A comparison of intubation success for paediatric transport team paramedics using lighted vs regular tracheal tube stylets
We conducted a prospective randomized study of success rate and time to intubation using Trachlight and Surch‐Lite lighted stylets versus a regular tracheal tube stylet, in a training setting. Participants, 18 paediatric transport paramedics, performed two intubations with each of the three devices,...
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| Veröffentlicht in: | Pediatric anesthesia 1998-05, Vol.8 (3), p.215-220 |
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| creator | MACNAB, ANDREW J. MACPHAIL, IAIN MACNAB, MAGNUS K. NOBLE, ROBERT O'FLAHERTY, DEBRA |
| description | We conducted a prospective randomized study of success rate and time to intubation using Trachlight and Surch‐Lite lighted stylets versus a regular tracheal tube stylet, in a training setting. Participants, 18 paediatric transport paramedics, performed two intubations with each of the three devices, using an airway management trainer. There was no significant difference in mean time for intubation between the three devices. The times for external confirmation of correct tube placement were comparable using the two lighted stylets. External confirmation of the tube placement using the lighted stylets was quicker than laryngoscopic visualization. In darkness, with a nonfunctioning laryngoscope, intubations were successfully performed 100% of the time with the lighted stylet, but only 11% of the time with the regular stylet. All paramedics felt that a lighted stylet would be a useful airway management adjunct for the transport environment for complicated intubations or for use in very high or low levels of ambient light. |
| doi_str_mv | 10.1046/j.1460-9592.1998.00742.x |
| format | Article |
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Participants, 18 paediatric transport paramedics, performed two intubations with each of the three devices, using an airway management trainer. There was no significant difference in mean time for intubation between the three devices. The times for external confirmation of correct tube placement were comparable using the two lighted stylets. External confirmation of the tube placement using the lighted stylets was quicker than laryngoscopic visualization. In darkness, with a nonfunctioning laryngoscope, intubations were successfully performed 100% of the time with the lighted stylet, but only 11% of the time with the regular stylet. 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Emergency, hospital ward ; Intubation, Intratracheal - instrumentation ; Intubation, Intratracheal - methods ; Laryngoscopy ; Light ; Medical sciences ; paediatric transport ; Prospective Studies ; stylet ; Time Factors ; tracheal intubation ; Transillumination ; Transportation of Patients ; Treatment Outcome</subject><ispartof>Pediatric anesthesia, 1998-05, Vol.8 (3), p.215-220</ispartof><rights>1998 Blackwell Science Ltd.</rights><rights>1998 INIST-CNRS</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c4302-1714fa570fd2ef430cd20d0437c7ab79f92e5551a4fc15ed44179306b48b73a93</citedby><cites>FETCH-LOGICAL-c4302-1714fa570fd2ef430cd20d0437c7ab79f92e5551a4fc15ed44179306b48b73a93</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.1460-9592.1998.00742.x$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1046%2Fj.1460-9592.1998.00742.x$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>314,776,780,1411,27901,27902,45550,45551</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=2260004$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/9608966$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>MACNAB, ANDREW J.</creatorcontrib><creatorcontrib>MACPHAIL, IAIN</creatorcontrib><creatorcontrib>MACNAB, MAGNUS K.