کد مقاله کد نشریه سال انتشار مقاله انگلیسی نسخه تمام متن
2763948 1150773 2009 4 صفحه PDF دانلود رایگان
عنوان انگلیسی مقاله ISI
Tracheal intubation by non-anesthesia residents using the Pentax-AWS airway scope and Macintosh laryngoscope
موضوعات مرتبط
علوم پزشکی و سلامت پزشکی و دندانپزشکی بیهوشی و پزشکی درد
پیش نمایش صفحه اول مقاله
Tracheal intubation by non-anesthesia residents using the Pentax-AWS airway scope and Macintosh laryngoscope
چکیده انگلیسی

Study ObjectiveTo evaluate the performance of the Pentax-AWS airway scope for tracheal intubation compared with the Macintosh laryngoscope by non-anesthesia residents.DesignProspective, randomized, cohort study.SettingUniversity-affiliated hospital.Patients520 patients who underwent tracheal intubation for general anesthesia.Interventions48 non-anesthesia residents performed tracheal intubation using either the Pentax-AWS or the Macintosh laryngoscope.MeasurementsTime to complete tracheal intubation, number of attempts until successful intubation, and number of intubations of the esophagus were recorded.ResultsTime to secure the airway (sec; mean ± SD) was shorter with the Pentax-AWS than with the Macintosh laryngoscope (44 ± 19 vs. 71 ± 44 sec; P < 0.001). Of the 264 tracheal intubations with the Pentax-AWS, 239 (91%) were completed within 60 seconds, while only 148 (58%) of the 256 tracheal intubations performed with the Macintosh laryngoscope were completed within the same period. The rate of successful intubations on the first attempt was higher with the Pentax-AWS than the Macintosh laryngoscope (P < 0.001). No esophageal intubation was experienced with the Pentax-AWS approach, while 18 occurred with the Macintosh laryngoscope (P < 0.001).ConclusionThe Pentax-AWS appears to require less operator skill than the Macintosh laryngoscope. Use of the Pentax-AWS may reduce the time to secure the airway and the incidence of failed tracheal intubation by non-anesthesia residents.

ناشر
Database: Elsevier - ScienceDirect (ساینس دایرکت)
Journal: Journal of Clinical Anesthesia - Volume 21, Issue 4, June 2009, Pages 268–271
نویسندگان
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