Comparison of intubation devices in level C personal protective equipment: A cadaveric study

The American Journal of Emergency Medicine
R Scott TaylorJohn Ashurst

Abstract

With the advancement of chemical, biological and nuclear warfare and the reemergence of infectious diseases, the possibility of intubating in personal protective equipment has become increasingly more real to the emergency physician. Human cadaveric models have been found to simulate real world conditions better than mannequins. The aim of the study was to determine the first pass success rate and average time to successful intubation while wearing Personal Protective Equipment (PPE). Secondarily, subjects were asked to rank their choice of a primary and back up device, as well as the most common encountered barriers using PPE. Emergency medicine residents and pre-hospital providers were enrolled in a double randomized sequence to either intubation with direct laryngoscopy (DL), video laryngoscopy (VL), or the Supraglottic Airway Laryngopharyngeal Tube (SALT) in a cadaveric model while wearing level C PPE or without PPE. First pass success rate was 96% without PPE and 58% while wearing PPE when all devices were considered (p≤0.001). Time to intubation while wearing PPE was 35.0s while no PPE was 22.2s (p=0.012). While wearing PPE both DL and VL were found to allow for a faster intubation as compared to the SALT (23.0s and 18.8s...Continue Reading

Citations

Jul 2, 2019·The Cochrane Database of Systematic Reviews·Jos H VerbeekF Selcen Kilinc Balci
Apr 16, 2020·The Cochrane Database of Systematic Reviews·Jos H VerbeekF Selcen Kilinc Balci
May 16, 2020·The Cochrane Database of Systematic Reviews·Jos H VerbeekF Selcen Kilinc Balci
Sep 3, 2020·Revista latino-americana de enfermagem·Israel Baptista de Souza BorgesAlexandre Barbosa de Oliveira
Jul 7, 2020·British Journal of Anaesthesia·Filippo SanfilippoPaolo Murabito
May 28, 2021·Prehospital and Disaster Medicine·Donald DoukasRichard Sinert
Jul 29, 2021·Revista brasileira de enfermagem·Israel Baptista de Souza BorgesAlexandre Barbosa de Oliveira
May 18, 2021·Revista española de anestesiología y reanimación·M Granell GilUNKNOWN en nombre del Grupo de Estudio COV2-VIAEREA Network

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