J 2020

Video Laryngoscopic Intubation Using the King Vision (TM) Laryngoscope in a Simulated Cervical Spine Trauma: A Comparison Between Non-Channeled and Channeled Disposable Blades

VOTRUBA, Jiri; Tomáš BROŽEK; Jan BLAHA; Tomas HENLIN; Tomáš VYMAZAL et al.

Základní údaje

Originální název

Video Laryngoscopic Intubation Using the King Vision (TM) Laryngoscope in a Simulated Cervical Spine Trauma: A Comparison Between Non-Channeled and Channeled Disposable Blades

Autoři

VOTRUBA, Jiri; Tomáš BROŽEK; Jan BLAHA; Tomas HENLIN; Tomáš VYMAZAL; Will DONALDSON a Pavel MICHÁLEK

Vydání

Diagnostics, Basel, MDPI, 2020, 2075-4418

Další údaje

Jazyk

angličtina

Typ výsledku

Článek v odborném periodiku

Obor

30218 General and internal medicine

Stát vydavatele

Švýcarsko

Utajení

není předmětem státního či obchodního tajemství

Odkazy

Impakt faktor

Impact factor: 3.706

Označené pro přenos do RIV

Ano

Kód RIV

RIV/00216224:14110/20:00116241

Organizační jednotka

Lékařská fakulta

EID Scopus

Klíčová slova anglicky

videolaryngoscopy; King Vision (TM) laryngoscope; channeled blade; non-channeled blade; cervical spine injury

Štítky

Příznaky

Mezinárodní význam, Recenzováno
Změněno: 19. 8. 2020 13:06, Mgr. Tereza Miškechová

Anotace

V originále

Videolaryngoscopes may reduce cervical spine movement during tracheal intubation in patients with neck trauma. This manikin study aimed to compare the performance of disposable non-channeled and channeled blades of the King Vision (TM) videolaryngoscope in simulated cervical spine injury. Fifty-eight anesthesiologists in training intubated the TruMan manikin with the neck immobilized using each blade in a randomized order. The primary outcome was the time needed for tracheal intubation, secondary aims included total success rate, the time required for visualization of the larynx, number of attempts, view of the vocal cords, and subjective assessment of both methods. Intubation time with the channeled blade was shorter, with a median time of 13 s (IQR 9-19) vs. 23 s (14.5-37.5), p < 0.001, while times to visualization of the larynx were similar in both groups (p = 0.54). Success rates were similar in both groups, but intubation with the non-channeled blade required more attempts (1.52 vs. 1.05; p < 0.001). The participants scored the intubation features of the channeled blade significantly higher, while visualization features were scored similarly in both groups. Both blades of the King Vision (TM) videolaryngoscope are reliable intubation devices in a simulated cervical spine injury in a manikin model when inserted by non-experienced operators. The channeled blade allowed faster intubation of the trachea.