</creatorcontrib><creatorcontrib>NOBLE, ROBERT</creatorcontrib><creatorcontrib>O'FLAHERTY, DEBRA</creatorcontrib><title>A comparison of intubation success for paediatric transport team paramedics using lighted vs regular tracheal tube stylets</title><title>Pediatric anesthesia</title><addtitle>Paediatr Anaesth</addtitle><description>We conducted a prospective randomized study of success rate and time to intubation using Trachlight and Surch‐Lite lighted stylets versus a regular tracheal tube stylet, in a training setting. Participants, 18 paediatric transport paramedics, performed two intubations with each of the three devices, using an airway management trainer. There was no significant difference in mean time for intubation between the three devices. The times for external confirmation of correct tube placement were comparable using the two lighted stylets. External confirmation of the tube placement using the lighted stylets was quicker than laryngoscopic visualization. In darkness, with a nonfunctioning laryngoscope, intubations were successfully performed 100% of the time with the lighted stylet, but only 11% of the time with the regular stylet. All paramedics felt that a lighted stylet would be a useful airway management adjunct for the transport environment for complicated intubations or for use in very high or low levels of ambient light.</description><subject>Air Ambulances</subject><subject>Ambulances</subject><subject>Anesthesia. Intensive care medicine. Transfusions. Cell therapy and gene therapy</subject><subject>Attitude of Health Personnel</subject><subject>Biological and medical sciences</subject><subject>Child</subject><subject>Consumer Behavior</subject><subject>Emergency and intensive care: techniques, logistics</subject><subject>Emergency Medical Technicians - education</subject><subject>Equipment Design</subject><subject>Humans</subject><subject>Infant</subject><subject>Intensive care medicine</subject><subject>Intensive care unit. Emergency transport systems. Emergency, hospital ward</subject><subject>Intubation, Intratracheal - instrumentation</subject><subject>Intubation, Intratracheal - methods</subject><subject>Laryngoscopy</subject><subject>Light</subject><subject>Medical sciences</subject><subject>paediatric transport</subject><subject>Prospective Studies</subject><subject>stylet</subject><subject>Time Factors</subject><subject>tracheal intubation</subject><subject>Transillumination</subject><subject>Transportation of Patients</subject><subject>Treatment Outcome</subject><issn>1155-5645</issn><issn>1460-9592</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>1998</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqNkE2P0zAQhiMEWpbCT0DyAXFLsB1_xBKXsoJdxGrhwNfNchy765I0weNAy6_HoVXPnDye931nNE9RIIIrgpl4ta0IE7hUXNGKKNVUGEtGq_2D4vIsPMw14bzkgvHHxROALcakpoJeFBdK4EYJcVn8WSM7DpOJAcYdGj0KuzS3JoX8g9laB4D8GNFkXBdMisGiFM0OpjEmlJwZshLNkEULaIaw26A-bO6T69AvQNFt5t7EJWLvnelRnu0QpEPvEjwtHnnTg3t2elfFl3dvP1_dlLcfr99frW9Ly2pMSyIJ84ZL7DvqfG7ZjuIOs1paaVqpvKKOc04M85Zw1zFGpKqxaFnTytqoelW8PM6d4vhzdpD0EMC6vjc7N86gpVIZBm6ysTkabRwBovN6imEw8aAJ1gt2vdULXb3Q1Qt2_Q-73ufo89OOuc0wzsET56y_OOkGrOl9RmgDnG2UCozzSavi9dH2O_Tu8N_r9af1XS5yvDzGAyS3P8dN_KGFrCXX3-6uNfvO5Qf59Ua_qf8Cn0GuxQ</recordid><startdate>199805</startdate><enddate>199805</enddate><creator>MACNAB, ANDREW J.</creator><creator>MACPHAIL, IAIN</creator><creator>MACNAB, MAGNUS K.</creator><creator>NOBLE, ROBERT</creator><creator>O'FLAHERTY, DEBRA</creator><general>Blackwell Science Ltd</general><general>Blackwell</general><scope>BSCLL</scope><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>199805</creationdate><title>A comparison of intubation success for paediatric transport team paramedics using lighted vs regular tracheal tube stylets</title><author>MACNAB, ANDREW J. ; MACPHAIL, IAIN ; MACNAB, MAGNUS K. ; NOBLE, ROBERT ; O'FLAHERTY, DEBRA</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c4302-1714fa570fd2ef430cd20d0437c7ab79f92e5551a4fc15ed44179306b48b73a93</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>1998</creationdate><topic>Air Ambulances</topic><topic>Ambulances</topic><topic>Anesthesia. Intensive care medicine. Transfusions. Cell therapy and gene therapy</topic><topic>Attitude of Health Personnel</topic><topic>Biological and medical sciences</topic><topic>Child</topic><topic>Consumer