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
Hauptverfasser: Annamaneni, R., Hodzovic, I., Wilkes, A. R., Latto, I. P.
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container_title Anaesthesia
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creator Annamaneni, R.
Hodzovic, I.
Wilkes, A. R.
Latto, I. P.
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 
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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 &amp; control ; Cross Infection - prevention &amp; control ; Cross-Over Studies ; Disposable Equipment ; Equipment Reuse ; Equipment; gum‐elastic bougie ; General anesthesia. Technics. Complications. Neuromuscular blocking. Premedication. Surgical preparation. 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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 &lt; 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 &amp; control</subject><subject>Cross Infection - prevention &amp; 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. 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Cell therapy and gene therapy</topic><topic>Biological and medical sciences</topic><topic>Clinical Competence</topic><topic>Creutzfeldt-Jakob Syndrome - prevention &amp; control</topic><topic>Cross Infection - prevention &amp; 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. 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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 &lt; 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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source Wiley Free Content; MEDLINE; Wiley Online Library Journals Frontfile Complete; Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals
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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