지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
이용수
초록· 키워드
오류제보하기
Objective: This study aimed to evaluate the efficacy of a bougie and glidescope video laryngoscope (GVL) for ground intubation by novice prehospital caregivers. We hypothesized that the intubation outcome using a bougie or GVL was superior to that using the Macintosh laryngoscope (MCL) with a stylet (MCLS) in ground intubation.
Methods: A randomized crossover manikin study was conducted. Studied groups were categorized into 4 according to the intubation devices used; MCLS, Macintosh laryngoscope with bougie (MCLB), glidescope video laryngoscope with a stylet (GVLS), and glidescope video laryngoscope with bougie (GVLB). The primary outcome was the total endotracheal intubation time and the secondary outcome was the success rate for endotracheal intubation.
Results: The use of a bougie did not cause a significant difference in the intubation time (MCLS vs. MCLB, P=0.213; GVLS vs. GVLB, P=0.633) and the success rate of endotracheal intubation (MCLS vs. MCLB, P>0.990; GVLS vs. GVLB, P=0.077) was compared with the use of a stylet in MCL and GVL. The use of GVL showed a longer endotracheal intubation time compared with MCLS (MCLS vs. GVLS, P<0.001; MCLS vs. GVLB, P<0.001). GVLB showed a decreased success rate of endotracheal intubation compared with the use of MCL (MCLS vs. GVLB, P=0.004; MCLB vs. GVLB, P<0.001).
Conclusion: The use of the GVL and a bougie could not affect the performance of endotracheal intubation on the ground. The use of MCL and a stylet for ground intubation could increase the intubation success rate and shorten intubation time compared with the use of a bougie or the use of GVL.
목차
등록된 정보가 없습니다.
참고문헌 (30)
참고문헌 신청
Baczek M / 2020 / Flexible tip bougie: the new introducer for intubation during cardiopulmonary resuscitation: a randomized crossover manikin study / Medicine (Baltimore) 99:e18452
Katz SH / 2001 / Misplaced endotracheal tubes by paramedics in an urban emergency medical services system / Ann Emerg Med 37:32~37
Sayre MR / 1998 / Field trial of endotracheal intubation by basic EMTs / Ann Emerg Med 31:228~233
Adnet F / 1997 / Optimization of glottic exposure during intubation of a patient lying supine on the ground / Am J Emerg Med 15:555~557
김재국 / 2018 / Pre-hospital i-gel blind intubation for trauma: a simulation study / Clinical and Experimental Emergency Medicine 5(1):29~34
Katz SH / 2001 / Misplaced endotracheal tubes by paramedics in an urban emergency medical services system / Ann Emerg Med 37:32~37
Sayre MR / 1998 / Field trial of endotracheal intubation by basic EMTs / Ann Emerg Med 31:228~233
Adnet F / 1997 / Optimization of glottic exposure during intubation of a patient lying supine on the ground / Am J Emerg Med 15:555~557
김재국 / 2018 / Pre-hospital i-gel blind intubation for trauma: a simulation study / Clinical and Experimental Emergency Medicine 5(1):29~34
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