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A paramedic study comparing the use of the Airtraq®, Airway Scope and Macintosh laryngoscopes in simulated prehospital airway scenarios

Lewis, A. R., Hodzovic, Iljaz, Whelan, J., Wilkes, Antony Robert, Bowler, I. and Whitfield, R. 2010. A paramedic study comparing the use of the Airtraq®, Airway Scope and Macintosh laryngoscopes in simulated prehospital airway scenarios. Anaesthesia 65 (12) , pp. 1187-1193. 10.1111/j.1365-2044.2010.06514.x

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Abstract

In a randomised, cross-over study, we compared the use of the Airtraq®, Airway Scope and Macintosh laryngoscopes by paramedics for tracheal intubation in three simulated prehospital scenarios. Fifty-four paramedics were invited to take part. When evaluated in a difficult airway manikin, median IQR [range] time to intubation with the Airtraq (21 (16–37 [6–80] s) and Airway Scope (16 (5–75 [12–23] s) was shorter than that with the Macintosh laryngoscope (39 (25–54 [7–120] s; p < 0.0001). The success rate within 30 s was greater with the Airtraq (61%) and Airway Scope (93%) than with the Macintosh laryngoscope (22%; p < 0.0001). When used for a standard intubation and in the sitting position, we found minimal differences among the three laryngoscopes. We conclude that the Airway Scope and Airtraq have significant advantages over the Macintosh laryngoscope and that of the two, the Airway Scope is the more effective device to use in the prehospital environment.

Item Type: Article
Date Type: Publication
Status: Published
Schools: Medicine
Subjects: R Medicine > RZ Other systems of medicine
Publisher: Wiley-Blackwell
ISSN: 0003-2409
Last Modified: 18 Dec 2017 10:31
URI: http://orca.cf.ac.uk/id/eprint/29536

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