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Comparison of malleable stylet and reusable and disposable bougies by paramedics in a simulated difficult intubation

Gregory, P., Woollard, M., Lighton, D., Munro, G., Jenkinson, E., Newcombe, Robert Gordon, O'Meara, P. and Hamilton, L. 2012. Comparison of malleable stylet and reusable and disposable bougies by paramedics in a simulated difficult intubation. Anaesthesia 67 (4) , pp. 371-376. 10.1111/j.1365-2044.2011.06999.x

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Abstract

In a randomised crossover study, 60 ambulance paramedics attempted tracheal intubation of a manikin model of a Cormack and Lehane grade 3 ⁄ 4 view using a Portex stylet, Portex and Frova single-use bougies, and a Portex reusable bougie. Tracheal intubation within 30 s was achieved by 34 ⁄ 60 (57%) using the stylet, 18 ⁄ 60 (30%) using a Portex single-use bougie, 16 ⁄ 60 (27%) using a Frova single-use bougie and 5 ⁄ 60 (8%) using a Portex reusable bougie. The proportion intubating within 30 s was significantly higher with the stylet compared with any bougie (p < 0.001), but significantly lower with a Portex reusable bougie than any other device (p < 0.004). Participants rated the Portex reusable bougie as significantly more difficult to use than the other devices (p < 0.001). There was no evidence of a relationship between previous experience and success rate for any device.

Item Type: Article
Date Type: Publication
Status: Published
Schools: Medicine
Subjects: R Medicine > R Medicine (General)
Publisher: Wiley-Blackwell
ISSN: 1365-2044
Last Modified: 30 Jun 2017 02:54
URI: http://orca.cf.ac.uk/id/eprint/42689

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