From the pre-hospital literature: Time to manoeuvre for a change?

Christopher, Sarah (2010) From the pre-hospital literature: Time to manoeuvre for a change? Emergency Medicine Journal, 27 (3). p. 234. ISSN 1472-0205

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Item Type:Review
Item Status:Live Archive


This randomised crossover trial set out to compare the Airtraq, Truview and Mackintosh laryngoscopes when used by advanced paramedics in Ireland. Each of the 21 paramedics who participated in the study performed endotracheal intubation with each device in a Simman manikin in two scenarios—that of a ‘normal’ airway with the manikin in a supine position and following the application of a hard cervical collar. The severity of dental trauma and the number of optimisation manoeuvres were also recorded. No significant difference was found in the duration of intubation attempts between the Macintosh and Airtraq laryngoscopes in either scenario. The duration when using the Truview, however, was significantly longer in both scenarios. The Airtraq was found to reduce both the number of optimisation manoeuvres and the potential for dental trauma when compared with both the Macintosh and Truview laryngoscopes. There has been much debate and controversy regarding the practice of prehospital intubation by paramedics. Devices that may result in improvements in intubation technique over those currently used are therefore worthy of further consideration.

▶ Nasim S, Maharaj C, Butt I, et al. Comparison of the Airtraq and Truview laryngoscopes to the Macintosh laryngoscope for use by advanced paramedics in easy and simulated difficult intubation in manikins. BMC Emerg Med 2009;9:2.

Keywords:Emergency care
Subjects:B Subjects allied to Medicine > B990 Subjects Allied to Medicine not elsewhere classified
L Social studies > L510 Health & Welfare
Divisions:College of Social Science > School of Health & Social Care
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ID Code:28905
Deposited On:27 Sep 2017 15:29

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