Comparison of Bullard and Airtraq laryngoscopes with conventional laryngoscopy in a manikin study of simulated difficult intubation

European Journal of Anaesthesiology
Maria A-L LegrandGeorg Mols

Abstract

When airway management is difficult, various measures can be taken to facilitate tracheal intubation. The Bullard and Airtraq laryngoscopes were developed for this purpose. We hypothesised that the Bullard and Airtraq laryngoscopes would perform better than a conventional laryngoscope in the management of a simulated difficult airway. We also hypothesised that the indirect laryngoscopes would perform comparably. In a randomised controlled study, 60 anaesthetists (30 with no or little experience and 30 with broader experience in the use of the Bullard laryngoscope, referred to as beginners and experts, respectively) performed three successive intubation attempts using conventional, Bullard and Airtraq laryngoscopes in two simulated difficult airway scenarios: neck immobilisation (scenario A) and neck immobilisation with additional tongue oedema (scenario B). The primary endpoint was overall intubation success rate. Secondary endpoints were time required for successful intubation, the amount of dental stress exerted during laryngoscopy and satisfaction with each airway device. In scenario A, intubation success rates were 97-100% with all devices. In scenario B, all participants failed to intubate the trachea using the conventiona...Continue Reading

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Citations

Oct 19, 2012·Canadian Journal of Anaesthesia = Journal Canadien D'anesthésie·Akihito TampoHiroshi Iwasaki
Aug 14, 2018·Expert Review of Medical Devices·Lukasz Szarpak
Sep 13, 2012·Paediatric Anaesthesia·Rani A SunderAnshuman Sharma
Feb 26, 2015·European Journal of Emergency Medicine : Official Journal of the European Society for Emergency Medicine·Daniel SteinmannUlrich Goebel
Apr 4, 2013·European Journal of Anaesthesiology·Sajith Chakithandy, Amit Soodan

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