IR@PKUHSC  > 北京大学第二临床医学院
学科主题临床医学
Teaching tracheal intubation: Airtraq is superior to Macintosh laryngoscope
Zhao, Hong; Feng, Yi; Zhou, Yanyan
关键词Clinical education Tracheal intubation Evaluation of clinical performance
刊名BMC MEDICAL EDUCATION
2014-07-16
DOI10.1186/1472-6920-14-144
14
收录类别SCI ; SSCI
文章类型Article
WOS标题词Social Sciences
类目[WOS]Education & Educational Research ; Education, Scientific Disciplines
研究领域[WOS]Education & Educational Research
关键词[WOS]LARYNGEAL MASK AIRWAY ; PERFORMANCE ; MANNEQUIN
英文摘要

Background: Tracheal intubation with Macintosh laryngoscope is taught to medical students as it is a lifesaving procedure. However, it is a difficult technique to learn and the consequences of intubation failure are potentially serious. The Airtraq optical laryngoscope is a relatively novel intubation device, which allows visualization of the glottic plane without alignment of the oral, pharyngeal, and tracheal axes, possessing advantages over Macintosh for novice personnel. We introduced a teaching mode featured with a progressive evaluation scheme for preparation and performance of tracheal intubation with medical students in this prospective randomized crossover trial who had no prior airway management experience to find the superior one.

Methods: Twenty-six medical students of the 8-year programme in the 6th year participated in this trial, when they did their one-week rotation in the department of anaesthesiology. Each of the students intubated 6 patients, who were scheduled for surgeries under general anaesthesia, each laryngoscope for 3 patients respectively. One hundred and forty-nine consecutive patients scheduled for surgical procedures requiring tracheal intubation were enrolled. Patients were randomly allocated to undergo tracheal intubation using Macintosh (n = 75) or Airtraq (n = 74) laryngoscope. The progressive evaluation scheme was applied to each intubation attempt.

Results: Intubation success rate was significantly higher in Airtraq group than Macintosh group (87.8% vs. 66.7%, P < 0.05). Duration of glottis exposure was significantly shorter in Airtraq group compared to Macintosh group (50 +/- 19 s vs. 81 +/- 27 s, P < 0.001). A grade I Cormack and Lehane glottic view was obtained in 94.6% of patients in the Airtraq group versus 32% of patients in the Macintosh group (P < 0.001). Duration of intubation in Airtraq group was significantly shorter (68 +/- 21 s vs. 96 +/- 22 s, P < 0.05) compared to Macintosh group.

Conclusions: Airtraq laryngoscope is easier to master for novice personnel with a higher intubation success rate and shorter intubation duration compared with the Macintosh laryngoscope.

语种英语
WOS记录号WOS:000339516200001
资助机构Peking University People&prime ; s Hospital
引用统计
被引频次:4[WOS]   [WOS记录]     [WOS相关记录]
文献类型期刊论文
条目标识符http://ir.bjmu.edu.cn/handle/400002259/65071
专题北京大学第二临床医学院
北京大学第二临床医学院_麻醉科
作者单位Peking Univ, Peoples Hosp, Dept Anaesthesiol & Pain Med, Beijing 100871, Peoples R China
推荐引用方式
GB/T 7714
Zhao, Hong,Feng, Yi,Zhou, Yanyan. Teaching tracheal intubation: Airtraq is superior to Macintosh laryngoscope[J]. BMC MEDICAL EDUCATION,2014,14.
APA Zhao, Hong,Feng, Yi,&Zhou, Yanyan.(2014).Teaching tracheal intubation: Airtraq is superior to Macintosh laryngoscope.BMC MEDICAL EDUCATION,14.
MLA Zhao, Hong,et al."Teaching tracheal intubation: Airtraq is superior to Macintosh laryngoscope".BMC MEDICAL EDUCATION 14(2014).
条目包含的文件
条目无相关文件。
个性服务
推荐该条目
保存到收藏夹
查看访问统计
导出为Endnote文件
谷歌学术
谷歌学术中相似的文章
[Zhao, Hong]的文章
[Feng, Yi]的文章
[Zhou, Yanyan]的文章
百度学术
百度学术中相似的文章
[Zhao, Hong]的文章
[Feng, Yi]的文章
[Zhou, Yanyan]的文章
必应学术
必应学术中相似的文章
[Zhao, Hong]的文章
[Feng, Yi]的文章
[Zhou, Yanyan]的文章
相关权益政策
暂无数据
收藏/分享
所有评论 (0)
暂无评论
 

除非特别说明,本系统中所有内容都受版权保护,并保留所有权利。