scholarly journals Evaluation of the McGrath® MAC videolaryngoscope in a tertiary teaching hospital

2016 ◽  
Vol 26 (2) ◽  
pp. 102-108 ◽  
Author(s):  
Jolin Wong ◽  
Zihui Tan ◽  
Patrick Wong
Keyword(s):  
Confidence Interval ◽  
Success Rate ◽  
Online Survey ◽  
Elective Surgery ◽  
Good Choice ◽  
Tube Insertion ◽  
Tertiary Teaching ◽  
Airway Trauma ◽  
Difficult Airways

Background: Videolaryngoscopes have become increasingly popular in recent years for use in both normal and difficult airways. Despite this trend, their benefit remains controversial. The McGrath® MAC videolaryngoscope (Aircraft Medical Ltd, Edinburgh, UK) is used for first line or rescue intubation, and for training in videolaryngoscopy intubation. We conducted a prospective observational study to assess the performance of the McGrath® MAC. Methods: We evaluated the use of the McGrath® MAC videolaryngoscope from January 2016 to April 2016. We recruited 500 adult patients undergoing elective surgery requiring endotracheal intubation. Data was collected via an online survey. The primary outcome was the success of intubation with the McGrath® MAC. Secondary outcomes included the ease of the McGrath® MAC insertion, best glottic view, ease of tracheal tube insertion, number of intubation attempts, evidence of airway trauma, quality of view, adjunct used, airway manoeuvres used, quality of image on monitor screen and overall impression of the device. Results: A total of 428 responses were analysed. The overall success rate was 97.9% (95% confidence interval 96.0–99.0%). The success rate for those with predictors of difficult airway was 95.5% (95% confidence interval 87.6–99.5%). Easy scope insertion was reported by 97.2% of anaesthetists and 89.7% reported easy tube insertion. Some of our cases (1.9%) were complicated by airway trauma involving superficial oropharyngeal or lip injury. Conclusion: The McGrath® MAC videolaryngoscope is a good choice for a videolaryngoscope, conferring advantages of a high intubation success rate, ease of laryngoscope insertion and ease of intubation. It is suitable for use in predicted difficult airways.

scholarly journals Intestinal Ostomies Created During Emergency Surgery Possess Unique Challenges

2020 ◽  
Author(s):  
Wibke Schulte ◽  
Ilhamiyya Aliyeva ◽  
Michael Knoop ◽  
Johann Pratschke
Keyword(s):  
Emergency Surgery ◽  
Online Survey ◽  
Elective Surgery ◽  
Surgical Care ◽  
Wound Dehiscence ◽  
University Hospital ◽  
Complication Rates ◽  
Emergency Patients ◽  
Artificial Opening

Abstract Background: The surgical creation of an artificial opening of the bowel, called ostomy, can become necessary for very different causative diseases. A special subgroup are ostomies created during emergency surgery, which pose particular challenges to affected patients. This work is dedicated to their detailed characterization.Methods: A retrospective analysis of surgical ostomy creations at an acute care university hospital and an online survey for patients with an ostomy were performed and evaluated.Results: In our study, about one third of all ostomies were created during emergency surgery (37.4%). Compared to patients who received an ostomy during elective surgery, emergency patients had a higher ASA score and diagnoses requiring acute surgical care. Patients undergoing emergency surgery were more likely to have inadequate preoperative medical education (60% vs. 33.3%, p=0.029), and rarely received preoperative ostomy marking (4% vs. 79.2%, p<0.001). Emergency patients underwent minimally invasive surgery less frequently (26.8% vs. 51.3%, p=0.001), and showed a higher rate of peristomal wound dehiscence (9.9% vs. 2.5%, p=0.028). Accordingly, emergency ostomies often resulted in an overall reduction in postoperative quality of life.Conclusion: Ostomies are often created during emergency surgery under suboptimal perioperative conditions. This results in higher complication rates and negative physical and psychological effects. Therefore, intensive interdisciplinary care is essential to provide the best possible care for patients affected by these artificially created intestinal outlets.

scholarly journals Proficiencies of Military Medical Officers in Intubating Difficult Airways

2020 ◽  
Author(s):  
Jonathan Zhao Min Lim ◽  
Shi Hao Chew ◽  
Benjamin Zhao Bin Chin ◽  
Raymond Chern Hwee Siew
Keyword(s):  
Difficult Airway ◽  
Success Rate ◽  
Graduate Training ◽  
Success Rates ◽  
Post Graduate ◽  
Airway Trauma ◽  
Intubation Success ◽  
Post Graduate Training ◽  
Difficult Airways ◽  
Mean Time

