Unknown

Dataset Information

0

Hands-Off Time for Endotracheal Intubation during CPR Is Not Altered by the Use of the C-MAC Video-Laryngoscope Compared to Conventional Direct Laryngoscopy. A Randomized Crossover Manikin Study.


ABSTRACT:

Introduction

Sufficient ventilation and oxygenation through proper airway management is essential in patients undergoing cardio-pulmonary resuscitation (CPR). Although widely discussed, securing the airway using an endotracheal tube is considered the standard of care. Endotracheal intubation may be challenging and causes prolonged interruption of chest compressions. Videolaryngoscopes have been introduced to better visualize the vocal cords and accelerate intubation, which makes endotracheal intubation much safer and may contribute to intubation success. Therefore, we aimed to compare hands-off time and intubation success of direct laryngoscopy with videolaryngoscopy (C-MAC, Karl Storz, Tuttlingen, Germany) in a randomized, cross-over manikin study.

Methods

Twenty-six anesthesia residents and twelve anesthesia consultants of the University Hospital Zurich were recruited through a voluntary enrolment. All participants performed endotracheal intubation using direct laryngoscopy and C-MAC in a random order during ongoing chest compressions. Participants were strictly advised to stop chest compression only if necessary.

Results

The median hands-off time was 1.9 seconds in direct laryngoscopy, compared to 3 seconds in the C-MAC group. In direct laryngoscopy 39 intubation attempts were recorded, resulting in an overall first intubation attempt success rate of 97%, compared to 38 intubation attempts and 100% overall first intubation attempt success rate in the C-MAC group.

Conclusion

As a conclusion, the results of our manikin-study demonstrate that video laryngoscopes might not be beneficial compared to conventional, direct laryngoscopy in easily accessible airways under CPR conditions and in experienced hands. The benefits of video laryngoscopes are of course more distinct in overcoming difficult airways, as it converts a potential "blind intubation" into an intubation under visual control.

SUBMITTER: Schuerner P 

PROVIDER: S-EPMC4873178 | biostudies-literature | 2016

REPOSITORIES: biostudies-literature

altmetric image

Publications

Hands-Off Time for Endotracheal Intubation during CPR Is Not Altered by the Use of the C-MAC Video-Laryngoscope Compared to Conventional Direct Laryngoscopy. A Randomized Crossover Manikin Study.

Schuerner Philipp P   Grande Bastian B   Piegeler Tobias T   Schlaepfer Martin M   Saager Leif L   Hutcherson Matthew T MT   Spahn Donat R DR   Ruetzler Kurt K  

PloS one 20160519 5


<h4>Introduction</h4>Sufficient ventilation and oxygenation through proper airway management is essential in patients undergoing cardio-pulmonary resuscitation (CPR). Although widely discussed, securing the airway using an endotracheal tube is considered the standard of care. Endotracheal intubation may be challenging and causes prolonged interruption of chest compressions. Videolaryngoscopes have been introduced to better visualize the vocal cords and accelerate intubation, which makes endotrac  ...[more]

Similar Datasets

| S-EPMC8234758 | biostudies-literature
| S-EPMC5203695 | biostudies-literature
| S-EPMC9327175 | biostudies-literature
| S-EPMC8658072 | biostudies-literature
| S-EPMC7018285 | biostudies-literature
| S-EPMC6475241 | biostudies-literature
| S-EPMC9270833 | biostudies-literature
| S-EPMC7676690 | biostudies-literature
| S-EPMC4865033 | biostudies-literature
| S-EPMC6119241 | biostudies-other