The rigid nasendoscope as a tool for difficult tracheal intubation: a manikin study

Goodwin, Naomi, Latto, I. P., Hodzovic, I., Williams, G. and Hall, Judith Elizabeth ORCID: https://orcid.org/0000-0002-6770-7372 2003. The rigid nasendoscope as a tool for difficult tracheal intubation: a manikin study. Anaesthesia -London- 58 (7) , pp. 675-679. 10.1046/j.1365-2044.2003.03203.x

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Abstract

We examined the use of the 30 degrees rigid nasendoscope in aiding difficult tracheal intubations. A Cormack and Lehane grade 4 difficult intubation (no view of glottis or epiglottis) was set up on a manikin. After 10 s of tuition, 40 anaesthetists attempted to pass a standard gum elastic bougie between the cords, with and without the nasendoscope, in randomised order. A bougie curved to an 'optimal curve' was also tested. Using the standard bougie 13/40 (33%) passed the bougie between the cords without the nasendoscope, compared with 31/40 (78%) when using the nasendoscope (p < 0.001). The 'optimal curve' bougie resulted in 29/40 (73%) and 39/40 (98%) success rates without and with the nasendoscope, respectively (p = 0.004). The nasendoscope is a simple and easy to use tool in grade 4 intubation, and results are improved further by the use of an 'optimal curve' bougie.

Item Type:	Article
Date Type:	Publication
Status:	Published
Schools:	Schools > Medicine
Subjects:	R Medicine > R Medicine (General) R Medicine > RZ Other systems of medicine
Uncontrolled Keywords:	MeSH Terms Attitude of Health Personnel,Clinical Competence,Endoscopes*,Humans,Intubation Intratracheal/instrumentation*,Manikins,Nasal Cavity
Additional Information:	Publication Types Clinical Trial Randomized Controlled Trial Full Text Sources EBSCO Ovid Technologies, Inc. Other Literature Sources Access more work from the authors - ResearchGate
Publisher:	Wiley-Blackwell
ISSN:	0003-2409
Last Modified:	28 Oct 2022 08:36
URI:	https://orca.cardiff.ac.uk/id/eprint/71409

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