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- Title
Comparison of malleable stylet and reusable and disposable bougies by paramedics in a simulated difficult intubation.
- Authors
Gregory, P.; Woollard, M.; Lighton, D.; Munro, G.; Jenkinson, E.; Newcombe, R. G.; O'Meara, P.; Hamilton, L.
- Abstract
Summary In a randomised crossover study, 60 ambulance paramedics attempted tracheal intubation of a manikin model of a Cormack and Lehane grade 3/4 view using a Portex stylet, Portex and Frova single-use bougies, and a Portex reusable bougie. Tracheal intubation within 30 s was achieved by 34/60 (57%) using the stylet, 18/60 (30%) using a Portex single-use bougie, 16/60 (27%) using a Frova single-use bougie and 5/60 (8%) using a Portex reusable bougie. The proportion intubating within 30 s was significantly higher with the stylet compared with any bougie (p < 0.001), but significantly lower with a Portex reusable bougie than any other device (p < 0.004). Participants rated the Portex reusable bougie as significantly more difficult to use than the other devices (p < 0.001). There was no evidence of a relationship between previous experience and success rate for any device.
- Subjects
INTUBATION; ALLIED health personnel; MANNEQUINS (Figures); MEDICAL equipment; TRACHEA intubation
- Publication
Anaesthesia, 2012, Vol 67, Issue 4, p371
- ISSN
0003-2409
- Publication type
Article
- DOI
10.1111/j.1365-2044.2011.06999.x