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.
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초록· 키워드
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Objective: Tracheal intubation is an essential procedure in many emergencies. Direct laryngoscopy is the best method of intubation, but its success is not assured in a difficult airway. This study was designed to compare the performance of two intubation-assisted maneuvers that can help an unskilled person to perform a successful intubation. Methods: A randomized crossover trial for intubation was conducted in three airway scenarios: normal airway, tongue edema (TE) and cervical immobilization (CI). Sixty paramedic students performed intubation on a manikin using single operator intubation (SM), external laryngeal manipulation (ELM), and colleague assisted laryngoscopic maneuver (CALM). The degree of the visual field, intubation success rate, time to ventilation (TTV), tooth fracture, and difficulty of intubation were measured. Results: There was no statistically significant difference in success rates between the three intubation methods, except in CI, where CALM had a significantly higher success rate (91.7%) as compared to ELM (78.3%) and SM (71.7%). There was no significant difference in TTV between the three intubation methods in all scenarios. However, with an improvement in the degree of visual field with ELM and CALM, evaluated using the Cormack-Lehane classification system, there was a statistically significant improvement in both TE and CI. Tooth fractures were lowest when CALM was used. The degree of difficulty felt by operators during intubation also tended to be lower in CALM than other methods, particularly, in CI. Conclusion: For a novice, intubation using CALM was on par or better than ELM in the manikin study. And CALM was a more effective assistive method, specifically in CI cases.
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참고문헌 (20)
참고문헌 신청
Liu DX / 2019 / Intubation of non-difficult airways using video laryngoscope versus direct laryngoscope : a randomized, parallel-group study / BMC Anesthesiol 19:75
Joshi R / 2017 / Difficult airway characteristics associated with first-attempt failure at intubation using video laryngoscopy in the intensive care unit / Ann Am Thorac Soc 14:368~375
Lascarrou JB / 2017 / Video laryngoscopy vs direct laryngoscopy on successful first-pass orotracheal intubation among ICU patients : a randomized clinical trial / JAMA 317:483~493
Lewis SR / 2016 / Videolaryngoscopy versus direct laryngoscopy for adult patients requiring tracheal intubation / Cochrane Database Syst Rev 11:CD011136
Buis ML / 2016 / Defining the learning curve for endotracheal intubation using direct laryngoscopy : a systematic review / Resuscitation 99:63~71
Joshi R / 2017 / Difficult airway characteristics associated with first-attempt failure at intubation using video laryngoscopy in the intensive care unit / Ann Am Thorac Soc 14:368~375
Lascarrou JB / 2017 / Video laryngoscopy vs direct laryngoscopy on successful first-pass orotracheal intubation among ICU patients : a randomized clinical trial / JAMA 317:483~493
Lewis SR / 2016 / Videolaryngoscopy versus direct laryngoscopy for adult patients requiring tracheal intubation / Cochrane Database Syst Rev 11:CD011136
Buis ML / 2016 / Defining the learning curve for endotracheal intubation using direct laryngoscopy : a systematic review / Resuscitation 99:63~71
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