dc.contributor.author | McElwain, J. | |
dc.contributor.author | Malik, M. A. | |
dc.contributor.author | Harte, B. H. | |
dc.contributor.author | Flynn, N. H. | |
dc.contributor.author | Laffey, J. G. | |
dc.date.accessioned | 2018-09-20T16:17:00Z | |
dc.date.available | 2018-09-20T16:17:00Z | |
dc.date.issued | 2010-03-01 | |
dc.identifier.citation | McElwain, J. Malik, M. A.; Harte, B. H.; Flynn, N. H.; Laffey, J. G. (2010). Determination of the optimal stylet strategy for the c-mac®videolaryngoscope. Anaesthesia 65 (4), 369-378 | |
dc.identifier.issn | 0003-2409 | |
dc.identifier.uri | http://hdl.handle.net/10379/12773 | |
dc.description.abstract | The C-MAC (R) videolaryngoscope is a novel intubation device that incorporates a camera system at the end of its blade, thereby facilitating obtaining a view of the glottis without alignment of the oral, pharyngeal and tracheal axes. It retains the traditional Macintosh blade shape and can be used as a direct or indirect laryngoscope. We wished to determine the optimal stylet strategy for use with the C-MAC. Ten anaesthetists were allowed up to three attempts to intubate the trachea in one easy and three progressively more difficult laryngoscopy scenarios in a SimMan (R) manikin with four tracheal tube stylet strategies: no stylet; stylet; directional stylet (Parker Flex-It (TM)); and hockey-stick stylet. The use of a stylet conferred no advantage in the easy laryngoscopy scenario. In the difficult scenarios, the directional and hockey-stick stylets performed best. In the most difficult scenario, the median (IQR [range])duration of the successful intubation attempt was lowest with the hockey-stick stylet; 18 s (15-22 [12-43])s, highest with the unstyletted tracheal tube; 60 s (60-60 [60, 60])s and styletted tracheal tube 60 s (29-60 [18-60])s, and intermediate with the directional stylet 21 s (15-60 [8-60])s. The use of a stylet alone does not confer benefit in the setting of easy laryngoscopy. However, in more difficult laryngoscopy scenarios, the C-MAC videolaryngoscope performs best when used with a stylet that angulates the distal tracheal tube. The hockey-stick stylet configuration performed best in the scenarios tested. | |
dc.publisher | Wiley-Blackwell | |
dc.relation.ispartof | Anaesthesia | |
dc.rights | Attribution-NonCommercial-NoDerivs 3.0 Ireland | |
dc.rights.uri | https://creativecommons.org/licenses/by-nc-nd/3.0/ie/ | |
dc.subject | cervical-spine immobilization | |
dc.subject | closed claims analysis | |
dc.subject | tracheal intubation | |
dc.subject | macintosh laryngoscope | |
dc.subject | endotracheal intubation | |
dc.subject | novice personnel | |
dc.subject | truview evo2(r) | |
dc.subject | clinical-trial | |
dc.subject | airtraq(r) | |
dc.subject | mannequin | |
dc.title | Determination of the optimal stylet strategy for the c-mac®videolaryngoscope | |
dc.type | Article | |
dc.identifier.doi | 10.1111/j.1365-2044.2010.06245.x | |
dc.local.publishedsource | http://onlinelibrary.wiley.com/doi/10.1111/j.1365-2044.2010.06245.x/pdf | |
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