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http://dx.doi.org/10.14408/KJEMS.2011.15.3.071

A Comparison of Endotracheal Intubation using the Macintosh Laryngoscope, the Gum Elastic Bougie and the Pentax AirWay Scope in Neck-Stabilized Manikin  

Choi, Uk-Jin (Department of Emergency Medicine, Chonnam National University)
Cho, Keun-Ja (Department of Emergency Medical Service, Research Institute for Health Industry, Kongju National University)
Publication Information
The Korean Journal of Emergency Medical Services / v.15, no.3, 2011 , pp. 71-80 More about this Journal
Abstract
Purpose : This research was designed to provide basic data for advanced pre-hospital airway management by comparing the ease of intubation, the success rate and the time for intubation performed with Macintosh Laryngoscope, Gum Elastic Bougie and Pentax AirWay Scope on the floor and table. Methods : Intubation was performed 30 times in total, including 5 times for each of intubation using Macintosh Laryngoscope, Gum Elastic Bougie and Pentax Airway Scope on the table and floor, only on subjects who passed the practice test of the national exam for paramedics. Data were collected by measuring the ease of intubation, the success rate and the time for intubation, and then analyzed by descriptive analysis, paired t-test, ANOVA using SPSS 18.0. Results : 1. There was a significant difference in the ease of intubation according to intubation devices. 2. There was a significant difference in the ease of intubation according to table height for intubation. 3. There was a significant difference in the success rate according to intubation devices. 4. There was no significant difference in the success rate according to table height for intubation. 5. There was a significant difference in the intubation time according to intubation devices. 6. There was a partially significant difference in the intubation time according to table height for intubation. Conclusion : Sufficient training not only with Macintosh Laryngoscope but also with Gum Elastic Bougie and Pentax Airway Scope could improve the survival rate by intubation in patients with difficult airway.
Keywords
Pre-hospital airway management; Intubation; Macintosh laryngoscope; Gum elastic bougie; Pentax airway scope;
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