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A comparison of the use of Trachlight and Eschmann multiple-use introducer in simulated difficult intubation

Harvey, K., Davies, R., Evans, A., Latto, I. P. and Hall, Judith Elizabeth 2007. A comparison of the use of Trachlight and Eschmann multiple-use introducer in simulated difficult intubation. European Journal of Anaesthesiology 24 (1) , pp. 76-81. 10.1017/s0265021506001177

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Abstract

BACKGROUND AND OBJECTIVE: The Eschmann multiple-use introducer is widely used in the management of difficult intubations. Transillumination of the neck is less commonly used. We conducted a randomized crossover study comparing the Trachlight lightwand and Eschmann multiple-use introducer in simulated difficult intubation. METHODS: Sixty-four healthy patients were studied using a standard anaesthetic and full muscle relaxation assessed by train of four. A Macintosh laryngoscope was then inserted and then lowered to simulate a Grade 3 view. Tracheal placement was attempted with both Trachlight lightwand and Eschmann multiple-use introducer in a randomized order. Anaesthetists placing the devices had extensive experience with the Eschmann multiple-use introducer, but only 15 previous uses of the Trachlight. Success rates and time for tracheal placement were recorded. RESULTS: The Eschmann multiple-use introducer and Trachlight were successfully placed in 96.8% and 93.7%, respectively (n.s.). Mean (SD) time to intubation for Eschmann multiple-use introducer and Trachlight were 15(6) and *21(13), respectively (*P < 0.001). CONCLUSION: The Trachlight is a potentially useful alternative to the Eschmann multiple-use introducer in difficult intubation.

Item Type: Article
Date Type: Publication
Status: Published
Schools: Medicine
Subjects: R Medicine > R Medicine (General)
R Medicine > RZ Other systems of medicine
Publisher: Cambridge University Press
ISSN: 0265-0215
Last Modified: 04 Jun 2017 07:59
URI: http://orca.cf.ac.uk/id/eprint/71253

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