A comparison of simulated difficult intubation with multiple‐use and single‐use bougies in a manikin
Summary In a randomised cross‐over study, 20 anaesthetists attempted to place a multiple‐ or single‐use bougie in the trachea of a manikin, in which a grade 3 Cormack and Lehane laryngoscopic view was simulated. The anaesthetists made two attempts at placement with each bougie and were blinded to su...
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Veröffentlicht in: | Anaesthesia 2003-01, Vol.58 (1), p.45-49 |
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description | Summary In a randomised cross‐over study, 20 anaesthetists attempted to place a multiple‐ or single‐use bougie in the trachea of a manikin, in which a grade 3 Cormack and Lehane laryngoscopic view was simulated. The anaesthetists made two attempts at placement with each bougie and were blinded to success (tracheal placement) or failure (oesophageal placement). The success rates for the first attempts with the multiple‐ and single‐use bougies were 85 and 15%, respectively [mean (95% CI) difference between the two bougies 70% (40–84%); p |
doi_str_mv | 10.1046/j.1365-2044.2003.02871.x |
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R. ; Latto, I. P.</creator><creatorcontrib>Annamaneni, R. ; Hodzovic, I. ; Wilkes, A. R. ; Latto, I. P.</creatorcontrib><description>Summary In a randomised cross‐over study, 20 anaesthetists attempted to place a multiple‐ or single‐use bougie in the trachea of a manikin, in which a grade 3 Cormack and Lehane laryngoscopic view was simulated. The anaesthetists made two attempts at placement with each bougie and were blinded to success (tracheal placement) or failure (oesophageal placement). The success rates for the first attempts with the multiple‐ and single‐use bougies were 85 and 15%, respectively [mean (95% CI) difference between the two bougies 70% (40–84%); p < 0.001]. The success rates for the second attempts were similar to those for the first attempts with both bougies. There is an increased risk of failure to intubate the trachea when using a single‐use bougie, and this must be weighed against the unquantified risk of cross‐infection from prions when using a multiple‐use bougie.</description><identifier>ISSN: 0003-2409</identifier><identifier>EISSN: 1365-2044</identifier><identifier>DOI: 10.1046/j.1365-2044.2003.02871.x</identifier><identifier>PMID: 12492669</identifier><identifier>CODEN: ANASAB</identifier><language>eng</language><publisher>Oxford, UK: Blackwell Science Ltd</publisher><subject>Anesthesia ; Anesthesia. Intensive care medicine. Transfusions. Cell therapy and gene therapy ; Biological and medical sciences ; Clinical Competence ; Creutzfeldt-Jakob Syndrome - prevention & control ; Cross Infection - prevention & control ; Cross-Over Studies ; Disposable Equipment ; Equipment Reuse ; Equipment; gum‐elastic bougie ; General anesthesia. Technics. Complications. Neuromuscular blocking. Premedication. Surgical preparation. Sedation ; Humans ; Intubation, Intratracheal - instrumentation ; Intubation, tracheal ; Laryngoscopy ; Manikins ; Medical sciences ; Time Factors</subject><ispartof>Anaesthesia, 2003-01, Vol.58 (1), p.45-49</ispartof><rights>2003 INIST-CNRS</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c3961-4c38f9038ea28c20559d34640e7d7f8fa88b7d698c0010df5095fc74a00a67323</citedby><cites>FETCH-LOGICAL-c3961-4c38f9038ea28c20559d34640e7d7f8fa88b7d698c0010df5095fc74a00a67323</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1046%2Fj.1365-2044.2003.02871.x$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1046%2Fj.1365-2044.2003.02871.x$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>314,776,780,1411,1427,4010,27902,27903,27904,45553,45554,46387,46811</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=14481141$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/12492669$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Annamaneni, R.</creatorcontrib><creatorcontrib>Hodzovic, I.</creatorcontrib><creatorcontrib>Wilkes, A. R.</creatorcontrib><creatorcontrib>Latto, I. P.</creatorcontrib><title>A comparison of simulated difficult intubation with multiple‐use and single‐use bougies in a manikin</title><title>Anaesthesia</title><addtitle>Anaesthesia</addtitle><description>Summary In a randomised cross‐over study, 20 anaesthetists attempted to place a multiple‐ or single‐use bougie in the trachea of a manikin, in which a grade 3 Cormack and Lehane laryngoscopic view was simulated. The anaesthetists made two attempts at placement with each bougie and were blinded to success (tracheal placement) or failure (oesophageal placement). The success rates for the first attempts with the multiple‐ and single‐use bougies were 85 and 15%, respectively [mean (95% CI) difference between the two bougies 70% (40–84%); p < 0.001]. The success rates for the second attempts were similar to those for the first attempts with both bougies. There is an increased risk of failure to intubate the trachea when using a single‐use bougie, and this must be weighed against the unquantified risk of cross‐infection from prions when using a multiple‐use bougie.