A Comparative Study of Endotracheal Intubation Using a Video Laryngoscope in a Neonatal Manikin with Two Styles of Tube Tip Modification
Keywords:
endotracheal tube, newborn manikin, shape of endotracheal tube tipAbstract
Endotracheal intubation in a newborn is considered challenging maneuver due to difficulty of anatomical features and high susceptibility to hypoxemia. Video laryngoscope can be useful for improved laryngeal view and successful tracheal intubation. However, there is no recommendation about the shape of stylets and endotracheal tubes to facilitate using video laryngoscope with Miller blade. Therefore, this trial was conducted to compare intubation time between hockey stick and C-curved shaped stylets in a neonatal simulator using video layngoscopy.
Objective: To compare intubation time between hockey stick and C-curved shaped stylets in a neonate manikin using a video layngoscope.
Methods: A total of 37 anesthesiologists and anesthetists were included, randomly assigned to intubation using a video layngoscope with both hockey stick and C-curved shaped stylets in a neonatal simulator. The primary outcome was the total intubation time. The secondary outcomes were the initial tube tip location and participant satisfaction scores.
Results: The mean total intubation time of the hockey stick group was 25 ± 3 seconds comparable to 25.5 ± 5 seconds of the C-curved group (p = .326). Endotracheal intubation success rated 100% in both groups. Participant mean satisfaction scores of the hockey stick group was 8.54/10 versus 8.05/10 for the C-curved group (p = .137).
Conclusion: There was no difference in duration, success rate, and satisfaction between two types of endotracheal tubes using a video laryngoscope in a neonatal manikin.
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ลิขสิทธิ์บทความเป็นของผู้เขียนบทความ แต่หากผลงานของท่านได้รับการพิจารณาตีพิมพ์ลงวารสารแพทย์เขต 4-5 จะคงไว้ซึ่งสิทธิ์ในการตีพิมพ์ครั้งแรกด้วยเหตุที่บทความจะปรากฎในวารสารที่เข้าถึงได้ จึงอนุญาตให้นำบทความในวารสารไปใช้ประโยชน์ได้ในเชิงวิชาการโดยจำเป็นต้องมีการอ้างอิงถึงชื่อวารสารอย่างถูกต้อง แต่ไม่อนุญาตให้นำไปใช้ในเชิงพาณิชย์
