Cargando…

Direct endotracheal intubation using a novel detachable optic probe (Sunscope) by emergency medical technicians with various training backgrounds

OBJECTIVE: Effective airway management requires both proper technique and the appropriate devices. With the widespread implementation of advanced life-support techniques in emergency medical services (EMS), orotracheal intubation is now performed not only by professional practitioners but, in many o...

Descripción completa

Detalles Bibliográficos
Autores principales: Wang, Man-Ling, Dai, Chun-Yi, Huei-Ming Ma, Matthew, Chang, Kuan-Wu, Lin, Chih-Peng, Sun, Wei-Zen
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Published by Elsevier B.V. 2012
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7102757/
https://www.ncbi.nlm.nih.gov/pubmed/22500907
http://dx.doi.org/10.1016/j.aat.2012.02.003
_version_ 1783511903245434880
author Wang, Man-Ling
Dai, Chun-Yi
Huei-Ming Ma, Matthew
Chang, Kuan-Wu
Lin, Chih-Peng
Sun, Wei-Zen
author_facet Wang, Man-Ling
Dai, Chun-Yi
Huei-Ming Ma, Matthew
Chang, Kuan-Wu
Lin, Chih-Peng
Sun, Wei-Zen
author_sort Wang, Man-Ling
collection PubMed
description OBJECTIVE: Effective airway management requires both proper technique and the appropriate devices. With the widespread implementation of advanced life-support techniques in emergency medical services (EMS), orotracheal intubation is now performed not only by professional practitioners but, in many occasions, nonprofessionals. With extensively diversified skill equipped, we tested whether the Sunscope, a patented tracheal intubation device with a digital display, is able to facilitate tracheal intubation by naïve EMS personnel with various training backgrounds. METHODS: We conducted a study to determine rate of success and time required to insert an orotracheal tube into a mannequin using Sunscope. The participants were placed into the professional group (i.e., anesthesiologists and emergency medical paramedics; EMT-P) or the nonprofessional group (i.e., emergency medical technicians; EMT). Intubation required three steps: equipment preparation, vocal cord exposure, and tube insertion. The time required for each step was recorded by a senior staff member, and the data were analyzed by nonparametric statistics. RESULTS: Each consecutive step in the operating procedure was significantly shorter for the professional group in comparison with the nonprofessional group during the first trial: equipment preparation, 10.5 ± 2.1 vs. 11.9 ± 4.1 seconds; vocal cord exposure, 7.4 ± 7.7 vs. 12.2 ± 7.7 seconds; tube insertion, 8.8 ± 4.8 vs. 17.6 ± 9.4 seconds; and total time required for intubation, 26.7 ± 8.8 vs. 35.8 ± 19.6 seconds. The professional practitioners showed no significant improvement, in terms of time reduction, on the following three trials. On the other hand, the nonprofessional practitioners showed no significant differences, in terms of time required to expose the vocal cords and total operation time, following the third trial in comparison with the professional practitioners. CONCLUSION: Our research demonstrates that professional practitioners are able to use the Sunscope on their first attempt. Despite a lack of training in conventional endotracheal intubation, emergency medical technicians (EMT-I and -II) were able to complete intubation on their first attempt; a significant reduction in the time required to intubate was noted after repeated practice. All levels of naïve EMTs were able to readily visualize the vocal cords through Sunscope and, thereby, reliably insert the endotracheal tube in less than 1 minute, regardless of their skills before testing.
format Online
Article
Text
id pubmed-7102757
institution National Center for Biotechnology Information
language English
publishDate 2012
publisher Published by Elsevier B.V.
record_format MEDLINE/PubMed
spelling pubmed-71027572020-03-31 Direct endotracheal intubation using a novel detachable optic probe (Sunscope) by emergency medical technicians with various training backgrounds Wang, Man-Ling Dai, Chun-Yi Huei-Ming Ma, Matthew Chang, Kuan-Wu Lin, Chih-Peng Sun, Wei-Zen Acta Anaesthesiol Taiwan Article OBJECTIVE: Effective airway management requires both proper technique and the appropriate devices. With the widespread implementation of advanced life-support techniques in emergency medical services (EMS), orotracheal intubation is now performed not only by professional practitioners but, in many occasions, nonprofessionals. With extensively diversified skill equipped, we tested whether the Sunscope, a patented tracheal intubation device with a digital display, is able to facilitate tracheal intubation by naïve EMS personnel with various training backgrounds. METHODS: We conducted a study to determine rate of success and time required to insert an orotracheal tube into a mannequin using Sunscope. The participants were placed into the professional group (i.e., anesthesiologists and emergency medical paramedics; EMT-P) or the nonprofessional group (i.e., emergency medical technicians; EMT). Intubation required three steps: equipment preparation, vocal cord exposure, and tube insertion. The time required for each step was recorded by a senior staff member, and the data were analyzed by nonparametric statistics. RESULTS: Each consecutive step in the operating procedure was significantly shorter for the professional group in comparison with the nonprofessional group during the first trial: equipment preparation, 10.5 ± 2.1 vs. 11.9 ± 4.1 seconds; vocal cord exposure, 7.4 ± 7.7 vs. 12.2 ± 7.7 seconds; tube insertion, 8.8 ± 4.8 vs. 17.6 ± 9.4 seconds; and total time required for intubation, 26.7 ± 8.8 vs. 35.8 ± 19.6 seconds. The professional practitioners showed no significant improvement, in terms of time reduction, on the following three trials. On the other hand, the nonprofessional practitioners showed no significant differences, in terms of time required to expose the vocal cords and total operation time, following the third trial in comparison with the professional practitioners. CONCLUSION: Our research demonstrates that professional practitioners are able to use the Sunscope on their first attempt. Despite a lack of training in conventional endotracheal intubation, emergency medical technicians (EMT-I and -II) were able to complete intubation on their first attempt; a significant reduction in the time required to intubate was noted after repeated practice. All levels of naïve EMTs were able to readily visualize the vocal cords through Sunscope and, thereby, reliably insert the endotracheal tube in less than 1 minute, regardless of their skills before testing. Published by Elsevier B.V. 2012-03 2012-04-04 /pmc/articles/PMC7102757/ /pubmed/22500907 http://dx.doi.org/10.1016/j.aat.2012.02.003 Text en Copyright © 2012 Published by Elsevier B.V. Since January 2020 Elsevier has created a COVID-19 resource centre with free information in English and Mandarin on the novel coronavirus COVID-19. The COVID-19 resource centre is hosted on Elsevier Connect, the company's public news and information website. Elsevier hereby grants permission to make all its COVID-19-related research that is available on the COVID-19 resource centre - including this research content - immediately available in PubMed Central and other publicly funded repositories, such as the WHO COVID database with rights for unrestricted research re-use and analyses in any form or by any means with acknowledgement of the original source. These permissions are granted for free by Elsevier for as long as the COVID-19 resource centre remains active.
spellingShingle Article
Wang, Man-Ling
Dai, Chun-Yi
Huei-Ming Ma, Matthew
Chang, Kuan-Wu
Lin, Chih-Peng
Sun, Wei-Zen
Direct endotracheal intubation using a novel detachable optic probe (Sunscope) by emergency medical technicians with various training backgrounds
title Direct endotracheal intubation using a novel detachable optic probe (Sunscope) by emergency medical technicians with various training backgrounds
title_full Direct endotracheal intubation using a novel detachable optic probe (Sunscope) by emergency medical technicians with various training backgrounds
title_fullStr Direct endotracheal intubation using a novel detachable optic probe (Sunscope) by emergency medical technicians with various training backgrounds
title_full_unstemmed Direct endotracheal intubation using a novel detachable optic probe (Sunscope) by emergency medical technicians with various training backgrounds
title_short Direct endotracheal intubation using a novel detachable optic probe (Sunscope) by emergency medical technicians with various training backgrounds
title_sort direct endotracheal intubation using a novel detachable optic probe (sunscope) by emergency medical technicians with various training backgrounds
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7102757/
https://www.ncbi.nlm.nih.gov/pubmed/22500907
http://dx.doi.org/10.1016/j.aat.2012.02.003
work_keys_str_mv AT wangmanling directendotrachealintubationusinganoveldetachableopticprobesunscopebyemergencymedicaltechnicianswithvarioustrainingbackgrounds
AT daichunyi directendotrachealintubationusinganoveldetachableopticprobesunscopebyemergencymedicaltechnicianswithvarioustrainingbackgrounds
AT hueimingmamatthew directendotrachealintubationusinganoveldetachableopticprobesunscopebyemergencymedicaltechnicianswithvarioustrainingbackgrounds
AT changkuanwu directendotrachealintubationusinganoveldetachableopticprobesunscopebyemergencymedicaltechnicianswithvarioustrainingbackgrounds
AT linchihpeng directendotrachealintubationusinganoveldetachableopticprobesunscopebyemergencymedicaltechnicianswithvarioustrainingbackgrounds
AT sunweizen directendotrachealintubationusinganoveldetachableopticprobesunscopebyemergencymedicaltechnicianswithvarioustrainingbackgrounds