Universität zu Köln

Ecker, Hannes, Kolvenbach, Simone, Stranz, Sebastian, Herff, Holger and Wetsch, Wolfgang A. (2021). Comparison of the novel VieScope with conventional and video laryngoscope in a difficult airway scenario - a randomized, controlled simulation trial. BMC Emerg. Med., 21 (1). LONDON: BMC. ISSN 1471-227X

Full text not available from this repository.

Abstract

Background Endotracheal intubation continues to be the gold standard for securing the airway in emergency situations. Difficult intubation is still a dreadful situation when securing the airway. Objective To compare VieScope with Glidescope and conventional Macintosh laryngoscopy (MAC) in a simulated difficult airway situation. Methods In this randomized controlled simulation trial, 35 anesthesiologists performed endotracheal intubation using VieScope, GlideScope and MAC in a randomized order on a certified airway manikin with difficult airway. Results For the primary endpoint of correct tube position, no statistical difference was found (p = 0.137). Time until intubation for GlideScope (27.5 +/- 20.3 s) and MAC (20.8 +/- 8.1 s) were shorter compared to the VieScope (36.3 +/- 10.1 s). Time to first ventilation, GlideScope (39.3 +/- 21.6 s) and MAC (31.9 +/- 9.5 s) were also shorter compared to the VieScope (46.5 +/- 12.4 s). There was no difference shown between handling time for VieScope (20.7 +/- 7.0 s) and time until intubation with GlideScope or MAC. Participants stated a better Cormack & Lehane Score with VieScope, compared to direct laryngoscopy. Conclusion Rate of correct tracheal tube position was comparable between the three devices. Time to intubation and ventilation were shorter with MAC and Glidescope compared to VieScope. It did however show a comparable handling time to video laryngoscopy and MAC. It also did show a better visualization of the airway in the Cormack & Lehane Score compared to MAC.

Item Type:	Journal Article
Creators:	Creators Email ORCID ORCID Put Code Ecker, Hannes UNSPECIFIED UNSPECIFIED UNSPECIFIED Kolvenbach, Simone UNSPECIFIED UNSPECIFIED UNSPECIFIED Stranz, Sebastian UNSPECIFIED UNSPECIFIED UNSPECIFIED Herff, Holger UNSPECIFIED UNSPECIFIED UNSPECIFIED Wetsch, Wolfgang A. UNSPECIFIED UNSPECIFIED UNSPECIFIED
URN:	urn:nbn:de:hbz:38-567919
DOI:	10.1186/s12873-021-00484-6
Journal or Publication Title:	BMC Emerg. Med.
Volume:	21
Number:	1
Date:	2021
Publisher:	BMC
Place of Publication:	LONDON
ISSN:	1471-227X
Language:	English
Faculty:	Unspecified
Divisions:	Unspecified
Subjects:	no entry
Uncontrolled Keywords:	Keywords Language TRACHEAL INTUBATION; ENDOTRACHEAL INTUBATION; MANAGEMENT; GLIDESCOPE(R) Multiple languages Emergency Medicine Multiple languages
URI:	http://kups.ub.uni-koeln.de/id/eprint/56791