Comparison of blind intubation through supraglottic devices and direct laryngoscopy by novices: a simulation manikin study.
- Author:
Young Yong KIM
1
;
Gu Hyun KANG
;
Won Hee KIM
;
Hyun Young CHOI
;
Yong Soo JANG
;
Young Jae LEE
;
Jae Guk KIM
;
Hyeongtae KIM
;
Gyoung Yong KIM
Author Information
- Publication Type:Original Article
- Keywords: Airway management; Intubation; Laryngeal masks
- MeSH: Airway Management; Cross-Over Studies; Intubation*; Laryngeal Masks; Laryngoscopes; Laryngoscopy*; Manikins*; Prospective Studies
- From: Clinical and Experimental Emergency Medicine 2016;3(2):75-80
- CountryRepublic of Korea
- Language:English
- Abstract: OBJECTIVE: This study aimed to compare intubation performance between blind intubation through supraglottic airway devices and direct laryngoscopy by novices under manikin simulation. We hypothesized that the intubation time by novices using supraglottic airway devices was superior to that with the Macintosh laryngoscope (MCL). METHODS: A prospective, randomized crossover study was conducted with 95 participants, to evaluate i-gel, air-Q, LMA Fastrach, and MCL devices. Primary outcomes were the intubation time and the success rate for intubation. RESULTS: The i-gel showed the shortest insertion and tube passing time among the four devices; the i-gel and air-Q also showed the shortest total intubation time (all P<0.0083; i-gel vs. air-Q, P=0.03). The i-gel and MCL showed the highest cumulative success rate (all P<0.0083; i-gel vs. MCL, P=0.12). CONCLUSION: Blind intubation through the i-gel showed almost equal intubation performance compared to direct laryngoscopy.
