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Comparison of malleable stylet and reusable and disposable bougies by paramedics in a simulated difficult intubation.
Anaesthesia. 2012 Apr; 67(4):371-6.A

Abstract

In a randomised crossover study, 60 ambulance paramedics attempted tracheal intubation of a manikin model of a Cormack and Lehane grade 3/4 view using a Portex stylet, Portex and Frova single-use bougies, and a Portex reusable bougie. Tracheal intubation within 30 s was achieved by 34/60 (57%) using the stylet, 18/60 (30%) using a Portex single-use bougie, 16/60 (27%) using a Frova single-use bougie and 5/60 (8%) using a Portex reusable bougie. The proportion intubating within 30 s was significantly higher with the stylet compared with any bougie (p < 0.001), but significantly lower with a Portex reusable bougie than any other device (p < 0.004). Participants rated the Portex reusable bougie as significantly more difficult to use than the other devices (p < 0.001). There was no evidence of a relationship between previous experience and success rate for any device.

Authors+Show Affiliations

Coventry University, Coventry, UK. p.gregory@coventry.ac.ukNo affiliation info availableNo 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
Randomized Controlled Trial

Language

eng

PubMed ID

22288931

Citation

Gregory, P, et al. "Comparison of Malleable Stylet and Reusable and Disposable Bougies By Paramedics in a Simulated Difficult Intubation." Anaesthesia, vol. 67, no. 4, 2012, pp. 371-6.
Gregory P, Woollard M, Lighton D, et al. Comparison of malleable stylet and reusable and disposable bougies by paramedics in a simulated difficult intubation. Anaesthesia. 2012;67(4):371-6.
Gregory, P., Woollard, M., Lighton, D., Munro, G., Jenkinson, E., Newcombe, R. G., O'Meara, P., & Hamilton, L. (2012). Comparison of malleable stylet and reusable and disposable bougies by paramedics in a simulated difficult intubation. Anaesthesia, 67(4), 371-6. https://doi.org/10.1111/j.1365-2044.2011.06999.x
Gregory P, et al. Comparison of Malleable Stylet and Reusable and Disposable Bougies By Paramedics in a Simulated Difficult Intubation. Anaesthesia. 2012;67(4):371-6. PubMed PMID: 22288931.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Comparison of malleable stylet and reusable and disposable bougies by paramedics in a simulated difficult intubation. AU - Gregory,P, AU - Woollard,M, AU - Lighton,D, AU - Munro,G, AU - Jenkinson,E, AU - Newcombe,R G, AU - O'Meara,P, AU - Hamilton,L, Y1 - 2012/01/31/ PY - 2012/2/1/entrez PY - 2012/2/1/pubmed PY - 2012/5/2/medline SP - 371 EP - 6 JF - Anaesthesia JO - Anaesthesia VL - 67 IS - 4 N2 - In a randomised crossover study, 60 ambulance paramedics attempted tracheal intubation of a manikin model of a Cormack and Lehane grade 3/4 view using a Portex stylet, Portex and Frova single-use bougies, and a Portex reusable bougie. Tracheal intubation within 30 s was achieved by 34/60 (57%) using the stylet, 18/60 (30%) using a Portex single-use bougie, 16/60 (27%) using a Frova single-use bougie and 5/60 (8%) using a Portex reusable bougie. The proportion intubating within 30 s was significantly higher with the stylet compared with any bougie (p < 0.001), but significantly lower with a Portex reusable bougie than any other device (p < 0.004). Participants rated the Portex reusable bougie as significantly more difficult to use than the other devices (p < 0.001). There was no evidence of a relationship between previous experience and success rate for any device. SN - 1365-2044 UR - https://www.unboundmedicine.com/medline/citation/22288931/Comparison_of_malleable_stylet_and_reusable_and_disposable_bougies_by_paramedics_in_a_simulated_difficult_intubation_ L2 - https://doi.org/10.1111/j.1365-2044.2011.06999.x DB - PRIME DP - Unbound Medicine ER -