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| Content Provider | World Health Organization (WHO)-Global Index Medicus |
|---|---|
| Author | Kohama, Hanako Komasawa, Nobuyasu Ueki, Ryusuke Yamamoto, Noriyasu Tashiro, Chikara Kaminoh, Yoshiroh Nishi, Shin-ichi |
| Description | Country affiliation: Japan Author Affiliation: Kohama H ( Division of Intensive Care, Hyogo College of Medicine, Mukogawa-cho 1-1, Nishinomiya, Hyogo, 663-8501, Japan.) |
| Abstract | PURPOSE: American Heart Association (AHA) 2010 cardiopulmonary resuscitation guidelines recommend high-quality chest compressions (minimum interruption, a pace >100 compressions/min, and a depth more than 5 cm). They propose minor changes for pregnant women: manual left deviation of the uterus or a left-lateral incline of 27°-30° to alleviate pressure on the inferior vena cava. We examined the performance of the Pentax-AWS Airwayscope (AWS) and Macintosh laryngoscope (McL) for airway management during chest compressions on a 27° left-lateral tilt (27 LLT) operating table. METHODS: The study included 18 novice doctors in our anesthesia department. They performed tracheal intubation on a manikin positioned on a 27 LLT operating table using the AWS or McL with or without chest compressions. We measured the intubation time and success rate for tracheal intubation. RESULTS: Intubation success rate with the McL decreased with chest compressions compared to without chest compressions (12/18 vs. 18/18, P < 0.05). Intubation time with the McL was lengthened with chest compressions compared to without chest compressions (18.9 ± 4.0 s vs. 11.1 ± 1.0 s, P < 0.05). Intubation success rate was the same for the AWS with and without chest compressions (18/18 in both cases), and intubation time did not increase significantly without compressions compared to with compressions (11.6 ± 1.4 s vs. 12.6 ± 1.2 s, NS). CONCLUSIONS: The AWS is an effective tool for airway management during chest compressions in 27 LLT in a manikin, suggesting that the AWS may be a useful device for airway management during maternal resuscitation. |
| File Format | HTM / HTML |
| ISSN | 09138668 |
| Issue Number | 5 |
| Volume Number | 27 |
| e-ISSN | 14388359 |
| Journal | Journal of Anesthesia |
| Language | English |
| Publisher | Springer |
| Publisher Date | 2013-10-01 |
| Publisher Place | Japan |
| Access Restriction | One Nation One Subscription (ONOS) |
| Subject Keyword | Discipline Anesthesiology Airway Management Instrumentation Methods Anesthesiology Education Cardiopulmonary Resuscitation Chest Wall Oscillation Manikins Cross-over Studies Female Humans Intubation, Intratracheal Laryngoscopes Pregnancy Time Factors Journal Article Randomized Controlled Trial Research Support, Non-u.s. Gov't |
| Content Type | Text |
| Resource Type | Article |
| Subject | Anesthesiology and Pain Medicine |
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