Łukasz Szarpak1, Łukasz Czyżewski2, Andrzej Kurowski3. 1. Department of Cardiosurgery and Transplantology, Institute of Cardiology, Warsaw, Poland. Electronic address: Lukasz.szarpak@gmail.com. 2. Department of Anesthesiology, Institute of Cardiology, Warsaw, Poland; Department of Nephrologic Nursing, Medical University of Warsaw, Warsaw, Poland. 3. Department of Anesthesiology, Institute of Cardiology, Warsaw, Poland.
Abstract
BACKGROUND: The study was designed to compare the effectiveness of 3 video laryngoscopes with the Miller laryngoscope during pediatric resuscitation. MATERIAL AND METHODS: This was a randomized crossover study involving 87 paramedics and 54 nurses. The primary end point of the study was the success rate of blind tracheal intubation, whereas the secondary end point was defined as the time from insertion of a device to the first manual ventilation of the manikin's lungs. RESULTS: The median time to intubation using the Pentax, Truview, GlideScope, and Miller varied with the times being 20.6 (interquartile range [IQR], 18-27) vs 20.1 (IQR, 18-23.3) vs 30.2 (IQR, 29.6-35) vs 41.3 (IQR, 33-45.2) seconds, respectively. The overall success ratios of intubation for the devices were 100% vs 100% vs 100% vs 79.4%. CONCLUSIONS: We concluded that, in a pediatric manikin scenario, the video laryngoscopes are safe devices and can be used for pediatric intubation during uninterrupted chest compressions. Further clinical studies are necessary to confirm these initial positive findings.
RCT Entities:
BACKGROUND: The study was designed to compare the effectiveness of 3 video laryngoscopes with the Miller laryngoscope during pediatric resuscitation. MATERIAL AND METHODS: This was a randomized crossover study involving 87 paramedics and 54 nurses. The primary end point of the study was the success rate of blind tracheal intubation, whereas the secondary end point was defined as the time from insertion of a device to the first manual ventilation of the manikin's lungs. RESULTS: The median time to intubation using the Pentax, Truview, GlideScope, and Miller varied with the times being 20.6 (interquartile range [IQR], 18-27) vs 20.1 (IQR, 18-23.3) vs 30.2 (IQR, 29.6-35) vs 41.3 (IQR, 33-45.2) seconds, respectively. The overall success ratios of intubation for the devices were 100% vs 100% vs 100% vs 79.4%. CONCLUSIONS: We concluded that, in a pediatric manikin scenario, the video laryngoscopes are safe devices and can be used for pediatric intubation during uninterrupted chest compressions. Further clinical studies are necessary to confirm these initial positive findings.
Authors: Jolanta Majer; Milosz J Jaguszewski; Michael Frass; Marcin Leskiewicz; Jacek Smereka; Jerzy R Ładny; Oliver Robak; Łukasz Szarpak Journal: Cardiol J Date: 2018-08-29 Impact factor: 2.737
Authors: Togay Evrin; Jacek Smereka; Damian Gorczyca; Szymon Bialka; Jerzy Robert Ladny; Burak Katipoglu; Lukasz Szarpak Journal: Emerg Med Int Date: 2019-08-20 Impact factor: 1.112
Authors: Maciej Maslanka; Lukasz Szarpak; Sanchit Ahuja; Kurt Ruetzler; Jacek Smereka Journal: Medicine (Baltimore) Date: 2020-07-10 Impact factor: 1.817