Edema of the Tongue, Intubation; Difficult
Conditions
Brief summary
Background and aims: Glidescope and Airtraq were designed to facilitate intubation and to improve teaching intubation. The investigators want to find their efficacy in normal airway, tongue edema and face-to-face orotracheal intubation models by novice personal. Material and Methods: After Kocaeli Human Researches Ethics Committee approval, thirty six medical students who were on the beginning of their third year were enrolled in this study. After watching a video about the intubation of one of these devices, they attempted to intubate an adult manikin in three different airway models in a random order; first in normal airway, second, tongue edema and finally, in an entrapped manikin by face-to-face approach with Glidescope or Airtraq. Intubation attempts, insertion and intubation times, success rates, Cormack-Lehane grades, need of maneuvers of these devices were recorded.
Detailed description
Trauma victims mostly had to be intubated at the scene of the area with the paramedics. In a suspect of a cervical trauma, patients must be intubated with the least movement. Videolaryngoscopic techniques had several advantages at this condition. We want to investigate which can be used easily by novice personnel.
Interventions
Manikin was intubated by different novice personal with glidescope videolaryngoscope
Pediatric manikin was intubated by novice personal with airtraq
Sponsors
Study design
Eligibility
Inclusion criteria
* medical students at their third year, * novice personnel
Exclusion criteria
* anesthesists, * anesthesia residents, * skilled investigators of tracheal intubation
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| intubation success rates | 5 minutes | We recorded the first and total intubation success rates of the intubation with one of these devices |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| intubation time | 5 minutes | from the handling of the device till viewing the endotracheal tube entering the vocal cords |
| Esophageal intubation | 5 minutes | is there an esophageal intubation occurred while inserting the tube or not |
| need of optimisation maneuvers | 5 minutes | do we need an optimization maneuver while intubating or while viewing the glottis or not |