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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Purpose: The purpose of this study is to compare the effectiveness of the GlideRite with the conventional-malleable- stylet (CMS) in endotracheal intubation (ETI) using the Macintosh-laryngoscope. Methods: This study is a randomized crossover simulation study. Participants performed ETI using both the GlideRite and the CMS in the normal airway and in a tongue edema (simulated difficult airway resulting in lower percentage of glottis opening [POGO]) model. Results: In both the normal and the tongue edema models, all 36 participants performed ETI successfully using the two stylets on the first attempt. In the normal airway model, there was no difference in time required for ETI (TETI) or ease of handling between the two stylets. In the tongue edema model, the TETI increased as POGO score decreased with the CMS (POGO score showing negative correlation with TETI for the CMS, Spearman’s rho=-0.518, p=0.001) but not for the GlideRite (rho=-0.208, p=0.224). The TETI was shorter with the GlideRite than the CMS, but without statistical significance (15.1 vs. 18.8 seconds, p=0.385). Ease of handling was superior with the GlideRite compared to the CMS (p=0.006). Conclusion: Performance of the GlideRite and the CMS was not different in the normal airway model. However, in the simulated difficult airway model with a low POGO score, the GlideRite performed better than the CMS for direct laryngoscopic intubation.
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참고문헌 (24)
참고문헌 신청
Martin LD / 2011 / 3, 423 emergency tracheal intubations at a university hospital : airway outcomes and complications / Anesthesiology 114:42~48
Sagarin MJ / 2005 / Airway management by US and Canadian emergency medicine residents : a multicenter analysis of more than 6, 000 endotracheal intubation attempts / Ann Emerg Med 46:328~336
Roth D / 2013 / Airway management of adult patients without trauma in an ED led by internists / Am J Emerg Med 31:1338~1342
Rosenstock C / 2006 / Qualitative analysis of unanticipated difficult airway management / Acta Anaesthesiol Scand 50:290~297
Paolini JB / 2013 / Review article: videolaryngoscopy:another tool for difficult intubation or a new paradigm in airway management? / Can J Anaesth 60:184~191
Sagarin MJ / 2005 / Airway management by US and Canadian emergency medicine residents : a multicenter analysis of more than 6, 000 endotracheal intubation attempts / Ann Emerg Med 46:328~336
Roth D / 2013 / Airway management of adult patients without trauma in an ED led by internists / Am J Emerg Med 31:1338~1342
Rosenstock C / 2006 / Qualitative analysis of unanticipated difficult airway management / Acta Anaesthesiol Scand 50:290~297
Paolini JB / 2013 / Review article: videolaryngoscopy:another tool for difficult intubation or a new paradigm in airway management? / Can J Anaesth 60:184~191
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