The Korean Journal of Emergency Medical Services (한국응급구조학회지)

The Korea Society of Emergency Medical Services (한국응급구조학회)
권호 표지
DOI QR코드

DOI QR Code

Validation study of integrated intubation tube with stylet(IITS) in tracheal intubation

기관내삽관에서 속심일체형 삽관튜브 용이성에 관한 연구

  • Yun, Hyeong-Wan (Department of Emergency Medical Service, Vision College) ;
  • Lee, Jae-Min (Department of Emergency Medical Service, Gwangju Health University) ;
  • Jung, Ji-Yeon (Department of Emergency Medical Service, Howon University)
  • Received : 2019.11.07
  • Accepted : 2019.12.13
  • Published : 2019.12.31
Download PDF
⟨ Previous Next ⟩

Abstract

Purpose: Difficult organs or locations or inadequate tube intubations can cause complications. There are some cases in which the tube location changes or the tube is removed due to processing inside the organ while installing the stylet or rapid stylet removal. Thus, this study aimed to evaluate and develop an integrated intubation tube with stylet (IITS) for easier intubation of organs in emergency cases and reduce complications caused by the stylet. Methods: This study used a "Laerdal Airway Management Trainer". For stylet intubation, procedure No. 14 of the national practical test protocol was followed, but the removal step was omitted. In this study, each emergency case was intubated with an IITS, in which the stylet was not inserted or removed separately even though it has the function of an organ intubation stylet. Results: The existing classic ET intubation method had a success rate of 100% and had an average intubation time of 21.75 seconds, The developed IITS method was also successful in all cases and had an average intubation time of 15.78 seconds. Conclusion: Application of an IITS is expected to reduce intubation time and decrease inappropriate depth and intubation failure due to stylet removal, therefore improving the efficiency of airway maintenance.

Keywords

References

  1. Bradley JS, Billows GL, Olinger ML, Boha SP, Cordell WH, Nelson DR. Prehosptal oral endotracheal intubation by rural basic emergency medical technicians. Annals of Emergency Medicine 1998;32:26-32. https://doi.org/10.1016/S0196-0644(98)70095-2
  2. Kang CO. Object deformation and perspective improvement methods for the intubation simulation. Unpublished master's thesis, Chung-ang University 2012, Seoul, Korea.
  3. Kim SY. Effect of head and neck postural changes on endotracheal intubation using the GlideScope video laryngoscope. Unpublished master's thesis, Konkuk University 2017, Seoul, Korea
  4. Kong TY, Pack IC, You JS, Chung SP, Joo YS. The Clinical characteristics for emergency endotracheal intubation in acute drug intoxication, Journal of the Korean Society of Clinical Toxicology 2015;13(1):11-8.
  5. Link MS, Berkow LC, Kudenchuk PJ, Halperin HR, Moitra VK, Neumar RW et al. 2015 American Heart Association Guidelines Update for Cardiopulmonary Resuscitation and Emergency Cardiovascular Care. Part 7:Adult Advanced Cardiovascular Life Support, Circulation, 2015;18:132. https://doi.org/10.1161/CIR.0000000000000261
  6. Walls R.M. et al. Manual of emergeny airway management. 2nd edition, Lippincott Williams & Wilkins, 2008. 78-95.
  7. Margolis G. Airway management paramedic. AAOS. 2007;208-9.
  8. Haas CF, Eakin RM, Konkle MA, Blank R. Endotracheal tubes: old and new. Respiratory Care 2014;59:(6):933-52. https://doi.org/10.4187/respcare.02868
  9. Yao YT, Jia NG, Li CH, Zhang YJ, Yin YQ. Comparison of endotracheal intubation with the Shikani Optical stylet using the left molar approach and direct laryngoscopy. Chin Med J(Engl) 2008;121(14):1324-7. PMID:18713556 https://doi.org/10.1097/00029330-200807020-00015
  10. Yun JE, Han SK. Comparison of fiberoptic bronchoscope and video stylet during endotracheal intybation: simulation study, the Journal of the Korean Society of Emerhency Medicine (JKSEM) 2019;30(4):296-300.
  11. Park SK, Yun SK, Park JC, Kim HJ. Learning curve of skilled anesthesiologists fir endotracheal intubation using OptiscopeTM, Anesth Pain Med 2017;12(3):271-4. https://doi.org/10.17085/apm.2017.12.3.271
  12. Vollmer TP, Stewart RD, Paris PM, Ellis D, Berkebile PE. Use of a lighted stylet for guided orotracheal intubation in the prehospital setting. Annals of Emergency Medicine 1985;14(4):324-8. https://doi.org/10.1016/S0196-0644(85)80097-4
  13. Garza AG, Gratton MC, McElroy J, Lindholm D, Coontz D. Environmental factors encountered during out-of-hospital intubation attempts. Prehosp Emerg Care 2008;12(3):286-9. https://doi.org/10.1080/109031208021100480
  14. Yun HW, You EY, Yun YH. Comparison of educational effects of difficult endotracheal intubation in the 119 rescue service. International Journal of Contents 2011;11(1):254-65. https://doi.org/10.5392/JKCA.2011.11.1.254
  15. Walls RM, Murphy MF. Manual of emergeny airway management. 4th ed. Lippincott Williams & Wilkins.2012. 102-3.