Abstract Background This study sheds light on the proficiency of military medical officers who had received between 2-3 years of post-graduate training, in the handling of the difficult airway in a trauma manikin simulator using direct and video laryngoscopes. Method 133 doctors from the Singapore Armed Forces Medical Officer Cadet Course were assessed using high-fidelity simulator models with standardised difficult airways (simulator with tongue-swelling and cervical collar). They used the Macintosh direct laryngoscope (DL), King Vision channelled-blade laryngoscope (KVC), King Vision non-channelled blade laryngoscope (KVNC), and the McGrath (MG) laryngoscope on the same model in a randomised sequence. The intubation success rates and time to intubation were recorded and analysed for the study. Results The medical officers had a 71.4% intubation success rate with the DL on the difficult airway trauma simulator model and the mean time to intubation of 40.1s. With the KVC, the success rate is 86.5% with mean intubation time of 40.4s. The KVNC produced 24.8% success rate, with mean time to intubation of 53.2s. The MG laryngoscope produced 85.0% success rate, with a mean time of intubation of 37.4s. Conclusion Military medical officers with 2-3 years of post-graduate training had a success rate of 71.4% success rate intubating a simulated difficult airway in a trauma setting using a DL. Success rates were improved with the use of KVC and the MG laryngoscope, but was worse with the KVNC.

scholarly journals Tolker leserne forskningsresultater i tråd med forfatternes intensjoner?

2013 ◽  
Vol 23 (2) ◽  
Author(s):  
Tove Ringerike ◽  
Claire Glenton ◽  
Gunn Elisabeth Vist ◽  
Gro Jamtvedt ◽  
Magne Nylenna
Keyword(s):  
Health Services ◽  
Confidence Interval ◽  
Clinical Research ◽  
Online Survey ◽  
English Summary ◽  
Research Results ◽  
E Mail

<p><em>Bakgrunn</em>: Forskningsresultater kan formidles på ulike måter, både gjennom tall, tekst og kombinasjoner av disse. Utover et effektestimat er det i klinisk forskning også ønskelig å si noe om hvor sikker man er på resultatet, for eksempel ved å oppgi konfidensintervall og gjøre en vurdering av kvaliteten på dokumentasjonen. Vår hensikt med denne undersøkelsen var å få en indikasjon på hvordan våre måter å formidle resultater på, blir oppfattet blant våre lesere.</p><p><em>Materiale og metoder</em>: Vi hentet 17 resultatformuleringer fra Kunnskapssenterets rapporter og utførte en nettbasert spørreundersøkelse. Leserne skulle svare på hva de trodde forfatterne forsøkte å formidle. Åpen invitasjon til å delta i undersøkelsen ble sendt som del av Kunnskapssenterets nyhetsbrev til over 3 000 epostmottakere.</p><p><em>Resultater</em>: Vi mottok 173 utfylte spørreskjemaer. For samtlige formuleringer var det flertall (mer enn 50 %) for den tolkningen som etter vår vurdering var mest i tråd med forfatternes intensjoner, men andelen varierte fra 54,1 % til 93,4 %.</p><p><em>Konklusjon</em>: Respondentenes tolkninger av Kunnskapssenterets resultatformuleringer samsvarte i hovedsak med intensjonene. Variasjonen i tolkning viste imidlertid at vi må fortsette arbeidet med å finne lettfattelige, men likevel tilstrekkelig presise formuleringer.</p><p>Ringerike T, Glenton C, Vist GE, Jamtvedt G, Nylenna M.<strong> Do readers interpret research results in line with the authors' intentions?</strong> <em>Nor J Epidemiol</em> 2013; <strong>23</strong> (2): 231-236.</p><p><strong>ENGLISH SUMMARY</strong></p><p><em>Background</em>: Research results can be communicated in various ways, for instance through numbers, words, and combinations of these. Within clinical research, in addition to presenting the estimate of effect, it is also desirable to say something about our confidence in this result, for example by presenting a confidence interval and making an assessment of the quality of the evidence. The purpose of this study was to assess how the ways in which we communicate results are perceived by our readers.</p><p><em>Material and methods</em>: We selected 17 results-statements taken from reports published by the Norwegian Knowledge Centre for the Health Services, and conducted an online survey. Participants were asked to respond to what they thought the writers were trying to convey. An open invitation to participate in the survey was sent with the biweekly newsletter for the Norwegian Knowledge Centre for the Health Services, which is delivered to over 3,000 e-mail recipients.</p><p><em>Results</em>: We received 173 completed questionnaires. For all statements, the majority (over 50 %) chose the interpretation that in our assessment was most in line with the authors’ intentions, but the proportion varied from 54.1 % to 93.4 %.</p><p><em>Conclusion</em>: Respondents’ interpretations of the Knowledge Centre’s statements of results corresponded largely with the authors’ intentions. The variation in interpretations shows that we must continue to work to find formulations that are easy to understand, yet sufficiently precise.</p>

scholarly journals Proficiencies of Military Medical Officers in Intubating Difficult Airways

