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 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.

scholarly journals Comparison of GlideScope Videolaryngoscopy to Direct Laryngoscopy for Intubation of a Pediatric Simulator by Novice Physicians

2013 ◽  
Vol 2013 ◽  
pp. 1-6 ◽  
Author(s):  
Joni E. Rabiner ◽  
Marc Auerbach ◽  
Jeffrey R. Avner ◽  
Dina Daswani ◽  
Hnin Khine
Keyword(s):  
Crossover Study ◽  
Difficult Airway ◽  
Direct Laryngoscopy ◽  
Successful Intubation ◽  
Success Rates ◽  
Normal Airway ◽  
Intubation Success ◽  
Mean Time ◽  
Randomized Crossover Study

Objective. To compare novice clinicians’ performance using GlideScope videolaryngoscopy (GVL) to direct laryngoscopy (DL).Methods. This was a prospective, randomized crossover study. Incoming pediatric interns intubated pediatric simulators in four normal and difficult airway scenarios with GVL and DL. Primary outcomes included time to intubation and rate of successful intubation. Interns rated their satisfaction of the devices and chose the preferred device.Results. Twenty-five interns were included. In the normal airway scenario, there were no differences in mean time for intubation with GVL or DL (61.4 versus 67.4 seconds, ) or number of successful intubations (19 versus 18, ). In the difficult airway scenario, interns took longer to intubate with GVL than DL (87.7 versus 61.3 seconds, ), but there were no differences in successful intubations (14 versus 15, ). There was a trend towards higher satisfaction for GVL than DL (7.3 versus 6.4, ), and GVL was chosen as the preferred device by a majority of interns (17/25, 68%).Conclusions. For novice clinicians, GVL does not improve time to intubation or intubation success rates in a pediatric simulator model of normal and difficult airway scenarios. Still, these novice clinicians overall preferred GVL.

scholarly journals Comparison of Pentax-AWS®, Glidescope®, and King Vision® for difficult-airway intubation in manikins model by paramedics

2017 ◽  
Vol 24 (5) ◽  
pp. 237-243 ◽  
Author(s):  
Sanghyun Lee ◽  
Hyunggoo Kang ◽  
Jaehoon Oh ◽  
Tae Ho Lim ◽  
Yoonjae Lee ◽  
...  
Keyword(s):  
Difficult Airway ◽  
Success Rate ◽  
Potential Role ◽  
The Other ◽  
Success Rates ◽  
Glottic View ◽  
Different Types ◽  
Difficult Airways ◽  
The Impact

Introduction: Prehospital tracheal intubation of a difficult airway is challenging for paramedics. Thus far, the potential role of video laryngoscopes for this purpose has not been confirmed. Therefore, this study aimed to determine the impact of different types of video laryngoscopes on the success rate and time to intubation by paramedics. Methods: This is a prospective, randomized, crossover manikin study involving 18 paramedics. Participants performed intubation on a difficult airway in a high-fidelity manikin using Pentax-AWS®, Glidescope®, and King Vision® (with two blade types). Time to intubation and success rate of intubation were determined. Participants also rated the best glottic view and reported their preferences of devices. Results: In a difficult-airway scenario, the median time to intubation with Pentax-AWS® was 22.9 s (interquartile range, 19.5–24.9 s), which was significantly shorter than using other devices. There were no significant differences in the time to maximal exposure of the vocal cords between four devices ( p = 0.156). The time to insert the endotracheal tube with Pentax-AWS® and King Vision® with a guide-channel blade was significantly shorter than that with the other two devices (all, p < 0.05). Pentax-AWS® and King Vision® with a guide-channel blade showed higher success rates than the other two devices ( p = 0.04). With regard to device preference, 14 participants preferred Pentax-AWS® among all devices analyzed. Conclusion: Pentax-AWS® could be an appropriate device for paramedics in cases of difficult airways, with high success rate.

EXPERIENCE IN THE IMPLEMENTATION OF CONTINUOUS INTEGRATED TRAINING SYSTEM FOR SPECIALISTS OF MEDICO-PREVENTIVE BUSINESS IN THE SVERDLOVSK REGION

2018 ◽  
pp. 5-10
Author(s):  
O.P. Kovtun ◽  
S.V. Kuzmin ◽  
O.V. Dikonskaya ◽  
B.I. Nikonov ◽  
V.B. Gurvich ◽  
...  
Keyword(s):  
Graduate Training ◽  
Training System ◽  
The State ◽  
Post Graduate ◽  
Post Graduate Training ◽  
Medical University ◽  
Long Term Experience ◽  
Modern Technologies

The paper presents long-term experience of interaction between practitioners of the State Sanitary and Epidemiological Service (until 2005) and Rospotrebnadzor (since 2005), the institutions of science for Rospotrebnadzor, Ural State Medical University in preparing graduates of a medical-preventive profile, starting from pre-university work with schoolchildren to the introduction of modern technologies of practice-oriented training of students, specialists post-graduate training of the State Sanitary and Epidemiological Service and Rospotrebnadzor.

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