Can the ETView VivaSight SL Rival Conventional Intubation Using the Macintosh Laryngoscope During Adult Resuscitation by Novice Physicians?: A Randomized Crossover Manikin Study

Andrzej Kurowski, Lukasz Szarpak, Zenon Truszewski, Lukasz Czyzewski, Andrzej Kurowski, Lukasz Szarpak, Zenon Truszewski, Lukasz Czyzewski

Abstract

The aim of this study was to assess the performance of the ETView VivaSight SL (ETView) single-lumen airway tube with an integrated high-resolution imaging camera in a manikin-simulated cardiopulmonary resuscitation scenario with and without chest compression. This was a randomized crossover manikin trial. Following a brief training session, 107 volunteer novice physicians who were inexperienced with airway management attempted to intubate a manikin using a Macintosh laryngoscope (MAC) and an ETView, with and without chest compressions. The participants were instructed to make 3 attempts in each scenario. In this trial, we compared intubation time, intubation success rates, and glottic visibility using a Cormack & Lehane Grade. Dental compression and ease of use of each device were also assessed. Median intubation times for the ETView and MAC without chest compressions were 17 (IQR, 15-19) s and 27 (IQR, 25-33) s, respectively (P < 0.001). The ETView proved more successful on the first intubation attempt than the MAC, regardless of compressions. Continuation of compressions caused an increase in intubation times for both the ETView (P = 0.27) and the MAC (P < 0.005). The ETView VivaSight SL is an effective tool for endotracheal intubation when used by novice physicians in a manikin-simulated cardiac arrest, both with and without chest compressions.

Trial registration: clinicaltrials.gov Identifier: NCT02295618.

Conflict of interest statement

The authors have no conflicts of interest to disclose.

Figures

FIGURE 1
FIGURE 1
Laryngoscopes used for this study were (A) ETView VivaSight SL, (B) Macintosh Laryngoscope.
FIGURE 2
FIGURE 2
Simulation manikin with chest compression system Lucas-2.
FIGURE 3
FIGURE 3
Flow chart of design and recruitment of participants according to CONSORT statement.
FIGURE 4
FIGURE 4
Time to intubation.

References

    1. Deakin CD, Nolan JP, Soar J, et al. European Resuscitation Council Guidelines for Resuscitation 2010 Section 4. Adult advanced life support. Resuscitation 2010; 81:1305–1352.
    1. Markenson D, Ferguson JD, Chameides L, et al. Part 13: First aid: 2010 American Heart Association and American Red Cross International Consensus on First Aid Science With Treatment Recommendations. Circulation 2010; 122 (16 suppl 2):S582–S605.
    1. Kohama H, Komasawa N, Ueki R, et al. Utility of the Pentax-AWS Airwayscope and Macintosh laryngoscope for airway management during chest compressions in 27(left-lateral tilt: a manikin simulation study of maternal cardiopulmonary resuscitation. J Anesth 2013; 27:671–675.
    1. Gaszynska E, Gaszynski T. Truview EVO2 and standard Macintosh laryngoscope for tracheal intubation during cardiopulmonary resuscitation: a comparative randomized crossover study. Medicine (Baltimore) 2014; 93:e78.
    1. Difficult Airway Society Intubation Guidelines group. Update (Oct 2014) on DAS intubation guidelines 2015. [online 26 Nov 2014]
    1. Umutoglu T, Bakan M, Topuz U, et al. Use of ETView Tracheoscopic Ventilation Tube® in airway management of a patient with tracheal injury. Minerva Anestesiol 2014; 80:398–399.
    1. Barak M, Putilov V, Meretyk S, et al. ETView tracheoscopic ventilation tube for surveillance after tube position in patients undergoing percutaneous nephrolithotomy. Br J Anaesth 2010; 104:501–504.
    1. Han SK, Shin DH, Choi PC. Utility of the Pentax-AWS without interruption of chest compression: comparison of the Macintosh laryngoscope with the Pentax-AWS in manikin model. Resuscitation 2010; 81:69–73.
    1. Wetsch WA, Spelten O, Hellmich M, et al. Comparison of different video laryngoscopes for emergency intubation in a standardized airway manikin with immobilized cervical spine by experienced anaesthetists. A randomized, controlled crossover trial. Resuscitation 2012; 83:740–745.
    1. Cormack RS, Lehane J. Difficult tracheal intubation in obstetrics. Anaesthesia 1984; 39:1105–1111.
    1. Savoldelli GL, Schiffer E, Abegg C, et al. Learning curves of the GlideScope, the McGrath and the Airtraq laryngoscopes: a manikin study. Eur J Anaesthesiol 2009; 26:554–558.
    1. Wong ML, Carey S, Mader TJ, et al. American Heart Association National Registry of Cardiopulmonary Resuscitation Investigators. Time to invasive airway placement and resuscitation outcomes after inhospital cardiopulmonary arrest. Resuscitation 2010; 81:182–186.
    1. Neumar RW, Otto CW, Link MS, et al. Part 8: adult advanced cardiovascular life support: 2010 American Heart Association Guidelines for Cardiopulmonary Resuscitation and Emergency Cardiovascular Care. Circulation 2010; 122 (18 suppl 3):S729–767.
    1. Park SO, Kim JW, Na JH, et al. Video laryngoscopy improves the first-attempt success in endotracheal intubation during cardiopulmonary resuscitation among novice physicians. Resuscitation 2015; 89:188–194.
    1. Silverberg MJ, Li N, Acquah SO, et al. Comparison of video laryngoscopy versus direct laryngoscopy during urgent endotracheal intubation: a randomized controlled trial. Crit Care Med 2015; 43:636–641.
    1. Maruyama K, Tsukamoto S, Ohno S, et al. Effect of cardiopulmonary resuscitation on intubation using a Macintosh laryngoscope, the AirWay Scope, and the gum elastic bougie: a manikin study. Resuscitation 2010; 81:1014–1018.
    1. Gaszynska E, Gaszynski T. Endotracheal intubation using the Macintosh laryngoscope or KingVision video laryngoscope during uninterrupted chest compression. Biomed Res Int 2014; 2014:250820.
    1. Kim YM, Kim JH, Kang HG, et al. Tracheal intubation using Macintosh and 2 video laryngoscopes with and without chest compressions. Am J Emerg Med 2011; 29:682–686.
    1. Nolan JP. High-quality cardiopulmonary resuscitation. Curr Opin Crit Care 2014; 20:227–233.
    1. Lippert FK, Raffay V, Georgiou M, et al. European Resuscitation Council Guidelines for Resuscitation 2010 Section 10. The ethics of resuscitation and end-of-life decisions. Resuscitation 2010; 81:1445–1451.
    1. Jain D, Dhankar M, Wig J, et al. Comparison of the conventional CMAC and the D-blade CMAC with the direct laryngoscopes in simulated cervical spine injury: a manikin study. Rev Bras Anestesiol 2014; 64:269–274.
    1. Wong KB, Lui CT, Chan WY, et al. Comparison of different intubation techniques performed inside a moving ambulance: a manikin study. Hong Kong Med J 2014; 20:304–312.
    1. Kurowski A, Hryniewicki T, Czyżewski L, et al. Simulation of blind tracheal intubation during pediatric cardiopulmonary resuscitation. Am J Respir Crit Care Med 2014; 190:1315–11315.
    1. Rodríguez-Núñez A, Moure-González J, Rodríguez-Blanco S, et al. Tracheal intubation of pediatric manikins during ongoing chest compressions. Do es Glidescope® videolaryngoscope improve pediatric residents’ performance? Eur J Pediatr 2014; 173:1387–1390.

Source: PubMed

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