Impact of VieScope? on first-attempt success during simulated COVID-19 patients intubation: A randomized cross-over simulation trial
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info:eu-repo/semantics/openAccessDate
2023Author
Evrin, TogaySonmez, Leyla Ozturk
Gadek, Lezsek
Pruc, Michal
Navolokina, Alla
Wieczorek, Wojciech
Cyran, Maciej
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BACKGROUND: The purpose of our study was to determine the efficacy of intubation with VieScope (R) and Macintosh laryngoscope in different scenarios of simulated COVID-19 patients by paramedics wearing personal protective equipment (PPE) for aerosol generMETHODS: Study was designed as a prospective, observational, randomized, crossover simulation trial. 37 paramedics took part in the study. They performed endotracheal intubation (ETI) of a person suspected of COVID-19. Intubation was performed using VieScope (R) and Macintosh laryngoscopes in two research scenarios: Scenario A - normal airway and Scenario B - difficult airway. Both theRESULTS: In Scenario A, time to intubation using VieScope (R) and Macintosh laryngoscope amounted to 35.3 (IQR; 32-40) seconds and 35.8 (IQR: 30-40)s, respectively. Nearly all participants performed ETI successfully both with VieScope (R) and Macintosh laryngoscope (100% vs. 94.6%). In scenario B, intubation with the VieScope (R), compared to the Macintosh laryngoscope, was associated with a shorter intubation time (p<0.001), a higher success rate of the first intubation attempt (p<0.001), a better visualization degree glottisCONCLUSION: Our analysis suggests that the use of a VieScope (R) compared to Macintosh laryngoscope in difficult airway intubation performed by paramedics wearing PPE-AGP is associated with shorter intubation times, greater intubation efficiency as well as better visualization of the glottis. Additional clinical trials are necessary to confirm the obtained results.
Source
Ulusal Travma Ve Acil Cerrahi Dergisi-Turkish Journal of Trauma & Emergency SurgeryVolume
29Issue
4URI
https://doi.org/10.14744/tjtes.2022.45682https://search.trdizin.gov.tr/yayin/detay/1188747
https://hdl.handle.net/20.500.14065/5620