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KMID : 1100620160030020075
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Clinical and Experimental Emergency Medicine
2016 Volume.3 No. 2 p.75 ~ p.80
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Comparison of blind intubation through supraglottic devices and direct laryngoscopy by novices: a simulation manikin study
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Kim Young-Yong
Kang Gu-Hyun
Kim Won-Hee
Choi Hyun-Young
Jang Yong-Soo
Lee Young-Jae
Kim Jae-Guk
Kim Hyeong-Tae
Kim Gyoung-Yong
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Abstract
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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.
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KEYWORD
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Airway management, Intubation, Laryngeal masks
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