NDLI: Comparison of Pentax-AWS Airwayscope video laryngoscope, Airtraq optic laryngoscope, and Macintosh laryngoscope during cardiopulmonary resuscitation under cervical stabilization: a manikin study.

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Comparison of Pentax-AWS Airwayscope video laryngoscope, Airtraq optic laryngoscope, and Macintosh laryngoscope during cardiopulmonary resuscitation under cervical stabilization: a manikin study.

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Comparison of Pentax-AWS Airwayscope video laryngoscope, Airtraq optic laryngoscope, and Macintosh laryngoscope during cardiopulmonary resuscitation under cervical stabilization: a manikin study.

Content Provider	World Health Organization (WHO)-Global Index Medicus
Author	Komasawa, Nobuyasu Ueki, Ryusuke Kohama, Hanako Nishi, Shin-ichi Kaminoh, Yoshiroh
Description	Country affiliation: Japan Author Affiliation: Komasawa N ( Department of Anesthesiology, Hyogo College of Medicine, 1-1 Mukogawa-cho, Nishinomiya, Hyogo, 663-8501, Japan. nkomazaw@hyo-med.ac.jp)
Abstract	PURPOSE: The 2010 American Heart Association or European Resuscitation Council guidelines for cardiopulmonary resuscitation emphasize that rescuers should minimize interruption of chest compressions, even for endotracheal intubation. Cervical stabilization should also be maintained during traumatic cardiac arrest. The utility of the Pentax-AWS Airwayscope (AWS) video laryngoscope and Airtraq (ATQ) optic laryngoscope for airway management has been reported under cervical stabilization. We first evaluated ATQ utility during chest compression with or without cervical stabilization and then compared the AWS, ATQ, and Macintosh laryngoscope (McL) during chest compressions under cervical stabilization in a manikin. METHODS: In the first trial, 19 novice doctors performed tracheal intubation with ATQ during chest compression with or without cervical stabilization. In the second trial, 21 novice doctors performed tracheal intubation on a manikin with cervical stabilization using AWS, ATQ, and McL with or without chest compression in a manikin. The rate of successful intubation, time to intubation, and subjective difficulty of use (visual analog scale) were recorded. RESULTS: In the first trial, intubation time during chest compression was significantly shortened under cervical stabilization compared to without cervical stabilization (P < 0.05). In the second trial, using McL, 3 participants failed to perform tracheal intubation without chest compression and 11 failed during chest compression (P < 0.05). Using ATQ, all intubations were successful without chest compression, but 5 failed during chest compression (P < 0.05). Intubation time was significantly prolonged by chest compression using McL or ATQ (P < 0.05). All participants successfully secured the airway with AWS regardless of chest compression, and chest compression did not prolong intubation time. Chest compression worsened the score on the visual analog scale of laryngoscopy in the McL trial (P < 0.05), but not in ATQ or AWS trials. Difficulty of tube passage through the glottis increased with chest compression with the McL and ATQ (P < 0.05) but not with AWS. CONCLUSION: The AWS was superior to McL and ATQ for endotracheal intubation during simulated cervical stabilization and chest compression.
File Format	HTM / HTML
ISSN	09138668
Issue Number	6
Volume Number	25
e-ISSN	14388359
Journal	Journal of Anesthesia
Language	English
Publisher	Springer
Publisher Date	2011-12-01
Publisher Place	Japan
Access Restriction	One Nation One Subscription (ONOS)
Subject Keyword	Discipline Anesthesiology Cardiopulmonary Resuscitation Instrumentation Heart Arrest Therapy Intubation, Intratracheal Laryngoscopes Education Cervical Vertebrae Drug Effects Chest Wall Oscillation Methods Equipment Design Humans Manikins Video Recording Comparative Study Journal Article Research Support, Non-u.s. Gov't
Content Type	Text
Resource Type	Article
Subject	Anesthesiology and Pain Medicine

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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.

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Addition of a video camera system improves the ease of Airtraq(®) tracheal intubation during chest compression.

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Performance of a Pentax-Airway scope and a Macintosh laryngoscope for difficult intubation in a manikin study.

Nasotracheal intubation using the Airtraq versus Macintosh laryngoscope: a manikin study.

Pentax Airway Scope AWS-S200 video laryngoscope for child tracheal intubation in a manikin study with 3 airway scenarios.

Comparison of Pentax-AWS Airwayscope video laryngoscope, Airtraq optic laryngoscope, and Macintosh laryngoscope during cardiopulmonary resuscitation under cervical stabilization: a manikin study.

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Comparison of Pentax-AWS Airwayscope video laryngoscope, Airtraq optic laryngoscope, and Macintosh laryngoscope during cardiopulmonary resuscitation under cervical stabilization: a manikin study.