Affiliation:
1. Department of Anesthesiology and Intensive Care, Medical University of Lodz, 90-549 Lodz, Poland
2. Department of Pediatrics, Oncology and Hematology, Medical University of Lodz, 90-549 Lodz, Poland
Abstract
The aim of the study was to evaluate the laryngoscopes Macintosh, Miller, McCoy, Intubrite, VieScope and I-View in simulated out-of-hospital conditions when used by people without clinical experience, and to choose the one that, in the case of failure of the first intubation (FI), gives the highest probability of successful second (SI) or third (TI). For FI, the highest success rate (HSR) was observed for I-View and the lowest (LSR) for Macintosh (90% vs. 60%; p < 0.001); for SI, HSR was observed for I-View and LSR for Miller (95% vs. 66,7%; p < 0001); and for TI, HSR was observed for I-View and LSR for Miller, McCoy and VieScope (98.33% vs. 70%; p < 0.001). A significant shortening of intubation time between FI and TI was observed for Macintosh (38.95 (IQR: 30.1–47.025) vs. 32.4 (IQR: 29–39.175), p = 0.0132), McCoy (39.3 (IQR: 31.1–48.15) vs. 28.75 (IQR: 26.475–35.7), p < 0.001), Intubrite (26.4 (IQR: 21.4–32.3) vs. 20.7 (IQR: 18.3–24.45), p < 0.001), and I-View (21 (IQR: 17.375–25.1) vs. 18 (IQR: 15.95–20.5), p < 0.001). According to the respondents, the easiest laryngo- scopes to use were I-View and Intubrite, while the most difficult was Miller. The study shows that I-View and Intubrite are the most useful devices, combining high efficiency with a statistically significant reduction in time between successive attempts.
Subject
Health Information Management,Health Informatics,Health Policy,Leadership and Management
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