2020 ◽  
Author(s):  
Jonathan Zhao Min Lim ◽  
Shi Hao Chew ◽  
Benjamin Zhao Bin Chin ◽  
Raymond Chern Hwee Siew
Keyword(s):  
Difficult Airway ◽  
Success Rate ◽  
Graduate Training ◽  
Success Rates ◽  
Post Graduate ◽  
Airway Trauma ◽  
Intubation Success ◽  
Post Graduate Training ◽  
Difficult Airways ◽  
Mean Time

Abstract Background This study sheds light on the proficiency of military medical officers who had received between 2-3 years of post-graduate training, in the handling of the difficult airway in a trauma manikin simulator using direct and video laryngoscopes. Method 133 doctors from the Singapore Armed Forces Medical Officer Cadet Course were assessed using high-fidelity simulator models with standardised difficult airways (simulator with tongue-swelling and cervical collar). They used the Macintosh direct laryngoscope (DL), King Vision channelled-blade laryngoscope (KVC), King Vision non-channelled blade laryngoscope (KVNC), and the McGrath (MG) laryngoscope on the same model in a randomised sequence. The intubation success rates and time to intubation were recorded and analysed for the study. Results The medical officers had a 71.4% intubation success rate with the DL on the difficult airway trauma simulator model and the mean time to intubation of 40.1s. With the KVC, the success rate is 86.5% with mean intubation time of 40.4s. The KVNC produced 24.8% success rate, with mean time to intubation of 53.2s. The MG laryngoscope produced 85.0% success rate, with a mean time of intubation of 37.4s. Conclusion Military medical officers with 2-3 years of post-graduate training had a success rate of 71.4% success rate intubating a simulated difficult airway in a trauma setting using a DL. Success rates were improved with the use of KVC and the MG laryngoscope, but was worse with the KVNC.

scholarly journals Proficiencies of military medical officers in intubating difficult airways

2020 ◽  
Vol 20 (1) ◽  
Author(s):  
Jonathan ZM Lim ◽  
Shi Hao Chew ◽  
Benjamin ZB Chin ◽  
Raymond CH Siew
Keyword(s):  
Difficult Airway ◽  
Success Rate ◽  
Graduate Training ◽  
Success Rates ◽  
Post Graduate ◽  
Airway Trauma ◽  
Intubation Success ◽  
Post Graduate Training ◽  
Difficult Airways ◽  
Mean Time

Abstract Background This study sheds light on the proficiency of military medical officers who had received between 2 and 3 years of post-graduate training, in the handling of the difficult airway in a trauma manikin simulator using direct and video laryngoscopes. Method One hundred thirty-three doctors from the Singapore Armed Forces Medical Officer Cadet Course were assessed using high-fidelity simulator models with standardised difficult airways (simulator with tongue-swelling and cervical collar). They used the Macintosh direct laryngoscope (DL), King Vision channelled-blade laryngoscope (KVC), King Vision non-channelled blade laryngoscope (KVNC), and the McGrath (MG) laryngoscope on the same model in a randomised sequence. The intubation success rates and time to intubation were recorded and analysed for the study. Results The medical officers had a 71.4% intubation success rate with the DL on the difficult airway trauma simulator model and the mean time to intubation of 40.1 s. With the KVC, the success rate is 86.5% with mean intubation time of 40.4 s. The KVNC produced 24.8% success rate, with mean time to intubation of 53.2 s. The MG laryngoscope produced 85.0% success rate, with a mean time of intubation of 37.4 s. Conclusion Military medical officers with 2–3 years of post-graduate training had a success rate of 71.4% success rate intubating a simulated difficult airway in a trauma setting using a DL. Success rates were improved with the use of KVC and the MG laryngoscope, but was worse with the KVNC.

scholarly journals Proficiencies of Military Medical Officers in Intubating Difficult Airways

