmed-6631212
institution National Center for Biotechnology Information
language English
publishDate 2019
publisher MDPI
record_format MEDLINE/PubMed
spelling pubmed-66312122019-08-19 C-MAC Video Laryngoscope versus Conventional Direct Laryngoscopy for Endotracheal Intubation During Cardiopulmonary Resuscitation Min, Byeong Chul Park, Jong Eun Lee, Gun Tak Kim, Tae Rim Yoon, Hee Cha, Won Chul Shin, Tae Gun Song, Keun Jeong Park, Minsu Han, Heewon Hwang, Sung Yeon Medicina (Kaunas) Article Background and objectives: To compare the first pass success (FPS) rate of the C-MAC video laryngoscope (C-MAC) and conventional Macintosh-type direct laryngoscopy (DL) during cardiopulmonary resuscitation (CPR) in the emergency department (ED). Materials and Methods: This study was a single-center, retrospective study conducted from April 2014 to July 2018. Patients were categorized into either the C-MAC or DL group, according to the device used on the first endotracheal intubation (ETI) attempt. The primary outcome was the FPS rate. A multiple logistic regression model was developed to identify factors related to the FPS. Results: A total of 573 ETIs were performed. Of the eligible cases, 263 and 310 patients were assigned to the C-MAC and DL group, respectively. The overall FPS rate was 75% (n = 431/573). The FPS rate was higher in the C-MAC group than in the DL group, but there was no statistically significant difference (total n = 431, 79% compared to 72%, p = 0.075). In the multiple logistic regression analysis, the C-MAC use had higher FPS rate (adjusted odds ratio: 1.80; 95% CI, 1.17–2.77; p = 0.007) than that of the DL use. Conclusions: The C-MAC use on the first ETI attempt during cardiopulmonary resuscitation in the emergency department had a higher FPS rate than that of the DL use. MDPI 2019-05-29 /pmc/articles/PMC6631212/ /pubmed/31146497 http://dx.doi.org/10.3390/medicina55060225 Text en © 2019 by the authors. 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 (http://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Min, Byeong Chul
Park, Jong Eun
Lee, Gun Tak
Kim, Tae Rim
Yoon, Hee
Cha, Won Chul
Shin, Tae Gun
Song, Keun Jeong
Park, Minsu
Han, Heewon
Hwang, Sung Yeon
C-MAC Video Laryngoscope versus Conventional Direct Laryngoscopy for Endotracheal Intubation During Cardiopulmonary Resuscitation
title C-MAC Video Laryngoscope versus Conventional Direct Laryngoscopy for Endotracheal Intubation During Cardiopulmonary Resuscitation
title_full C-MAC Video Laryngoscope versus Conventional Direct Laryngoscopy for Endotracheal Intubation During Cardiopulmonary Resuscitation
title_fullStr C-MAC Video Laryngoscope versus Conventional Direct Laryngoscopy for Endotracheal Intubation During Cardiopulmonary Resuscitation
title_full_unstemmed C-MAC Video Laryngoscope versus Conventional Direct Laryngoscopy for Endotracheal Intubation During Cardiopulmonary Resuscitation
title_short C-MAC Video Laryngoscope versus Conventional Direct Laryngoscopy for Endotracheal Intubation During Cardiopulmonary Resuscitation
title_sort c-mac video laryngoscope versus conventional direct laryngoscopy for endotracheal intubation during cardiopulmonary resuscitation
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6631212/
https://www.ncbi.nlm.nih.gov/pubmed/31146497
http://dx.doi.org/10.3390/medicina55060225
work_keys_str_mv AT minbyeongchul cmacvideolaryngoscopeversusconventionaldirectlaryngoscopyforendotrachealintubationduringcardiopulmonaryresuscitation
AT parkjongeun cmacvideolaryngoscopeversusconventionaldirectlaryngoscopyforendotrachealintubationduringcardiopulmonaryresuscitation
AT leeguntak cmacvideolaryngoscopeversusconventionaldirectlaryngoscopyforendotrachealintubationduringcardiopulmonaryresuscitation
AT kimtaerim cmacvideolaryngoscopeversusconventionaldirectlaryngoscopyforendotrachealintubationduringcardiopulmonaryresuscitation
AT yoonhee cmacvideolaryngoscopeversusconventionaldirectlaryngoscopyforendotrachealintubationduringcardiopulmonaryresuscitation
AT chawonchul cmacvideolaryngoscopeversusconventionaldirectlaryngoscopyforendotrachealintubationduringcardiopulmonaryresuscitation
AT shintaegun cmacvideolaryngoscopeversusconventionaldirectlaryngoscopyforendotrachealintubationduringcardiopulmonaryresuscitation
AT songkeunjeong cmacvideolaryngoscopeversusconventionaldirectlaryngoscopyforendotrachealintubationduringcardiopulmonaryresuscitation
AT parkminsu cmacvideolaryngoscopeversusconventionaldirectlaryngoscopyforendotrachealintubationduringcardiopulmonaryresuscitation
AT hanheewon cmacvideolaryngoscopeversusconventionaldirectlaryngoscopyforendotrachealintubationduringcardiopulmonaryresuscitation
AT hwangsungyeon cmacvideolaryngoscopeversusconventionaldirectlaryngoscopyforendotrachealintubationduringcardiopulmonaryresuscitation