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2026, Number 1

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Rev Mex Anest 2026; 49 (1)

Video-laryngoscopy and endotracheal intubation by medical personnel with limited clinical experience with airway instrumentation in a simulated clinical scenario

Santiago-López J, León-Ramírez V, Rodas-Álvarez F

Language: Spanish
References: 31
Page: 19-23
PDF size: 556.55 Kb.


ABSTRACT

Introduction: the video-laryngoscope is a novel device that may have usability advantages over conventional laryngoscopes, especially for medical personnel with limited clinical experience in tracheal intubation. Objective: to characterize the performance of video-laryngoscopy and endotracheal intubation by medical personnel with limited clinical experience with airway instrumentation in a simulated clinical scenario. Material and methods: a study was conducted on 90 medical residents with limited clinical experience with airway instrumentation. After a brief instruction, each participant took turns performing video laryngoscopy and intubation in a simulated normal airway scenario using a ScopeDragon handmade video laryngoscope and a SimMan® manikin, until they were successful. The instrumentation time, number of attempts and success rate of first attempt were recorded. The variables were analyzed using descriptive statistics. The information was processed with SPSS v-27. Results: instrumentation time was 26 [14-40] seconds, the number of attempts to achieve successful endotracheal intubation was 1 [1-1], with a first-attempt success rate of 90%. Conclusion: the video laryngoscope can be used safely by medical personnel with limited clinical experience in tracheal intubation.


REFERENCES

  1. Wang HE, Kupas DF, Hostler D, Cooney R, Yealy DM, Lave JR. Procedural experience with out-of-hospital endotracheal intubation. Crit Care Med. 2005;33:1718-1721. doi: 10.1097/01.ccm.0000171208.07895.2a.

  2. Bernhard M, Boettiger BW. Out-of-hospital endotracheal intubation of trauma patients: straight back and forward to the gold standard! Eur J Anaesthesiol. 2011;28:75-76. doi: 10.1097/EJA.0b013e328342325a.

  3. Breckwoldt J, Klemstein S, Brunne B, Schnitzer L, Mochmann HC, Arntz HR. Difficult prehospital endotracheal intubation - predisposing factors in a physician based EMS. Resuscitation. 2011;82:1519-1524. doi: 10.1016/j.resuscitation.2011.06.028.

  4. Timmermann A, Eich C, Russo SG, Natge U, Brauer A, Rosenblatt WH, et al. Prehospital airway management: a prospective evaluation of anaesthesia trained emergency physicians. Resuscitation. 2006;70:179-185. doi: 10.1016/j.resuscitation.2006.01.010.

  5. Gries A, Zink W, Bernhard M, Messelken M, Schlechtriemen T. Realistic assessment of the physician-staffed emergency services in Germany. Anaesthesist. 2006;55:1080-1086. doi: 10.1007/s00101-006-1051-2.

  6. Breckwoldt J, Klemstein S, Brunne B, Schnitzer L, Arntz HR, Mochmann HC. Expertise in prehospital endotracheal intubation by emergency medicine physicians-Comparing "proficient performers" and "experts". Resuscitation. 2012;83:434-439. doi: 10.1016/j.resuscitation.2011.10.011.

  7. Mort TC. Emergency tracheal intubation: complications associated with repeated laryngoscopic attempts. Anesth Analg. 2004;99:607-613. doi: 10.1213/01.ANE.0000122825.04923.15.

  8. Bernhard M, Mohr S, Weigand MA, Martin E, Walther A. Developing the skill of endotracheal intubation: implication for emergency medicine. Acta Anaesthesiol Scand. 2012;56:164-171. doi: 10.1111/j.1399-6576.2011.02547.x.

  9. Malik MA, Subramaniam R, Maharaj CH, Harte BH, Laffey JG. Randomized controlled trial of the Pentax AWS, Glidescope, and Macintosh laryngoscopes in predicted difficult intubation. Br J Anaesth. 2009;103:761-768. doi: 10.1093/bja/aep266.

  10. Ng I, Hill AL, Williams DL, Lee K, Segal R. Randomized controlled trial comparing the McGrath videolaryngoscope with the C-MAC videolaryngoscope in intubating adult patients with potential difficult airways. Br J Anaesth. 2012;109:439-443. doi: 10.1093/bja/aes145.

  11. Aziz M, Brambrink A. The Storz C-MAC video laryngoscope: description of a new device, case report, and brief case series. J Clin Anesth. 2011;23:149-152. doi: 10.1016/j.jclinane.2010.01.006.

  12. Cavus E, Thee C, Moeller T, Kieckhaefer J, Doerges V, Wagner K. A randomised, controlled crossover comparison of the C-MAC videolaryngoscope with direct laryngoscopy in 150 patients during routine induction of anaesthesia. BMC Anesthesiol. 2011;11:6. doi: 10.1186/1471-2253-11-6.

