Harvey, K., Davies, R., Evans, A., Latto, I. P. and Hall, Judith Elizabeth  ORCID: https://orcid.org/0000-0002-6770-7372
2007.
A comparison of the use of Trachlight and Eschmann multiple-use introducer in simulated difficult intubation.
European Journal of Anaesthesiology
24
(1)
, pp. 76-81.
10.1017/s0265021506001177
|
Abstract
BACKGROUND AND OBJECTIVE: The Eschmann multiple-use introducer is widely used in the management of difficult intubations. Transillumination of the neck is less commonly used. We conducted a randomized crossover study comparing the Trachlight lightwand and Eschmann multiple-use introducer in simulated difficult intubation. METHODS: Sixty-four healthy patients were studied using a standard anaesthetic and full muscle relaxation assessed by train of four. A Macintosh laryngoscope was then inserted and then lowered to simulate a Grade 3 view. Tracheal placement was attempted with both Trachlight lightwand and Eschmann multiple-use introducer in a randomized order. Anaesthetists placing the devices had extensive experience with the Eschmann multiple-use introducer, but only 15 previous uses of the Trachlight. Success rates and time for tracheal placement were recorded. RESULTS: The Eschmann multiple-use introducer and Trachlight were successfully placed in 96.8% and 93.7%, respectively (n.s.). Mean (SD) time to intubation for Eschmann multiple-use introducer and Trachlight were 15(6) and *21(13), respectively (*P < 0.001). CONCLUSION: The Trachlight is a potentially useful alternative to the Eschmann multiple-use introducer in difficult intubation.
| Item Type: | Article |
|---|---|
| Date Type: | Publication |
| Status: | Published |
| Schools: | Schools > Medicine |
| Subjects: | R Medicine > R Medicine (General) R Medicine > RZ Other systems of medicine |
| Publisher: | Cambridge University Press |
| ISSN: | 0265-0215 |
| Last Modified: | 28 Oct 2022 08:34 |
| URI: | https://orca.cardiff.ac.uk/id/eprint/71253 |
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