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Success Rate on Endotracheal Intubation with Prone versus Kneeling Position in Mannequin Model with Limitation of Neck Movement: A Cross Over Study

PURPOSE: Endotracheal intubation is a lifesaving procedure for airway management but is more complex when performed in patients lying on the ground and requiring cervical spine immobilization. This study aims to compare the optimal technique between prone and kneeling positions in increasing intubat...

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Autores principales: Tangkulpanich, Panvilai, Jenpanitpong, Chetsadakon, Patchkrua, Jirayoot, Silarak, Chappawit, Srinaowech, Nattagit, Thiamdao, Natthaphong, Yuksen, Chaiyaporn
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Dove 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9034881/
https://www.ncbi.nlm.nih.gov/pubmed/35469276
http://dx.doi.org/10.2147/OAEM.S360169
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author Tangkulpanich, Panvilai
Jenpanitpong, Chetsadakon
Patchkrua, Jirayoot
Silarak, Chappawit
Srinaowech, Nattagit
Thiamdao, Natthaphong
Yuksen, Chaiyaporn
author_facet Tangkulpanich, Panvilai
Jenpanitpong, Chetsadakon
Patchkrua, Jirayoot
Silarak, Chappawit
Srinaowech, Nattagit
Thiamdao, Natthaphong
Yuksen, Chaiyaporn
author_sort Tangkulpanich, Panvilai
collection PubMed
description PURPOSE: Endotracheal intubation is a lifesaving procedure for airway management but is more complex when performed in patients lying on the ground and requiring cervical spine immobilization. This study aims to compare the optimal technique between prone and kneeling positions in increasing intubation success rate on these prehospital trauma patients. PATIENTS AND METHODS: This study was an experimental study on a mannequin. Paramedic students performed intubation on the supine mannequin, which was applied with a rigid cervical collar and manual in-line stabilization. The participants were randomly assigned to intubate in a prone or kneeling position as the first method, then perform another method seven days later. Study outcomes include the percentage of successful intubation, time to perform intubation successfully, and Cormack and Lehane’s classification of laryngeal view. RESULTS: Thirty-nine participants were enrolled in this study; 22 were male (56.41%). The mean age, weight, and height were 23.15 ± 4.75 years, 67.38 ± 17.39 kg, and 167.36 ± 8.70 cm., respectively. The percentage of successful intubation in prone (37 [94.90%]) was higher than kneeling position (35 [89.74%]), but there was no statistically significant (p-value = 0.675). Time to intubation successfully, the number of attempts, and Cormack & Lehane's laryngeal view classification were not significantly different between prone and kneeling groups (p-value = 0.808, 0.814, and 0.948, respectively). CONCLUSION: Intubation with the prone or kneeling position on a mannequin, lying on the ground with cervical spine immobilization, has no statistical difference. Both intubation approaches appear to be effective in successful and rapid intubation, proper glottic visualization and low attempts.
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spelling pubmed-90348812022-04-24 Success Rate on Endotracheal Intubation with Prone versus Kneeling Position in Mannequin Model with Limitation of Neck Movement: A Cross Over Study Tangkulpanich, Panvilai Jenpanitpong, Chetsadakon Patchkrua, Jirayoot Silarak, Chappawit Srinaowech, Nattagit Thiamdao, Natthaphong Yuksen, Chaiyaporn Open Access Emerg Med Original Research PURPOSE: Endotracheal intubation is a lifesaving procedure for airway management but is more complex when performed in patients lying on the ground and requiring cervical spine immobilization. This study aims to compare the optimal technique between prone and kneeling positions in increasing intubation success rate on these prehospital trauma patients. PATIENTS AND METHODS: This study was an experimental study on a mannequin. Paramedic students performed intubation on the supine mannequin, which was applied with a rigid cervical collar and manual in-line stabilization. The participants were randomly assigned to intubate in a prone or kneeling position as the first method, then perform another method seven days later. Study outcomes include the percentage of successful intubation, time to perform intubation successfully, and Cormack and Lehane’s classification of laryngeal view. RESULTS: Thirty-nine participants were enrolled in this study; 22 were male (56.41%). The mean age, weight, and height were 23.15 ± 4.75 years, 67.38 ± 17.39 kg, and 167.36 ± 8.70 cm., respectively. The percentage of successful intubation in prone (37 [94.90%]) was higher than kneeling position (35 [89.74%]), but there was no statistically significant (p-value = 0.675). Time to intubation successfully, the number of attempts, and Cormack & Lehane's laryngeal view classification were not significantly different between prone and kneeling groups (p-value = 0.808, 0.814, and 0.948, respectively). CONCLUSION: Intubation with the prone or kneeling position on a mannequin, lying on the ground with cervical spine immobilization, has no statistical difference. Both intubation approaches appear to be effective in successful and rapid intubation, proper glottic visualization and low attempts. Dove 2022-04-19 /pmc/articles/PMC9034881/ /pubmed/35469276 http://dx.doi.org/10.2147/OAEM.S360169 Text en © 2022 Tangkulpanich et al. https://creativecommons.org/licenses/by-nc/3.0/This work is published and licensed by Dove Medical Press Limited. The full terms of this license are available at https://www.dovepress.com/terms.php and incorporate the Creative Commons Attribution – Non Commercial (unported, v3.0) License (http://creativecommons.org/licenses/by-nc/3.0/ (https://creativecommons.org/licenses/by-nc/3.0/) ). By accessing the work you hereby accept the Terms. Non-commercial uses of the work are permitted without any further permission from Dove Medical Press Limited, provided the work is properly attributed. For permission for commercial use of this work, please see paragraphs 4.2 and 5 of our Terms (https://www.dovepress.com/terms.php).
spellingShingle Original Research
Tangkulpanich, Panvilai
Jenpanitpong, Chetsadakon
Patchkrua, Jirayoot
Silarak, Chappawit
Srinaowech, Nattagit
Thiamdao, Natthaphong
Yuksen, Chaiyaporn
Success Rate on Endotracheal Intubation with Prone versus Kneeling Position in Mannequin Model with Limitation of Neck Movement: A Cross Over Study
title Success Rate on Endotracheal Intubation with Prone versus Kneeling Position in Mannequin Model with Limitation of Neck Movement: A Cross Over Study
title_full Success Rate on Endotracheal Intubation with Prone versus Kneeling Position in Mannequin Model with Limitation of Neck Movement: A Cross Over Study
title_fullStr Success Rate on Endotracheal Intubation with Prone versus Kneeling Position in Mannequin Model with Limitation of Neck Movement: A Cross Over Study
title_full_unstemmed Success Rate on Endotracheal Intubation with Prone versus Kneeling Position in Mannequin Model with Limitation of Neck Movement: A Cross Over Study
title_short Success Rate on Endotracheal Intubation with Prone versus Kneeling Position in Mannequin Model with Limitation of Neck Movement: A Cross Over Study
title_sort success rate on endotracheal intubation with prone versus kneeling position in mannequin model with limitation of neck movement: a cross over study
topic Original Research
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9034881/
https://www.ncbi.nlm.nih.gov/pubmed/35469276
http://dx.doi.org/10.2147/OAEM.S360169
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