Porównanie skuteczności Pentax AWS S-100 i laryngoskopu z łopatką Macintosha podczas intubacji dotchawiczej dziecka w warunkach symulowanej resuscytacji – badanie randomizowane

Abstract

IntroductionEndotracheal intubation is still considered the gold standard for airway management. PurposeComparison of the effectiveness of child intubation using the Pentax AWS S-100 video-laryngoscope (AWS) and laryngoscope with Macintosh blade (MAC) in two scenarios during continuous chest compression: (1) normal airway, (2) limited neck mobility. Material and methodsThis was a randomized crossover manikin trial. Fifty-eight paramedic students performed intubations on a manikin in each of two scenarios. The sequence of scenarios and intubating devices were randomized. Time to complete intubation, the efficacy of first intubation attempt, the overall success rate, Cormack-Lehane grade, dental compression and ease of intubation were determined. ResultsThe times (median[interquartile range]) to complete tracheal intubation were significantly shorter with the AWS than with the MAC in all two scenarios (18 [16–21] vs. 25 [21–29] s, 23 [20–25] vs. 36 [31–43] s, respectively). The overall success rate was higher with the AWS than the MAC also in both scenarios (100 vs. 84.5%, 91.4 vs. 68.9%, respectively). ConclusionsIn the manikin study, paramedic students performed intubation using AWS with higher efficiency and shorter time than with the laryngoscope with Macintosh blade. This relationship applies to both test scenarios.