| Home | E-Submission | Sitemap | Contact Us |  
top_img
J Korean Soc Emerg Med > Volume 32(4); 2021 > Article
Journal of The Korean Society of Emergency Medicine 2021;32(4): 362-370.
119 대원에 의하여 지면 위 자세에서 이루어지는 기관내 삽관에서 비디오 후두경과 부지의 사용이 가지는 효과: 무작위 시뮬레이션 연구
송형우1 , 강구현1 , 장용수1 , 김원희1 , 최현영1 , 김재국1 , 이윤재1 , 김태용1 , 방성환2
1한림대학교 강남성심병원 응급의학과
2대전보건대학교 특전의무부사관과
Effect of the use of a video laryngoscope and bougie on the performance of endotracheal intubation on the ground by novice prehospital caregivers: a randomized simulation study
Hyung Woo Song1 , Gu Hyun Kang1 , Yong Soo Jang1 , Wonhee Kim1 , Hyun Young Choi1 , Jae Guk Kim1 , Yoonje Lee1 , Tae Yong Kim1 , Sung Hwan Bang2
1Department of Emergency Medicine, Hallym University Kangnam Sacred Heart Hospital, Seoul, Korea
2Department of Non-commissioned Special Officer Academies, Daejeon Health Institute of Technology, Daejeon, Korea
Correspondence  Gu Hyun Kang ,Tel: 02-829-5119, Fax: 02-842-4217, Email: drkang9@gmail.com,
Received: June 29, 2020; Revised: August 31, 2020   Accepted: September 25, 2020.  Published online: August 31, 2021.
ABSTRACT
Objective:
This study aimed to evaluate the efficacy of a bougie and glidescope video laryngoscope (GVL) for ground intubation by novice prehospital caregivers. We hypothesized that the intubation outcome using a bougie or GVL was superior to that using the Macintosh laryngoscope (MCL) with a stylet (MCLS) in ground intubation.
Method:
A randomized crossover manikin study was conducted. Studied groups were categorized into 4 according to the intubation devices used; MCLS, Macintosh laryngoscope with bougie (MCLB), glidescope video laryngoscope with a stylet (GVLS), and glidescope video laryngoscope with bougie (GVLB). The primary outcome was the total endotracheal intubation time and the secondary outcome was the success rate for endotracheal intubation.
Results:
The use of a bougie did not cause a significant difference in the intubation time (MCLS vs. MCLB, P=0.213; GVLS vs. GVLB, P=0.633) and the success rate of endotracheal intubation (MCLS vs. MCLB, P>0.990; GVLS vs. GVLB, P=0.077) was compared with the use of a stylet in MCL and GVL. The use of GVL showed a longer endotracheal intubation time compared with MCLS (MCLS vs. GVLS, P<0.001; MCLS vs. GVLB, P<0.001). GVLB showed a decreased success rate of endotracheal intubation compared with the use of MCL (MCLS vs. GVLB, P=0.004; MCLB vs. GVLB, P<0.001).
Conclusion:
The use of the GVL and a bougie could not affect the performance of endotracheal intubation on the ground. The use of MCL and a stylet for ground intubation could increase the intubation success rate and shorten intubation time compared with the use of a bougie or the use of GVL.
Key words: Intubation; Airway management; Simulation training
TOOLS
PDF Links  PDF Links
Full text via DOI  Full text via DOI
Download Citation  Download Citation
CrossRef TDM  CrossRef TDM
  E-Mail
Share:      
METRICS
61
View
9
Download
Related article
Editorial Office
The Korean Society of Emergency Medicine
101-3104, Brownstone Seoul, 464 Cheongpa-ro, Jung-gu, Seoul 04510, Korea
TEL: +82-63-250-2724   FAX: +82-63-250-1075   E-mail: playjhs@naver.com
About |  Browse Articles |  Current Issue |  For Authors and Reviewers
Copyright © The Korean Society of Emergency Medicine.                 Developed in M2PI