Direct laryngoscope versus McGRATH video-laryngoscope for tracheal intubation in trauma emergency: A randomised control trial

2021 ◽  
Author(s):  
P. Ajith ◽  
Anjishnujit Bandyopadhyay ◽  
Shyam Charan Meena ◽  
Kajal Jain ◽  
Sameer Aggarwal ◽  
...  
Keyword(s):  
Tracheal Intubation ◽  
Video Laryngoscope ◽  
Randomised Control Trial ◽  
Direct Laryngoscope

scholarly journals Analysis of tracheal intubation in out-of-hospital helicopter emergency medicine recorded by video laryngoscopy

2021 ◽  
Vol 29 (1) ◽  
Author(s):  
Jürgen Knapp ◽  
Bettina Eberle ◽  
Michael Bernhard ◽  
Lorenz Theiler ◽  
Urs Pietsch ◽  
...  
Keyword(s):  
Emergency Medicine ◽  
Quality Control ◽  
Tracheal Intubation ◽  
Airway Management ◽  
Success Rate ◽  
Video Laryngoscope ◽  
Solar Irradiation ◽  
Video Laryngoscopy ◽  
Trauma Patients ◽  
Intubation Success

Abstract Background Tracheal intubation remains the gold standard of airway management in emergency medicine and maximizing safety, intubation success, and especially first-pass intubation success (FPS) in these situations is imperative. Methods We conducted a prospective observational study on all 12 helicopter emergency medical service (HEMS) bases of the Swiss Air Rescue, between February 15, 2018, and February 14, 2019. All 428 patients on whom out-of-hospital advanced airway management was performed by the HEMS crew were included. The C-MAC video laryngoscope was used as the primary device for tracheal intubation. Intubation procedures were recorded by the video laryngoscope and precise time points were recorded to verify the time necessary for each attempt and the overall procedure time until successful intubation. The videos were further analysed for problems and complications during airway management by an independent reviewer. Additionally, a questionnaire about the intubation procedure, basic characteristics of the patient, circumstances, environmental factors, and the provider’s level of experience in airway management was filled out. Main outcome measures were FPS of tracheal intubation, overall success rate, overall intubation time, problems and complications of video laryngoscopy. Results FPS rate was 87.6% and overall success rate 98.6%. Success rates, overall time to intubation, and subjective difficulty were not associated to the providers’ expertise in airway management. In patients undergoing CPR FPS was 84.8%, in trauma patients 86.4% and in non-trauma patients 93.3%. FPS in patients with difficult airway characteristics, facial trauma/burns or obesity ranges between 87 and 89%. Performing airway management indoors or inside an ambulance resulted in a significantly higher FPS of 91.1% compared to outdoor locations (p < 0.001). Direct solar irradiation on the screen, fogging of the lens, and blood on the camera significantly impaired FPS. Several issues for further improvements in the use of video laryngoscopy in the out-of-hospital setting and for quality control in airway management were identified. Conclusion Airway management using the C-MAC video laryngoscope with Macintosh blade in a group of operators with mixed experience showed high FPS and overall rates of intubation success. Video recording emergency intubations may improve education and quality control.

scholarly journals A Comparison of the C-MAC Video Laryngoscope to the Macintosh Direct Laryngoscope for Intubation in the Emergency Department

2012 ◽  
Vol 60 (6) ◽  
pp. 739-748 ◽  
Author(s):  
John C. Sakles ◽  
Jarrod Mosier ◽  
Stephen Chiu ◽  
Mari Cosentino ◽  
Leah Kalin
Keyword(s):  
Emergency Department ◽  
Video Laryngoscope ◽  
Direct Laryngoscope

scholarly journals Comparison of videolaryngoscope & direct laryngoscope for intubation in critically ill patients: A Bayesian meta-analysis

2020 ◽  
Author(s):  
Souvik Maitra ◽  
Anirban Som ◽  
Sulagna Bhattacharjee
Keyword(s):  
Bayesian Model ◽  
Observational Studies ◽  
Meta Analysis ◽  
Credible Interval ◽  
Video Laryngoscope ◽  
Bayesian Methodology ◽  
Direct Laryngoscope ◽  
Randomized Controlled ◽  
Intubation Success ◽  
Intubation Success Rate

AbstractPurposeTo identify the benefit of video laryngoscope (VL) over direct laryngoscope (DL) for intubation in the intensive care unit (ICU)Material & MethodsRandomized controlled trials (RCTs) comparing VL with DL for intubation in ICU by was conducted in conventional frequentist methodology and also incorporated of the previous evidences from observational studies in Bayesian methodology.ResultsData of 1464 patients from six RCTs have been included in this meta-analysis. In conventional meta-analysis of RCTs, first attempt intubation success rate was similar between VL and DL group [p=0.39]. Rate of esophageal intubation was significantly less with VL [p=0.03] and glottic visualization was significantly improved with VL in comparison to DL [p=0.009]. Time to intubation was similar in both the group [p=0.48]. When evidences from a meta-analysis of observational studies incorporated in Bayesian model, first attempt intubation success is significantly higher with VL [posterior median log OR (95% credible interval) 0.50 (0.06, 1.00)].ConclusionEvidences from both observational studies and RCTs synthesized in Bayesian methodology suggest that use of VL for endotracheal intubation in critically patients may be associated with higher first intubation success when compared to DL.

