Tags

Type your tag names separated by a space and hit enter

Effect of cardiopulmonary resuscitation on intubation using a Macintosh laryngoscope, the AirWay Scope, and the gum elastic bougie: A manikin study.
Resuscitation. 2010 Aug; 81(8):1014-8.R

Abstract

BACKGROUND

Physicians could encounter difficult intubation during cardiopulmonary resuscitation (CPR) in trauma patients due to the patient's movement from continuous chest compression and to cervical stabilisation. Therefore, first, we evaluated the impact of chest compression with or without cervical stabilisation on intubation with a Macintosh laryngoscope. Next, we compared difficulty in intubation among the Macintosh laryngoscope, AirWay Scope (AWS), and gum elastic bougie (GEB) with the Macintosh laryngoscope in three simulated CPR scenarios in a randomised, controlled, cross-over study design.

METHODS

Twenty-three anaesthetists intubated the trachea of a manikin (ALS Skill Master, Laerdal Medical Japan, Tokyo, Japan) using the Macintosh laryngoscope, AWS, and GEB in the control scenario, chest compression scenario, and chest compression with cervical stabilisation scenario. Difficulty in intubation was rated on a 5-point scale and the intubation time was measured.

RESULTS

Continuous chest compression increased difficulty in intubation with the Macintosh laryngoscope, compared with the control scenario. Concurrent application of cervical stabilisation further increased the difficulty, compared with application of chest compression alone. Of the three devices compared, the AWS facilitated the easiest intubation, and the GEB facilitated the second-easiest intubation in all scenarios, though the intubation time was slightly longer with the GEB than with other devices.

CONCLUSION

CPR employing continuous chest compression with or without cervical stabilisation caused difficult intubation with the Macintosh laryngoscope. The AWS and GEB facilitated the easiest and second-easiest intubation, respectively, even during CPR employing continuous chest compression with or without cervical stabilisation in a manikin.

Authors+Show Affiliations

Department of Anesthesiology, International Medical Center, Saitama Medical University, 1397-1 Yamane, Hidaka, Saitama 350-1241, Japan. kmaruyam@saitama-med.ac.jpNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Comparative Study
Journal Article

Language

eng

PubMed ID

20605669

Citation

Maruyama, K, et al. "Effect of Cardiopulmonary Resuscitation On Intubation Using a Macintosh Laryngoscope, the AirWay Scope, and the Gum Elastic Bougie: a Manikin Study." Resuscitation, vol. 81, no. 8, 2010, pp. 1014-8.
Maruyama K, Tsukamoto S, Ohno S, et al. Effect of cardiopulmonary resuscitation on intubation using a Macintosh laryngoscope, the AirWay Scope, and the gum elastic bougie: A manikin study. Resuscitation. 2010;81(8):1014-8.
Maruyama, K., Tsukamoto, S., Ohno, S., Kobayashi, K., Nakagawa, H., Kitamura, A., & Hayashida, M. (2010). Effect of cardiopulmonary resuscitation on intubation using a Macintosh laryngoscope, the AirWay Scope, and the gum elastic bougie: A manikin study. Resuscitation, 81(8), 1014-8. https://doi.org/10.1016/j.resuscitation.2010.03.041
Maruyama K, et al. Effect of Cardiopulmonary Resuscitation On Intubation Using a Macintosh Laryngoscope, the AirWay Scope, and the Gum Elastic Bougie: a Manikin Study. Resuscitation. 2010;81(8):1014-8. PubMed PMID: 20605669.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Effect of cardiopulmonary resuscitation on intubation using a Macintosh laryngoscope, the AirWay Scope, and the gum elastic bougie: A manikin study. AU - Maruyama,K, AU - Tsukamoto,S, AU - Ohno,S, AU - Kobayashi,K, AU - Nakagawa,H, AU - Kitamura,A, AU - Hayashida,M, Y1 - 2010/06/01/ PY - 2009/10/12/received PY - 2010/01/14/revised PY - 2010/03/30/accepted PY - 2010/7/8/entrez PY - 2010/7/8/pubmed PY - 2010/11/5/medline SP - 1014 EP - 8 JF - Resuscitation JO - Resuscitation VL - 81 IS - 8 N2 - BACKGROUND: Physicians could encounter difficult intubation during cardiopulmonary resuscitation (CPR) in trauma patients due to the patient's movement from continuous chest compression and to cervical stabilisation. Therefore, first, we evaluated the impact of chest compression with or without cervical stabilisation on intubation with a Macintosh laryngoscope. Next, we compared difficulty in intubation among the Macintosh laryngoscope, AirWay Scope (AWS), and gum elastic bougie (GEB) with the Macintosh laryngoscope in three simulated CPR scenarios in a randomised, controlled, cross-over study design. METHODS: Twenty-three anaesthetists intubated the trachea of a manikin (ALS Skill Master, Laerdal Medical Japan, Tokyo, Japan) using the Macintosh laryngoscope, AWS, and GEB in the control scenario, chest compression scenario, and chest compression with cervical stabilisation scenario. Difficulty in intubation was rated on a 5-point scale and the intubation time was measured. RESULTS: Continuous chest compression increased difficulty in intubation with the Macintosh laryngoscope, compared with the control scenario. Concurrent application of cervical stabilisation further increased the difficulty, compared with application of chest compression alone. Of the three devices compared, the AWS facilitated the easiest intubation, and the GEB facilitated the second-easiest intubation in all scenarios, though the intubation time was slightly longer with the GEB than with other devices. CONCLUSION: CPR employing continuous chest compression with or without cervical stabilisation caused difficult intubation with the Macintosh laryngoscope. The AWS and GEB facilitated the easiest and second-easiest intubation, respectively, even during CPR employing continuous chest compression with or without cervical stabilisation in a manikin. SN - 1873-1570 UR - https://www.unboundmedicine.com/medline/citation/20605669/Effect_of_cardiopulmonary_resuscitation_on_intubation_using_a_Macintosh_laryngoscope_the_AirWay_Scope_and_the_gum_elastic_bougie:_A_manikin_study_ L2 - https://linkinghub.elsevier.com/retrieve/pii/S0300-9572(10)00233-9 DB - PRIME DP - Unbound Medicine ER -