Universität zu Köln

Ecker, Hannes, Stranz, Sebastian, Kolvenbach, Simone, Herff, Holger, Hellmich, Martin ORCID: 0000-0001-5174-928X and Wetsch, Wolfgang A. ORCID: 0000-0001-5800-6665 (2022). Airway Management during Massive Gastric Regurgitation Using VieScope or Macintosh Laryngoscope-A Randomized, Controlled Simulation Trial. J. Clin. Med., 11 (18). BASEL: MDPI. ISSN 2077-0383

Full text not available from this repository.

Abstract

In this model of massive gastric aspiration, we compared two different laryngoscopes (VieScope and Macintosh) in a randomized, controlled simulation study. The primary endpoint was time to intubation; the secondary endpoints were intubation success (i.e., tracheal tube position) and amount of pulmonary aspiration. Thirty-four anesthetists performed endotracheal intubation using VieScope and Macintosh laryngoscopy in a randomized order on an airway manikin simulating massive regurgitation of gastric fluid. The primary endpoint time until intubation could be achieved significantly faster (mean -12.4 s [95% confidence intervals (CI) -19.7 s; -7.3 s]) with Macintosh compared to VieScope (p < 0.001). Concerning correct tube position, no statistical difference was found between the devices (p = 1.0). The mean time to first ventilation was -11.1 s [95% CI -18.3 s; -5.3 s] when using Macintosh (p = 0.001). The mean volume of aspirated gastric fluid was lower in the Macintosh group: -90.0 mL [95% CI -235.0 mL; -27.5 mL] (p = 0.011). Data from this simulation study suggest that in a model of massive gastric regurgitation, airway management can be achieved faster and with less gastric aspiration when using a Macintosh laryngoscope compared to a VieScope laryngoscope.

Item Type:	Journal Article
Creators:	Creators Email ORCID ORCID Put Code Ecker, Hannes UNSPECIFIED UNSPECIFIED UNSPECIFIED Stranz, Sebastian UNSPECIFIED UNSPECIFIED UNSPECIFIED Kolvenbach, Simone UNSPECIFIED UNSPECIFIED UNSPECIFIED Herff, Holger UNSPECIFIED UNSPECIFIED UNSPECIFIED Hellmich, Martin UNSPECIFIED orcid.org/0000-0001-5174-928X UNSPECIFIED Wetsch, Wolfgang A. UNSPECIFIED orcid.org/0000-0001-5800-6665 UNSPECIFIED
URN:	urn:nbn:de:hbz:38-660514
DOI:	10.3390/jcm11185363
Journal or Publication Title:	J. Clin. Med.
Volume:	11
Number:	18
Date:	2022
Publisher:	MDPI
Place of Publication:	BASEL
ISSN:	2077-0383
Language:	English
Faculty:	Unspecified
Divisions:	Unspecified
Subjects:	no entry
Uncontrolled Keywords:	Keywords Language ASPIRATION Multiple languages Medicine, General & Internal Multiple languages
URI:	http://kups.ub.uni-koeln.de/id/eprint/66051