scholarly journals Successful tracheal intubation with the McGrath® MAC video laryngoscope after failure with the Pentax-AWS™ in a patient with cervical spine immobilization

2012 ◽  
Vol 59 (12) ◽  
pp. 1154-1155 ◽  
Author(s):  
Shunsuke Hyuga ◽  
Takemi Sekiguchi ◽  
Takashi Ishida ◽  
Katsumi Yamamoto ◽  
Yuki Sugiyama ◽  
...  
Keyword(s):  
Cervical Spine ◽  
Tracheal Intubation ◽  
Video Laryngoscope

scholarly journals Comparison between use of single lightwand and video laryngoscope-guided lightwand for tracheal intubation in simulated cervical spine-immobilized patients: a single-blind randomized study

2019 ◽  
Vol 47 (11) ◽  
pp. 5632-5642
Author(s):  
Ha Yeon Kim ◽  
Eun Jung Kim ◽  
Hei Jin Yoon ◽  
Byungwoong Ko ◽  
Seung Yeon Choi ◽  
...  
Keyword(s):  
Cervical Spine ◽  
Postoperative Complications ◽  
Tracheal Intubation ◽  
Success Rate ◽  
Randomized Study ◽  
Video Laryngoscope ◽  
Second Grade ◽  
Airway Complications ◽  
Mucosal Bleeding ◽  
Single Blind

Objective This study was performed to compare the use of a video laryngoscope-guided lightwand versus a single lightwand for tracheal intubation performed by non-experts in cervical spine-immobilized patients. Methods In total, 318 patients under general anesthesia were assigned either to the single lightwand group (Group L) or the video laryngoscope-guided lightwand group (Group VL) at a 1:1 ratio. First- or second-grade residents performed tracheal intubation with the assigned device after applying semi-hard fitted cervical collars to the patients. Outcomes, including the success rate and airway complications, were compared between the two groups. Results There were no significant differences in demographics or airway-related characteristics between the two groups. The success rate of intubation on the first attempt was significantly higher in Group VL than in Group L (90% vs. 64%, respectively). Postoperative complications, including oral mucosal bleeding, hoarseness, and sore throat scores at 1 and 24 hours after surgery, were significantly lower in Group VL than in Group L. Conclusions The use of a video laryngoscope-guided lightwand for tracheal intubation can be useful for non-experts who encounter difficult airway situations.

scholarly journals First attempt success of video versus direct laryngoscopy for endotracheal intubation by ambulance nurses: a prospective observational study

2020 ◽  
Vol 46 (5) ◽  
pp. 1039-1045 ◽  
Author(s):  
Wim Breeman ◽  
Mark G. Van Vledder ◽  
Michael H. J. Verhofstad ◽  
Albert Visser ◽  
Esther M. M. Van Lieshout
Keyword(s):  
Success Rate ◽  
Endotracheal Intubation ◽  
Direct Laryngoscopy ◽  
Prospective Observational Study ◽  
Primary Outcome ◽  
Spontaneous Circulation ◽  
Video Laryngoscope ◽  
Video Laryngoscopy ◽  
Direct Laryngoscope ◽  
Positive Effect

Abstract Purpose The aim of this study was to compare the rate of first attempt success of endotracheal intubation performed by ambulance nurses in patients with a Glasgow Coma Scale (GCS)  of 3 using video laryngoscopy versus direct laryngoscopy. Methods A prospective cohort study was conducted in a single, independent ambulance service. Twenty of a total of 65 nurse-staffed ambulances were equipped with a video laryngoscope; a classic direct laryngoscope (Macintosh) was available on all 65 ambulances. The primary outcome was first attempt success of the intubation. Secondary outcomes were overall success, time needed for intubation, adverse events, technical or environmental issues encountered, and return of spontaneous circulation (ROSC). Ambulance nurses were asked if the intubation device had affected the outcome of the intubation. Results The first attempt success rate in the video laryngoscopy group [53 of 93 attempts (57%)] did not differ from that in the direct laryngoscopy group [61 of 126 (48%); p = 0.221]. However, the second attempt success rate was higher in the video laryngoscopy group [77/93 (83%) versus 80/126 (63%), p = 0.002]. The median time needed for the intubation (53 versus 56 s) was similar in both groups. Ambulance nurses more often expected a positive effect when performing endotracheal intubation with a video laryngoscope (n = 72, 81%) compared with a direct laryngoscope (n = 49, 52%; p < 0.001). Conclusion Although no significant effect on the first attempt success was found, video laryngoscopy did increase the overall success rate. Ambulance nurses had a more positive valuation of the video laryngoscope with respect to success chances.

Sign in / Sign up

Export Citation Format

Share Document