Comparison of sitting face-to-face intubation (two-person technique) with standard oral-tracheal intubation in novices: a mannequin study

The Journal of Emergency Medicine
Donna VeneziaVictor Tarsia

Abstract

Few studies have evaluated the impact of the upright position on the success of oral-tracheal intubation. Yet, for patients with airway difficulties (i.e, active intraoral bleeding or morbidly obese), the upright position may both benefit the patient and facilitate intubation. We compared the success rates of subjects performing standard intubation to a modified version of the sitting face-to-face oral-tracheal intubation technique on a simulation model. We also reviewed the possible advantages and limitations of the sitting face-to-face intubation technique. Volunteer medical and paramedical students were given instruction, then tested, performing in random order both standard oral-tracheal and two-person sitting face-to-face oral-tracheal intubation on full-bodied mannequins. Observers reviewed video recordings, noting the number of successful intubations and the time to completion of each procedure at 15, 20, and 30 s. All of the sitting face-to-face intubations were successful, 53/53 (100%, 95% confidence interval [CI] 93-100%); whereas of the 53 subjects who performed standard intubation, 48 were successful (91%, 95% CI 80-96%). The difference between successful intubations using the standard vs. sitting face-to-face techn...Continue Reading

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Citations

Dec 26, 2015·Anesthesiology and Pain Medicine·Seyyed Hassan EtemadiMohammad Mahdi Zamani
May 21, 2015·The Journal of Emergency Medicine·Andrea Skye Drenguis, Jestin N Carlson
Jun 15, 2016·Internal and Emergency Medicine·Joseph S TurnerDylan D Cooper
Dec 21, 2016·Indian Journal of Critical Care Medicine : Peer-reviewed, Official Publication of Indian Society of Critical Care Medicine·Varun Chauhan, Gaurav Acharya

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