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Flexible tip bougie - the new introducer for intubation during cardiopulmonary resuscitation: A randomized crossover manikin study

BACKGROUND: The aim of this study was to compare three intubation methods during cardiopulmonary resuscitation using an adult-manikin. METHODS: Thirty-nine paramedics were included in this study. Each participant performed endotracheal intubation during continuous chest compressions using 3 differen...

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Autores principales: Bączek, Michał, Zagańczyk-Bączek, Michalina
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Wolters Kluwer Health 2020
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6946366/
https://www.ncbi.nlm.nih.gov/pubmed/31895774
http://dx.doi.org/10.1097/MD.0000000000018452
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author Bączek, Michał
Zagańczyk-Bączek, Michalina
author_facet Bączek, Michał
Zagańczyk-Bączek, Michalina
author_sort Bączek, Michał
collection PubMed
description BACKGROUND: The aim of this study was to compare three intubation methods during cardiopulmonary resuscitation using an adult-manikin. METHODS: Thirty-nine paramedics were included in this study. Each participant performed endotracheal intubation during continuous chest compressions using 3 different methods: conventional Macintosh laryngoscope without additional intubation aids (MAC), conventional Macintosh laryngoscope with gum-elastic bougie (GEB), or flexible tip bougie (FTB). First attempt intubation success rate and intubation time was measured. RESULTS: Intubation success rate was 39% with the use of MAC, 92% with GEB and 95% with FTB. It was statistically lower with MAC than with GEB (P < .001) and FTB (P < .001). There was no difference between GEB and FTB in intubation success rate (P = .644). The mean(SD) intubation time was 28.43 (13.81)s with MAC, 25.69 (5.35)s with GEB and 21.41 (2.88)s with FTB. Intubation time was significantly longer with GEB than with FTB (P < .001). CONCLUSIONS: Within limitations, results of our study suggest that intubation aids facilitate tracheal intubation during continuous chest compressions. Using flexible tip bougie shortens the duration of the procedure compared to gum elastic bougie.
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spelling pubmed-69463662020-01-31 Flexible tip bougie - the new introducer for intubation during cardiopulmonary resuscitation: A randomized crossover manikin study Bączek, Michał Zagańczyk-Bączek, Michalina Medicine (Baltimore) 3900 BACKGROUND: The aim of this study was to compare three intubation methods during cardiopulmonary resuscitation using an adult-manikin. METHODS: Thirty-nine paramedics were included in this study. Each participant performed endotracheal intubation during continuous chest compressions using 3 different methods: conventional Macintosh laryngoscope without additional intubation aids (MAC), conventional Macintosh laryngoscope with gum-elastic bougie (GEB), or flexible tip bougie (FTB). First attempt intubation success rate and intubation time was measured. RESULTS: Intubation success rate was 39% with the use of MAC, 92% with GEB and 95% with FTB. It was statistically lower with MAC than with GEB (P < .001) and FTB (P < .001). There was no difference between GEB and FTB in intubation success rate (P = .644). The mean(SD) intubation time was 28.43 (13.81)s with MAC, 25.69 (5.35)s with GEB and 21.41 (2.88)s with FTB. Intubation time was significantly longer with GEB than with FTB (P < .001). CONCLUSIONS: Within limitations, results of our study suggest that intubation aids facilitate tracheal intubation during continuous chest compressions. Using flexible tip bougie shortens the duration of the procedure compared to gum elastic bougie. Wolters Kluwer Health 2020-01-03 /pmc/articles/PMC6946366/ /pubmed/31895774 http://dx.doi.org/10.1097/MD.0000000000018452 Text en Copyright © 2020 the Author(s). Published by Wolters Kluwer Health, Inc. http://creativecommons.org/licenses/by-nc/4.0 This is an open access article distributed under the terms of the Creative Commons Attribution-Non Commercial License 4.0 (CCBY-NC), where it is permissible to download, share, remix, transform, and buildup the work provided it is properly cited. The work cannot be used commercially without permission from the journal. http://creativecommons.org/licenses/by-nc/4.0
spellingShingle 3900
Bączek, Michał
Zagańczyk-Bączek, Michalina
Flexible tip bougie - the new introducer for intubation during cardiopulmonary resuscitation: A randomized crossover manikin study
title Flexible tip bougie - the new introducer for intubation during cardiopulmonary resuscitation: A randomized crossover manikin study
title_full Flexible tip bougie - the new introducer for intubation during cardiopulmonary resuscitation: A randomized crossover manikin study
title_fullStr Flexible tip bougie - the new introducer for intubation during cardiopulmonary resuscitation: A randomized crossover manikin study
title_full_unstemmed Flexible tip bougie - the new introducer for intubation during cardiopulmonary resuscitation: A randomized crossover manikin study
title_short Flexible tip bougie - the new introducer for intubation during cardiopulmonary resuscitation: A randomized crossover manikin study
title_sort flexible tip bougie - the new introducer for intubation during cardiopulmonary resuscitation: a randomized crossover manikin study
topic 3900
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6946366/
https://www.ncbi.nlm.nih.gov/pubmed/31895774
http://dx.doi.org/10.1097/MD.0000000000018452
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