</description><subject>Anesthesia</subject><subject>Anesthesia. Intensive care medicine. Transfusions. Cell therapy and gene therapy</subject><subject>Biological and medical sciences</subject><subject>Clinical Competence</subject><subject>Creutzfeldt-Jakob Syndrome - prevention & control</subject><subject>Cross Infection - prevention & control</subject><subject>Cross-Over Studies</subject><subject>Disposable Equipment</subject><subject>Equipment Reuse</subject><subject>Equipment; gum‐elastic bougie</subject><subject>General anesthesia. Technics. Complications. Neuromuscular blocking. Premedication. Surgical preparation. Sedation</subject><subject>Humans</subject><subject>Intubation, Intratracheal - instrumentation</subject><subject>Intubation, tracheal</subject><subject>Laryngoscopy</subject><subject>Manikins</subject><subject>Medical sciences</subject><subject>Time Factors</subject><issn>0003-2409</issn><issn>1365-2044</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2003</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqNkEtOwzAQhi0EglK4AvIGdgnjRxJ7g1QhXhKCDawt17GLSx4lTgTsOAJn5CQ4tIItK1ue7_fMfAhhAikBnp8uU8LyLKHAeUoBWApUFCR920KT38I2mkAsJZSD3EP7ISwBCBVE7KI9QrmkeS4n6GmGTVuvdOdD2-DW4eDrodK9LXHpnfNmqHrsm36Y695H4tX3TzgSvV9V9uvjcwgW66aMsWbx-zBvh4W3IeawxrVu_LNvDtCO01Wwh5tzih4vLx7Or5Pb-6ub89ltYpjMScINE04CE1ZTYShkmSwZzznYoiyccFqIeVHmUpi4DZQuA5k5U3ANoPOCUTZFJ-t_V137MtjQq9oHY6tKN7YdgiqokEzILIJiDZquDaGzTq06X-vuXRFQo2W1VKNMNcpUo2X1Y1m9xejRpscwr235F9xojcDxBtDB6Mp1ujE-_HGcC0I4idzZmnv1lX3_9wBqdje7GK_sGxefmqY</recordid><startdate>200301</startdate><enddate>200301</enddate><creator>Annamaneni, R.</creator><creator>Hodzovic, I.</creator><creator>Wilkes, A. R.</creator><creator>Latto, I. P.</creator><general>Blackwell Science Ltd</general><general>Blackwell</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>200301</creationdate><title>A comparison of simulated difficult intubation with multiple‐use and single‐use bougies in a manikin</title><author>Annamaneni, R. ; Hodzovic, I. ; Wilkes, A. R. ; Latto, I. P.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c3961-4c38f9038ea28c20559d34640e7d7f8fa88b7d698c0010df5095fc74a00a67323</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2003</creationdate><topic>Anesthesia</topic><topic>Anesthesia. Intensive care medicine. Transfusions. Cell therapy and gene therapy</topic><topic>Biological and medical sciences</topic><topic>Clinical Competence</topic><topic>Creutzfeldt-Jakob Syndrome - prevention & control</topic><topic>Cross Infection - prevention & control</topic><topic>Cross-Over Studies</topic><topic>Disposable Equipment</topic><topic>Equipment Reuse</topic><topic>Equipment; gum‐elastic bougie</topic><topic>General anesthesia. Technics. Complications. Neuromuscular blocking. Premedication. Surgical preparation. Sedation</topic><topic>Humans</topic><topic>Intubation, Intratracheal - instrumentation</topic><topic>Intubation, tracheal</topic><topic>Laryngoscopy</topic><topic>Manikins</topic><topic>Medical sciences</topic><topic>Time Factors</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Annamaneni, R.</creatorcontrib><creatorcontrib>Hodzovic, I.</creatorcontrib><creatorcontrib>Wilkes, A. R.</creatorcontrib><creatorcontrib>Latto, I. P.</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Anaesthesia</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Annamaneni, R.</au><au>Hodzovic, I.</au><au>Wilkes, A. R.</au><au>Latto, I. P.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>A comparison of simulated difficult intubation with multiple‐use and single‐use bougies in a manikin</atitle><jtitle>Anaesthesia</jtitle><addtitle>Anaesthesia</addtitle><date>2003-01</date><risdate>2003</risdate><volume>58</volume><issue>1</issue><spage>45</spage><epage>49</epage><pages>45-49</pages><issn>0003-2409</issn><eissn>1365-2044</eissn><coden>ANASAB</coden><abstract>Summary In a randomised cross‐over study, 20 anaesthetists attempted to place a multiple‐ or single‐use bougie in the trachea of a manikin, in which a grade 3 Cormack and Lehane laryngoscopic view was simulated. The anaesthetists made two attempts at placement with each bougie and were blinded to success (tracheal placement) or failure (oesophageal placement). The success rates for the first attempts with the multiple‐ and single‐use bougies were 85 and 15%, respectively [mean (95% CI) difference between the two bougies 70% (40–84%); p < 0.001]. The success rates for the second attempts were similar to those for the first attempts with both bougies. There is an increased risk of failure to intubate the trachea when using a single‐use bougie, and this must be weighed against the unquantified risk of cross‐infection from prions when using a multiple‐use bougie.</abstract><cop>Oxford, UK</cop><pub>Blackwell Science Ltd</pub><pmid>12492669</pmid><doi>10.1046/j.1365-2044.2003.02871.x</doi><tpages>5</tpages></addata></record> |
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subjects | Anesthesia Anesthesia. Intensive care medicine. Transfusions. Cell therapy and gene therapy Biological and medical sciences Clinical Competence Creutzfeldt-Jakob Syndrome - prevention & control Cross Infection - prevention & control Cross-Over Studies Disposable Equipment Equipment Reuse Equipment gum‐elastic bougie General anesthesia. Technics. Complications. Neuromuscular blocking. Premedication. Surgical preparation. Sedation Humans Intubation, Intratracheal - instrumentation Intubation, tracheal Laryngoscopy Manikins Medical sciences Time Factors |
title | A comparison of simulated difficult intubation with multiple‐use and single‐use bougies in a manikin |
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