Efficacy of intubation performed by trainees on patients in lateral position

Singapore Medical Journal
Sin Yee GohAndrew Seun Kong

Abstract

Anaesthetists may be called upon to emergently secure the airway of a laterally positioned patient. Intubating a patient's trachea in the lateral position may be difficult due to unfamiliarity. This exploratory study aims to investigate the success rate of lateral intubation performed by novices in a controlled setting. In this observational study, all patients who presented for elective surgery requiring lateral position, with planned lateral intubation at the Singapore General Hospital were included. The trainee assigned to each case had no prior indication of the proposed lateral intubation until the start of the case. Verbal instructions were given before the start and during the procedure. The consultant anaesthetist in attendance could intervene at any point to prevent patient harm or if the trainee requested assistance. Time to intubation, adjuncts used and complications encountered were recorded. A total of 44 consecutive patients were included in this study. The trainees completed 42 of the 44 lateral intubations, with 41 being successfully performed at the first attempt. All patients were intubated successfully in a lateral position within two attempts. The mean duration of intubation was 57.3 ± 36.4 seconds. There wa...Continue Reading

References

Nov 1, 1994·British Journal of Anaesthesia·M H NathansonC D Newson
Feb 1, 1997·Anesthesia and Analgesia·O TakahataH Ogawa
Feb 26, 2004·Anesthesia and Analgesia·Ryu KomatsuMakoto Ozaki
Sep 30, 2005·Anesthesia and Analgesia·Conan L McCaulJohn F Boylan
Sep 8, 2012·Anesthesia and Analgesia·Sze-Ying Thong, Theodore Gar-Ling Wong

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Citations

Jul 29, 2020·Expert Review of Clinical Immunology·Hassan AbolhassaniAsghar Aghamohammadi

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