A comparison of the Trachway intubating stylet and the Macintosh laryngoscope in tracheal intubation: a manikin study |
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Authors: | Kuo-Chuan Hung Ping-Heng Tan Victor Chia-Hsiang Lin Hao-Kuang Wang Hung-Shu Chen |
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Affiliation: | 1. Department of Anesthesiology, E-DA Hospital, I-Shou University, E-Da Road, Jiau-shu Tsuen, Yan-Chau Shiang, Kaohsiung, 824, Taiwan, R.O.C 2. Department of Biomedical Engineering, E-DA Hospital, I-Shou University, Kaohsiung, Taiwan, R.O.C 3. Department of Urology, E-DA Hospital, I-Shou University, Kaohsiung, Taiwan, R.O.C 4. Department of Healthcare Administration, E-DA Hospital, I-Shou University, Kaohsiung, Taiwan, R.O.C 5. Department of Neurosurgery, E-DA Hospital, I-Shou University, Kaohsiung, Taiwan, R.O.C
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Abstract: |
Purpose The Trachway intubating stylet (Trachway®), when used by experienced anesthesiologists, has been shown to be effective for difficult airway management. We evaluated the efficacy of this intubating stylet for tracheal intubation in a manikin when used by experienced laryngoscopists with little experience using this device. Methods Thirty-eight nurse anesthesiologists intubated the trachea of a manikin (Laerdal Airway Management Trainer) with a Trachway intubating stylet or a Macintosh laryngoscope in easy and difficult laryngoscopy scenarios. The duration of the intubation attempts, success rates, dental trauma, and ease of use (0 = very easy; 10 = very difficult) were recorded. The primary endpoint was the duration of the successful tracheal intubation attempt in the difficult laryngoscopy scenario. Data are presented as means (SD). Results Both devices resulted in similar tracheal intubation performance in the easy laryngoscopy scenario. However, the Trachway intubating stylet provided shorter intubation times (20.8 ± 5.6 vs. 25.5 ± 7.3 s; p = 0.003) and easier intubations (2.4 ± 1.6 vs. 5.7 ± 1.8; p < 0.001) compared with the Macintosh laryngoscope in the difficult laryngoscopy scenario. All tracheal intubations were successful and no dental trauma was observed when using the Trachway intubating stylet. Conclusion We concluded that the Trachway intubating stylet, when used by novices, is effective in both easy and difficult laryngoscopy scenarios. In difficult laryngoscopy scenarios, this device provided faster, easier, and less traumatic intubation than the Macintosh laryngoscope. |
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