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首页> 外文期刊>Hong Kong journal of emergency medicine. >Can use of video Laryngoscopes by Emergency Medical Technicians Facilitate Endotracheal Intubation during Continuous Chest Compression? A Manikin Study
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Can use of video Laryngoscopes by Emergency Medical Technicians Facilitate Endotracheal Intubation during Continuous Chest Compression? A Manikin Study

机译：紧急医疗技术人员可以使用视频喉镜在持续的胸部按压过程中促进气管插管吗？人体模型研究

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We conducted this study to evaluate the utility of two video laryngoscopes (VLs) [Pentax-AWS (AWS), GlideScope (GVL)], compared to the conventional Macintosh laryngoscope (ML), on endotracheal intubation (ETI) involving chest compressions by Level 1 Korean emergency medical technicians (EMTs) who are the equivalent of EMT-I in the United States. This was a randomised crossover simulation study. Fifty EMTs performed endotracheal intubation in randomised sequence following two different scenarios: normal airway and difficult airway. In normal airway scenario, overall success rate did not differ between the three devices. However AWS required a shorter run-time (14.1 [10.9-19.8] seconds) to complete ETI (TC) than ML (17.7 [13.5-21.3] seconds) (p=0.017). And both VLs showed a significant superiority over ML in time required to visualise vocal cords (TVC), percentage of glottic opening (POGO) score, and incidence of dental compression (IDC). In difficult airway scenario, overall success rate of both VLs was significantly higher than ML. The TC of AWS (13.7 [11.2-16.9] seconds) and GVL (20.7 [15.1-25.9] seconds) was shorter than that of ML (24.7 [18.1-34.5] seconds) (pVC of GVL was significantly shorter than that of AWS and ML. The POGO score, IDC, and ease of intubation were significantly superior with AWS, GVL, and ML, respectively. Video laryngoscopes can facilitate EMT performing a faster and easier intubation without interrupting chest compressions. Moreover, AWS improves the success rate comparing to ML in difficult airway management. (Hong Kong j.emerg.med. 2014;21:308-315).
机译：我们进行了这项研究，以评估与常规Macintosh喉镜（ML）相比，两个视频喉镜（VLs）[Pentax-AWS（AWS），GlideScope（GVL）]在气管插管（ETI）上涉及按级别进行胸部按压的效用1名在美国相当于EMT-I的韩国紧急医疗技术人员（EMT）。这是一项随机交叉模拟研究。五十种EMT在以下两种不同情况下以随机顺序进行气管插管：正常气道和困难气道。在正常的气道情况下，三个设备之间的总体成功率没有差异。但是，AWS与ML（17.7 [13.5-21.3]秒）相比，完成ETI（T C ）所需的运行时间较短（14.1 [10.9-19.8]秒）（p = 0.017）。并且两个VLs在可视化声带（T VC ），声门开口百分比（POGO）得分和牙齿受压率（I DC ）。在困难的气道情况下，两个VL的总体成功率均显着高于ML。 AWS的T C （13.7 [11.2-16.9]秒）和GVL（20.7 [15.1-25.9]秒）比ML的T C（24.7 [18.1-34.5]秒）短（pVC < GVL的/ sub>明显短于AWS和ML，AGO，GVL和ML的POGO评分，I DC 和插管容易性分别显着优于视频喉镜。 EMT可以更快速，更轻松地进行插管而不会中断胸部按压，此外，AWS与ML相比，在困难的气道管理中提高了成功率（Hong Kong j.emerg.med。2014; 21：308-315）。

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