Cargando…
Direct vs. Video-Laryngoscopy for Intubation by Paramedics of Simulated COVID-19 Patients under Cardiopulmonary Resuscitation: A Randomized Crossover Trial
A safe way of securing the airway with an endotracheal tube is one of the priorities of an advanced cardiovascular life support algorithm for suspected or confirmed COVID-19 patients. The aim of this study was to compare intubation success rates (ISR) and intubation time (IT) of different laryngosco...
Autores principales: | , , , , , , , , , , , |
---|---|
Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
MDPI
2021
|
Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8707195/ https://www.ncbi.nlm.nih.gov/pubmed/34945036 http://dx.doi.org/10.3390/jcm10245740 |
_version_ | 1784622377500409856 |
---|---|
author | Gadek, Leszek Szarpak, Lukasz Konge, Lars Dabrowski, Marek Telecka-Gadek, Dominika Maslanka, Maciej Drela, Wiktoria Laura Jachowicz, Marta Iskrzycki, Lukasz Bialka, Szymon Peacock, Frank William Smereka, Jacek |
author_facet | Gadek, Leszek Szarpak, Lukasz Konge, Lars Dabrowski, Marek Telecka-Gadek, Dominika Maslanka, Maciej Drela, Wiktoria Laura Jachowicz, Marta Iskrzycki, Lukasz Bialka, Szymon Peacock, Frank William Smereka, Jacek |
author_sort | Gadek, Leszek |
collection | PubMed |
description | A safe way of securing the airway with an endotracheal tube is one of the priorities of an advanced cardiovascular life support algorithm for suspected or confirmed COVID-19 patients. The aim of this study was to compare intubation success rates (ISR) and intubation time (IT) of different laryngoscopes for simulated COVID-19 patients under cardiopulmonary resuscitation. The study was designed as a prospective, randomized, crossover trial. Fifty four active paramedics performed endotracheal intubation with a Macintosh direct laryngoscope (MAC) and McGrath videolaryngoscope (McGrath) with and without personal protective equipment (PPE). Without PPE, ISRs were 87% and 98% for MAC and McGrath, respectively (p = 0.32). ITs were 22.5 s (IQR: 19–26) and 19.5 s (IQR: 17–21) for MAC and McGrath, respectively (p = 0.005). With PPE, first-pass ISR were 30% and 89% with MAC and McGrath, respectively (p < 0.001). The overall success rates were 83% vs. 100% (p = 0.002). Median ITs were 34.0 s (IQR: 29.5–38.5) and 24.8 s (IQR: 21–29) for MAC and McGrath, respectively (p < 0.001). In conclusion, the McGrath videolaryngoscope appears to possess significant advantages over the Macintosh direct laryngoscope when used by paramedics in suspected or confirmed COVID-19 intubation scenarios. |
format | Online Article Text |
id | pubmed-8707195 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2021 |
publisher | MDPI |
record_format | MEDLINE/PubMed |
spelling | pubmed-87071952021-12-25 Direct vs. Video-Laryngoscopy for Intubation by Paramedics of Simulated COVID-19 Patients under Cardiopulmonary Resuscitation: A Randomized Crossover Trial Gadek, Leszek Szarpak, Lukasz Konge, Lars Dabrowski, Marek Telecka-Gadek, Dominika Maslanka, Maciej Drela, Wiktoria Laura Jachowicz, Marta Iskrzycki, Lukasz Bialka, Szymon Peacock, Frank William Smereka, Jacek J Clin Med Article A safe way of securing the airway with an endotracheal tube is one of the priorities of an advanced cardiovascular life support algorithm for suspected or confirmed COVID-19 patients. The aim of this study was to compare intubation success rates (ISR) and intubation time (IT) of different laryngoscopes for simulated COVID-19 patients under cardiopulmonary resuscitation. The study was designed as a prospective, randomized, crossover trial. Fifty four active paramedics performed endotracheal intubation with a Macintosh direct laryngoscope (MAC) and McGrath videolaryngoscope (McGrath) with and without personal protective equipment (PPE). Without PPE, ISRs were 87% and 98% for MAC and McGrath, respectively (p = 0.32). ITs were 22.5 s (IQR: 19–26) and 19.5 s (IQR: 17–21) for MAC and McGrath, respectively (p = 0.005). With PPE, first-pass ISR