A randomised crossover comparison of two endotracheal tube introducers: the FROVA and the Flexible Tip Bougie for GlideScope intubation of a difficult airway manikin by infrequent intubators

International Journal of Emergency Medicine
John CormackRoman Kluger

Abstract

This unblinded randomised crossover study compares two endotracheal tube introducers (ETIs): the FROVA and the "Flexible Tip Bougie" (FTB), in an airway manikin mimicking difficult intubation with a percentage of glottic opening view of 30%. Participants were Emergency Medicine and Anaesthesia trainees with recent experience of less than twenty patient intubations. The primary outcome was time to intubation, further divided into time taken to pass the ETI and time to railroad the endotracheal tube (ETT) over the ETI. The secondary outcome was the difficulty of intubation. The median total time to ETT placement was significantly shorter with the FTB (37.5 s) compared with the FROVA ETI (63.0 s), P = 0.0006. The median difficulty reported (scores 0-10 with 0 being no difficulty) with the FTB was 2 compared with 5 for the FROVA, P < 0.0001. The FTB enabled significantly faster and easier placement of the endotracheal tube compared with the FROVA in inexperienced hands intubating a difficult intubation manikin.

References

Oct 1, 1998·Academic Emergency Medicine : Official Journal of the Society for Academic Emergency Medicine·R M LevitanJ E Hollander
Jun 25, 2010·Anesthesiology·Deepak Sharma
Jan 26, 2012·Academic Emergency Medicine : Official Journal of the Society for Academic Emergency Medicine·John C Sakles, Leah Kalin
Apr 12, 2013·Academic Emergency Medicine : Official Journal of the Society for Academic Emergency Medicine·John C SaklesUwe Stolz
Mar 29, 2014·European Journal of Anaesthesiology·Bisanth BatuwitagePeter Charters
May 23, 2015·Academic Emergency Medicine : Official Journal of the Society for Academic Emergency Medicine·John C SaklesUwe Stolz

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