2020 ◽  
Author(s):  
Jonathan Zhao Min Lim ◽  
Shi Hao Chew ◽  
Benjamin Zhao Bin Chin ◽  
Raymond Chern Hwee Siew
Keyword(s):  
Difficult Airway ◽  
Success Rate ◽  
Graduate Training ◽  
Success Rates ◽  
Post Graduate ◽  
Airway Trauma ◽  
Intubation Success ◽  
Post Graduate Training ◽  
Difficult Airways ◽  
Mean Time

Abstract Background This study sheds light on the proficiency of military medical officers who had received between 2-3 years of post-graduate training, in the handling of the difficult airway in a trauma manikin simulator using direct and video laryngoscopes. Method 133 doctors from the Singapore Armed Forces Medical Officer Cadet Course were assessed using high-fidelity simulator models with standardised difficult airways (simulator with tongue-swelling and cervical collar). They used the Macintosh direct laryngoscope (DL), King Vision channelled-blade laryngoscope (KVC), King Vision non-channelled blade laryngoscope (KVNC), and the McGrath (MG) laryngoscope on the same model in a randomised sequence. The intubation success rates and time to intubation were recorded and analysed for the study. Results The medical officers had a 71.4% intubation success rate with the DL on the difficult airway trauma simulator model and the mean time to intubation of 40.1s. With the KVC, the success rate is 86.5% with mean intubation time of 40.4s. The KVNC produced 24.8% success rate, with mean time to intubation of 53.2s. The MG laryngoscope produced 85.0% success rate, with a mean time of intubation of 37.4s. Conclusion Military medical officers with 2-3 years of post-graduate training had a success rate of 71.4% success rate intubating a simulated difficult airway in a trauma setting using a DL. Success rates were improved with the use of KVC and the MG laryngoscope, but was worse with the KVNC.

scholarly journals Proficiencies of Military Medical Officers in Intubating Difficult Airways

2020 ◽  
Author(s):  
Jonathan Zhao Min Lim ◽  
Shi Hao Chew ◽  
Benjamin Zhao Bin Chin ◽  
Raymond Chern Hwee Siew
Keyword(s):  
Difficult Airway ◽  
Success Rate ◽  
Graduate Training ◽  
Success Rates ◽  
Post Graduate ◽  
Airway Trauma ◽  
Intubation Success ◽  
Post Graduate Training ◽  
Difficult Airways ◽  
Mean Time

Abstract Introduction This study shed light on the proficiency of military medical officers who had received between 2-3 years of post-graduate training, in the handling of the difficult airway in a trauma manikin simulator using direct and video laryngoscopes.Method133 doctors from the Singapore Armed Forces Medical Officer Cadet Course were assessed using high-fidelity simulator models with standardised difficult airways (simulator with tongue-swelling and cervical collar). They used the Macintosh direct laryngoscope (DL), King Vision channelled-blade laryngoscope (KVC), King Vision non-channelled blade laryngoscope (KVNC), and the McGrath (MG) laryngoscope on the same model in a randomised sequence. The intubation success rates and time to intubation were recorded and analysed for the study.ResultsThe medical officers had a 71.4% intubation success rate with the DL on the difficult airway trauma simulator model and the mean time to intubation of 40.1s. With the KVC, the success rate is 86.5% with mean intubation time of 40.4s. The KVNC produced 24.8% success rate, with mean time to intubation of 53.2s. The MG laryngoscope produced 85.0% success rate, with a mean time of intubation of 37.4s.ConclusionMilitary medical officers with 2-3 years of post-graduate training had a success rate of 71.4% success rate intubating a simulated difficult airway in a trauma setting using a DL. Success rates were improved with the use of KVC and the MG laryngoscope, but was worse with the KVNC.

PENERAPAN iLEARNING SURVEY (iSur) DALAM MENINGKATKAN KUALITAS SISTEM INFORMASI SELAMA PROSES PEMBELAJARAN DI PERGURUAN TINGGI RAHARJA

CCIT Journal ◽  
2014 ◽  
Vol 7 (3) ◽  
pp. 335-354
Author(s):  
Untung Rahardja ◽  
Muhamad Yusup ◽  
Ana Nurmaliana
Keyword(s):  
Higher Education ◽  
Student Satisfaction ◽  
Teaching And Learning ◽  
Online Survey ◽  
The Other ◽  
Learning Activities ◽  
Faculty Performance ◽  
Satisfaction Measurement ◽  
Valid Information