were 30% and 89% with MAC and McGrath, respectively (p < 0.001). The overall success rates were 83% vs. 100% (p = 0.002). Median ITs were 34.0 s (IQR: 29.5–38.5) and 24.8 s (IQR: 21–29) for MAC and McGrath, respectively (p < 0.001). In conclusion, the McGrath videolaryngoscope appears to possess significant advantages over the Macintosh direct laryngoscope when used by paramedics in suspected or confirmed COVID-19 intubation scenarios. MDPI 2021-12-08 /pmc/articles/PMC8707195/ /pubmed/34945036 http://dx.doi.org/10.3390/jcm10245740 Text en © 2021 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 Gadek, Leszek Szarpak, Lukasz Konge, Lars Dabrowski, Marek Telecka-Gadek, Dominika Maslanka, Maciej Drela, Wiktoria Laura Jachowicz, Marta Iskrzycki, Lukasz Bialka, Szymon Peacock, Frank William Smereka, Jacek Direct vs. Video-Laryngoscopy for Intubation by Paramedics of Simulated COVID-19 Patients under Cardiopulmonary Resuscitation: A Randomized Crossover Trial |
title | Direct vs. Video-Laryngoscopy for Intubation by Paramedics of Simulated COVID-19 Patients under Cardiopulmonary Resuscitation: A Randomized Crossover Trial |
title_full | Direct vs. Video-Laryngoscopy for Intubation by Paramedics of Simulated COVID-19 Patients under Cardiopulmonary Resuscitation: A Randomized Crossover Trial |
title_fullStr | Direct vs. Video-Laryngoscopy for Intubation by Paramedics of Simulated COVID-19 Patients under Cardiopulmonary Resuscitation: A Randomized Crossover Trial |
title_full_unstemmed | Direct vs. Video-Laryngoscopy for Intubation by Paramedics of Simulated COVID-19 Patients under Cardiopulmonary Resuscitation: A Randomized Crossover Trial |
title_short | Direct vs. Video-Laryngoscopy for Intubation by Paramedics of Simulated COVID-19 Patients under Cardiopulmonary Resuscitation: A Randomized Crossover Trial |
title_sort | direct vs. video-laryngoscopy for intubation by paramedics of simulated covid-19 patients under cardiopulmonary resuscitation: a randomized crossover trial |
topic | Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8707195/ https://www.ncbi.nlm.nih.gov/pubmed/34945036 http://dx.doi.org/10.3390/jcm10245740 |
work_keys_str_mv | AT gadekleszek directvsvideolaryngoscopyforintubationbyparamedicsofsimulatedcovid19patientsundercardiopulmonaryresuscitationarandomizedcrossovertrial AT szarpaklukasz directvsvideolaryngoscopyforintubationbyparamedicsofsimulatedcovid19patientsundercardiopulmonaryresuscitationarandomizedcrossovertrial AT kongelars directvsvideolaryngoscopyforintubationbyparamedicsofsimulatedcovid19patientsundercardiopulmonaryresuscitationarandomizedcrossovertrial AT dabrowskimarek directvsvideolaryngoscopyforintubationbyparamedicsofsimulatedcovid19patientsundercardiopulmonaryresuscitationarandomizedcrossovertrial AT teleckagadekdominika directvsvideolaryngoscopyforintubationbyparamedicsofsimulatedcovid19patientsundercardiopulmonaryresuscitationarandomizedcrossovertrial AT maslankamaciej directvsvideolaryngoscopyforintubationbyparamedicsofsimulatedcovid19patientsundercardiopulmonaryresuscitationarandomizedcrossovertrial AT drelawiktorialaura directvsvideolaryngoscopyforintubationbyparamedicsofsimulatedcovid19patientsundercardiopulmonaryresuscitationarandomizedcrossovertrial AT jachowiczmarta directvsvideolaryngoscopyforintubationbyparamedicsofsimulatedcovid19patientsundercardiopulmonaryresuscitationarandomizedcrossovertrial AT iskrzyckilukasz directvsvideolaryngoscopyforintubationbyparamedicsofsimulatedcovid19patientsundercardiopulmonaryresuscitationarandomizedcrossovertrial AT bialkaszymon directvsvideolaryngoscopyforintubationbyparamedicsofsimulatedcovid19patientsundercardiopulmonaryresuscitationarandomizedcrossovertrial AT peacockfrankwilliam directvsvideolaryngoscopyforintubationbyparamedicsofsimulatedcovid19patientsundercardiopulmonaryresuscitationarandomizedcrossovertrial AT smerekajacek directvsvideolaryngoscopyforintubationbyparamedicsofsimulatedcovid19patientsundercardiopulmonaryresuscitationarandomizedcrossovertrial |