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KMID : 0895520120160020075
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Journal of the Korean Society of Emergency Medical Technology
2012 Volume.16 No. 2 p.75 ~ p.89
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Comparison of tracheal intubation using the Macintosh laryngoscope versus the intubating laryngeal mask airway
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Hwang Ji-Young
Cho Keun-Ja
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Abstract
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Purpose : This research was designed to provide basic data for advanced pre-hospital airway management by comparing the time to ventilation and success rate for tracheal intubation performed with Macintosh laryngoscope and intubating Laryngeal Mask Airway(ILMA) in a manikin.
Methods : All participants were novice users among EMT-Paramedic students and were divided into two groups: (1) the group for Macintosh laryngoscope guided tracheal intubation(MLG-TI) (2) the group for ILMA guided tracheal intubation(ILMA-TI). After an introductory lecture and demonstration, each group made an attempt ten tracheal intubation to compare the ventilation time and success rate for tracheal intubation.
Results : 1) There was significant difference in the time to ventilation through MLG-TI, the time to first and second ventilation through ILMA-TI of the 10 attempts. 2) The time to first ventilation through ILMA-TI was significantly shorter than that of ventilation through MLG-TI. 3) There was no significant difference between the time to ventilation through MLG-TI and the time to second ventilation through ILMA-TI. 4) The success rates of ILMA-TI were significantly higher than those of MLG-TI.
Conclusion : ILMA-TI can be an alternative method for MLG-TI in advanced pre-hospital airway management.
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KEYWORD
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Intratracheal intubation, Macintosh Laryngoscopes, Intubating LMA, Novice user
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