ARAN - Access to Research at NUI Galway

Comparison of the Glidescope® and Pentax AWS® laryngoscopes to the Macintosh laryngoscope for use by Advanced Paramedics in easy and simulated difficult intubation

ARAN - Access to Research at NUI Galway

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dc.contributor.author Nasim, Sajid en
dc.contributor.author Maharaj, Chrisen H. en
dc.contributor.author Malik, Muhammad A. en
dc.contributor.author O' Donnell, John en
dc.contributor.author Higgins, Brendan D. en
dc.contributor.author Laffey, John G. en
dc.date.accessioned 2010-10-13T16:09:49Z en
dc.date.available 2010-10-13T16:09:49Z en
dc.date.issued 2009 en
dc.identifier.citation Nasim, S., Maharaj, C., Malik, M., O' Donnell, J., Higgins, B., & Laffey, J. (2009). Comparison of the Glidescope and Pentax AWS laryngoscopes to the Macintosh laryngoscope for use by advanced paramedics in easy and simulated difficult intubation. BMC Emerg Med, 9, 9. en
dc.identifier.uri http://hdl.handle.net/10379/1326 en
dc.description.abstract Background Intubation of the trachea in the pre-hospital setting may be lifesaving in severely ill and injured patients. However, tracheal intubation is frequently difficult to perform in this challenging environment, is associated with a lower success rate, and failed tracheal intubation constitutes an important cause of morbidity. Novel indirect laryngoscopes, such as the Glidescope® and the AWS® laryngoscopes may reduce this risk. Methods We compared the efficacy of these devices to the Macintosh laryngoscope when used by 25 Advanced Paramedics proficient in direct laryngoscopy, in a randomized, controlled, manikin study. Following brief didactic instruction with the Glidescope® and the AWS® laryngoscopes, each participant took turns performing laryngoscopy and intubation with each device, in an easy intubation scenario and following placement of a hard cervical collar, in a SimMan® manikin. Results Both the Glidescope® and the AWS® performed better than the Macintosh, and demonstrate considerable promise in this context. The AWS® had the least number of dental compressions in all three scenarios, and in the cervical spine immobilization scenario it required fewer maneuvers to optimize the view of the glottis. Conclusion The Glidescope® and AWS® devices possess advantages over the conventional Macintosh laryngoscope when used by Advanced Paramedics in normal and simulated difficult intubation scenarios in this manikin study. Further studies are required to extend these findings to the clinical setting. en
dc.format application/pdf en
dc.language.iso en en
dc.subject Anaesthesia en
dc.title Comparison of the Glidescope® and Pentax AWS® laryngoscopes to the Macintosh laryngoscope for use by Advanced Paramedics in easy and simulated difficult intubation en
dc.type Article en
dc.local.publishedsource http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2689169/ en
dc.description.peer-reviewed peer-reviewed en

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