Behavior</topic><topic>Emergency and intensive care: techniques, logistics</topic><topic>Emergency Medical Technicians - education</topic><topic>Equipment Design</topic><topic>Humans</topic><topic>Infant</topic><topic>Intensive care medicine</topic><topic>Intensive care unit. Emergency transport systems. Emergency, hospital ward</topic><topic>Intubation, Intratracheal - instrumentation</topic><topic>Intubation, Intratracheal - methods</topic><topic>Laryngoscopy</topic><topic>Light</topic><topic>Medical sciences</topic><topic>paediatric transport</topic><topic>Prospective Studies</topic><topic>stylet</topic><topic>Time Factors</topic><topic>tracheal intubation</topic><topic>Transillumination</topic><topic>Transportation of Patients</topic><topic>Treatment Outcome</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>MACNAB, ANDREW J.</creatorcontrib><creatorcontrib>MACPHAIL, IAIN</creatorcontrib><creatorcontrib>MACNAB, MAGNUS K.</creatorcontrib><creatorcontrib>NOBLE, ROBERT</creatorcontrib><creatorcontrib>O'FLAHERTY, DEBRA</creatorcontrib><collection>Istex</collection><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>Pediatric anesthesia</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>MACNAB, ANDREW J.</au><au>MACPHAIL, IAIN</au><au>MACNAB, MAGNUS K.</au><au>NOBLE, ROBERT</au><au>O'FLAHERTY, DEBRA</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>A comparison of intubation success for paediatric transport team paramedics using lighted vs regular tracheal tube stylets</atitle><jtitle>Pediatric anesthesia</jtitle><addtitle>Paediatr Anaesth</addtitle><date>1998-05</date><risdate>1998</risdate><volume>8</volume><issue>3</issue><spage>215</spage><epage>220</epage><pages>215-220</pages><issn>1155-5645</issn><eissn>1460-9592</eissn><abstract>We conducted a prospective randomized study of success rate and time to intubation using Trachlight and Surch‐Lite lighted stylets versus a regular tracheal tube stylet, in a training setting. Participants, 18 paediatric transport paramedics, performed two intubations with each of the three devices, using an airway management trainer. There was no significant difference in mean time for intubation between the three devices. The times for external confirmation of correct tube placement were comparable using the two lighted stylets. External confirmation of the tube placement using the lighted stylets was quicker than laryngoscopic visualization. In darkness, with a nonfunctioning laryngoscope, intubations were successfully performed 100% of the time with the lighted stylet, but only 11% of the time with the regular stylet. All paramedics felt that a lighted stylet would be a useful airway management adjunct for the transport environment for complicated intubations or for use in very high or low levels of ambient light.</abstract><cop>Oxford, UK</cop><pub>Blackwell Science Ltd</pub><pmid>9608966</pmid><doi>10.1046/j.1460-9592.1998.00742.x</doi><tpages>6</tpages></addata></record> |
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| ispartof | Pediatric anesthesia, 1998-05, Vol.8 (3), p.215-220 |
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| source | MEDLINE; Wiley Online Library Journals Frontfile Complete |
| subjects | Air Ambulances Ambulances Anesthesia. Intensive care medicine. Transfusions. Cell therapy and gene therapy Attitude of Health Personnel Biological and medical sciences Child Consumer Behavior Emergency and intensive care: techniques, logistics Emergency Medical Technicians - education Equipment Design Humans Infant Intensive care medicine Intensive care unit. Emergency transport systems. Emergency, hospital ward Intubation, Intratracheal - instrumentation Intubation, Intratracheal - methods Laryngoscopy Light Medical sciences paediatric transport Prospective Studies stylet Time Factors tracheal intubation Transillumination Transportation of Patients Treatment Outcome |
| title | A comparison of intubation success for paediatric transport team paramedics using lighted vs regular tracheal tube stylets |
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