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Faster intubation with direct laryngoscopy vs handheld videoscope in uncomplicated manikin airways.
Am J Emerg Med. 2009 Mar; 27(3):259-61.AJ

Abstract

OBJECTIVE

To compare average time to successful intubation and success rates using direct laryngoscopy (DL) with those using a battery-operated videoscope (VS) in uncomplicated manikin intubations.

METHODS

Forty-four paramedics and emergency medicine faculty and residents received training with DL and VS. Participants performed 3 timed trials using each device. A single group repeated-measures analysis of variance for average time measurements was performed.

RESULTS

Grouping physicians and paramedics, mean time to successful intubation for DL was 14.6 seconds (SD, 4.3 seconds) and for VS was 25.9 seconds (SD, 9.2 seconds; P < .001). All attempts were successful with both devices. A secondary measure compared intubation times for physicians and paramedics on both devices. For DL, mean time to successful intubation for physicians was 13.2 seconds (SD, 3.8 seconds) and for paramedics, 15.9 seconds (SD, 4.3 seconds; P > .43). For VS, mean time for physicians was 26.0 seconds (SD, 10.0 seconds) and for paramedics, 25.7 seconds (SD, 8.6 seconds; P > .43).

CONCLUSIONS

Intubation with DL in uncomplicated manikin airways was faster than with VS (P < .001). Success rates were equal.

Authors+Show Affiliations

Department of Emergency Medicine, Wilford Hall Medical Center, San Antonio, TX, USA. shawn.varney@rmpdc.orgNo affiliation info availableNo affiliation info available

Pub Type(s)

Comparative Study
Journal Article

Language

eng

PubMed ID

19328366

Citation

Varney, Shawn M., et al. "Faster Intubation With Direct Laryngoscopy Vs Handheld Videoscope in Uncomplicated Manikin Airways." The American Journal of Emergency Medicine, vol. 27, no. 3, 2009, pp. 259-61.
Varney SM, Dooley M, Bebarta VS. Faster intubation with direct laryngoscopy vs handheld videoscope in uncomplicated manikin airways. Am J Emerg Med. 2009;27(3):259-61.
Varney, S. M., Dooley, M., & Bebarta, V. S. (2009). Faster intubation with direct laryngoscopy vs handheld videoscope in uncomplicated manikin airways. The American Journal of Emergency Medicine, 27(3), 259-61. https://doi.org/10.1016/j.ajem.2008.02.003
Varney SM, Dooley M, Bebarta VS. Faster Intubation With Direct Laryngoscopy Vs Handheld Videoscope in Uncomplicated Manikin Airways. Am J Emerg Med. 2009;27(3):259-61. PubMed PMID: 19328366.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Faster intubation with direct laryngoscopy vs handheld videoscope in uncomplicated manikin airways. AU - Varney,Shawn M, AU - Dooley,Melissa, AU - Bebarta,Vikhyat S, PY - 2007/11/13/received PY - 2008/02/05/revised PY - 2008/02/08/accepted PY - 2009/3/31/entrez PY - 2009/3/31/pubmed PY - 2009/4/25/medline SP - 259 EP - 61 JF - The American journal of emergency medicine JO - Am J Emerg Med VL - 27 IS - 3 N2 - OBJECTIVE: To compare average time to successful intubation and success rates using direct laryngoscopy (DL) with those using a battery-operated videoscope (VS) in uncomplicated manikin intubations. METHODS: Forty-four paramedics and emergency medicine faculty and residents received training with DL and VS. Participants performed 3 timed trials using each device. A single group repeated-measures analysis of variance for average time measurements was performed. RESULTS: Grouping physicians and paramedics, mean time to successful intubation for DL was 14.6 seconds (SD, 4.3 seconds) and for VS was 25.9 seconds (SD, 9.2 seconds; P < .001). All attempts were successful with both devices. A secondary measure compared intubation times for physicians and paramedics on both devices. For DL, mean time to successful intubation for physicians was 13.2 seconds (SD, 3.8 seconds) and for paramedics, 15.9 seconds (SD, 4.3 seconds; P > .43). For VS, mean time for physicians was 26.0 seconds (SD, 10.0 seconds) and for paramedics, 25.7 seconds (SD, 8.6 seconds; P > .43). CONCLUSIONS: Intubation with DL in uncomplicated manikin airways was faster than with VS (P < .001). Success rates were equal. SN - 1532-8171 UR - https://www.unboundmedicine.com/medline/citation/19328366/Faster_intubation_with_direct_laryngoscopy_vs_handheld_videoscope_in_uncomplicated_manikin_airways_ L2 - https://linkinghub.elsevier.com/retrieve/pii/S0735-6757(08)00090-9 DB - PRIME DP - Unbound Medicine ER -