The accuracy and reliability is the quality of the information. The more accurate and reliable, the more information it’s good quality. Similarly, a survey, the better the survey, the more accurate the information provided. Implementation of student satisfaction measurement to the process of teaching and learning activities on the quality of the implementation of important lectures in order to get feedback on the assessed variables and for future repair. Likewise in Higher Education Prog has undertaken the process of measuring student satisfaction through a distributed questioner finally disemester each class lecture. However, the deployment process questioner is identified there are 7 (seven) problems. However, the problem can be resolved by the 3 (three) ways of solving problems one of which is a system of iLearning Survey (Isur), that is by providing an online survey to students that can be accessed anywhere and anytime. In the implementation shown a prototype of Isur itself. It can be concluded that the contribution Isur system can maximize the decision taken by the Higher Education Prog. By using this Isur system with questions and evaluation forms are submitted and given to the students and the other colleges. To assess the extent to which the campus has grown and how faculty performance in teaching students class, and can be used as a media Isur valid information for an assessment of activities throughout college.

Examining User Perception and Usage of Voice Search

2020 ◽  
Vol 5 (1) ◽  
pp. 40-47
Author(s):  
Ning Sa ◽  
Xiaojun (Jenny) Yuan
Keyword(s):  
Success Rate ◽  
Mobile Devices ◽  
Online Survey ◽  
Search Behavior ◽  
Mobile Technologies ◽  
User Perception ◽  
Daily Lives ◽  
Survey Results ◽  
Search Systems

AbstractWith the development of mobile technologies, voice search is becoming increasingly important in our daily lives. By investigating the general usage of voice search and user perception about voice search systems, this research aims to understand users’ voice search behavior. We are particularly interested in how users perform voice search, their topics of interest, and their preference toward voice search. We elicit users’ opinions by asking them to fill out an online survey. Results indicated that participants liked voice search because it was convenient. However, voice search was used much less frequently than keyboard search. The success rate of voice search was low, and the participants usually gave up voice search or switched to keyboard search. They tended to perform voice search when they were driving or walking. Moreover, the participants mainly used voice search for simple tasks on mobile devices. The main reasons why participants disliked voice search are attributed to the system mistakes and the fact that they were unable to modify the queries.

68. The resident experience in a large urban teaching setting: Results of the 2005-2006 resident exit survey, University of Torontos

2007 ◽  
Vol 30 (4) ◽  
pp. 66
Author(s):  
N. Tenn-Lyn ◽  
S. Verma ◽  
R. Zulla
Keyword(s):  
Quality Control ◽  
Residency Training ◽  
Royal College ◽  
Online Survey ◽  
Career Guidance ◽  
Training Programs ◽  
Program Planning ◽  
Educational Experience ◽  
Care Experience

We developed and implemented an annual online survey to administer to residents exiting residency training in order to (1) assess the quality of the residency experience and (2) identify areas of strength and areas requiring improvement. Long-term goals include program planning, policy-making and maintenance of quality control. Survey content was developed from an environmental scan, pre-existing survey instruments, examination of training criteria established by the CFPC and the CanMEDS criteria established by the RCPSC. The survey included evaluation benchmarks and satisfaction ratings of program director and faculty, preparation for certification and practice, quality of life, quality of education, and work environment. The response rate was 28%. Seventy-five percent of respondents were exiting from Royal College training programs. Results of descriptive statistics determined that the overall educational experience was rated highly, with 98.9% of respondents satisfied or very satisfied with their overall patient care experience. Ninety-six percent of respondents were satisfied or very satisfied with the overall quality of teaching. Preparation for practice was identified as needing improvement, with 26% and 34% of respondents giving an unsatisfactory rating to career guidance and assistance with finding employment, respectively. Although 80% of respondents reported receiving ongoing feedback and 84% discussed their evaluations with their supervisors, only 38% of evaluations were completed by the end of the rotation. The results indicate that residents are generally satisfied with their experiences during residency training, especially with their overall educational experience. Areas of improvement include preparation for practice and timeliness of evaluations. Further iterations of this survey are needed to refine the instrument, identify data trends and maintain quality control in residency training programs. Frank JR (ed.). The CanMEDS competency framework: better standards, better physicians, better care. Ottawa: The Royal College of Physicians and Surgeons of Canada, 2005. Merritt, Hawkins and Associates. Summary Report: 2003 Survey of final-year medical residents. http://www.merritthawkins.com/pdf/MHA2003residentsurv.pdf. Accessed May 1, 2006. Regnier K, Kopelow M, Lane D, Alden A. Accreditation for learning and change: Quality and improvement as the outcome. The Journal of Continuing Education in the Health Professions 2005; 25:174-182.

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