  13. Noppens RR, Werner C, Piepho T. Indirekte Laryngoskopie: alternativen zur atemwegssicherung [Indirect laryngoscopy: alternatives to securing the airway]. Anaesthesist. 2010;59:149-161. doi: 10.1007/s00101-009-1656-3.

  14. Rubio-Martínez R, Melman-Szteyn E, Sánchez-Vazquez U. El desarrollo de aptitudes médicas mediante simulación en la especialidad de anestesiología. Rev Fac Med UNAM. 2018;61:S27-S43.

  15. Liao CC, Liu FC, Li AH, Yu HP. Video laryngoscopy-assisted tracheal intubation in airway management. Expert Rev Med Devices. 2018;15:265-275. doi: 10.1080/17434440.2018.1448267.

  16. Rodriguez JJ, Melo-Ceballos PA, Enriquez-Rodriguez DA, Arteaga-Velasquez J, García-García E, Higuita-Gutiérrez LF. Frecuencia de complicaciones en el manejo de la vía aérea: revisión sistemática de la literatura. Arch Med. 2018;14:1-7. doi: 10.3823/1405.

  17. Guzman J. Videolaringoscopios. Rev Chil Anest. 2009;38:135-144.

  18. Kim JT, Na HS, Bae JY, Kim DW, Kim HS, Kim CS, et al. GlideScope video laryngoscope: a randomized clinical trial in 203 paediatric patients. Br J Anaesth. 2008;101:531-534. doi: 10.1093/bja/aen234.

  19. Martínez-Hurtado E, Sánchez-Merchante M. King Vision, ¿estamos ante el videolaringoscopio ideal? AnestesiaR. 2014. 2022. Disponible en: https://www.google.com/url?sa=t&rct=j&q=&esrc=s&source=web&cd=&cad=rja&uact=8&ved=2ahUKEwiq1YvflZ74AhUlEEQIHS_0A84QFnoECBMQAQ&url=https%3A%2F%2Fanestesiar.org%2F2014%2Fkingvision%2F&usg=AOvVaw20GyvMYNK0ddM50tGpaZ58

  20. Hsiao WT, Lin YH, Wu HS, Chen CL. Does a new videolaryngoscope (glidescope) provide better glottic exposure? Acta Anaesthesiol Taiwan. 2005;43:147-151.

  21. Rai MR, Dering A, Verghese C. The Glidescope system: a clinical assessment of performance. Anaesthesia. 2005;60:60-64. doi: 10.1111/j.1365-2044.2004.04013.x.

  22. Balaban O, Hakim M, Walia H, Tumin D, Lind M, Tobias JD. A comparison of direct laryngoscopy and videolaryngoscopy for endotracheal intubation by inexperienced users: a pediatric manikin study. Pediatr Emerg Care. 2020;36:169-172. doi: 10.1097/PEC.0000000000001198.

  23. Smith CE, Sidhu TS, Lever J, Pinchak AB. The complexity of tracheal intubation using rigid fiberoptic laryngoscopy (WuScope). Anesth Analg. 1999;89:236-239. doi: 10.1097/00000539-199907000-00043.

  24. Langeron O, Lenfant F, Aubrun F, Riou B, Coriat P. Evaluation de l'apprentissage d'un nouveau guide lumineux (Trachlight pour l'intubation trachéale [Assessment of a new light guide (Trachlight) for tracheal intubation]. Ann Fr Anesth Reanim. 1997;16:229-233. doi: 10.1016/s0750-7658(97)86406-4.

  25. Kitamura T, Yamada Y, Du HL, Hanaoka K. An efficient technique for tracheal intubation using the StyletScope alone. Anesthesiology. 2000;92:1210-1211. doi: 10.1097/00000542-200004000-00058.

  26. Cooper RM, Pacey JA, Bishop MJ, McCluskey SA. Early clinical experience with a new videolaryngoscope (GlideScope) in 728 patients. Can J Anaesth. 2005;52:191-198. doi: 10.1007/BF03027728.

  27. Nouruzi-Sedeh P, Schumann M, Groeben H. Laryngoscopy via Macintosh blade versus GlideScope: success rate and time for endotracheal intubation in untrained medical personnel. Anesthesiology. 2009;110:32-37. doi: 10.1097/ALN.0b013e318190b6a7.

  28. Jones PM, Armstrong KP, Armstrong PM, Cherry RA, Harle CC, Hoogstra J et al. A comparison of glidescope videolaryngoscopy to direct laryngoscopy for nasotracheal intubation. Anesth Analg. 2008;107:144-148. doi: 10.1213/ane.0b013e31816d15c9.

  29. Ba X. A meta-analysis on the effectiveness of video laryngoscopy versus laryngoscopy for emergency orotracheal intubation. J Healthc Eng. 2022;2022:1474298. doi: 10.1155/2022/1474298.

  30. Hirabayashi Y, Otsuka Y, Seo N. GlideScope videolaryngoscope reduces the incidence of erroneous esophageal intubation by novice laryngoscopists. J Anesth. 2010;24:303-305. doi: 10.1007/s00540-010-0872-y.

  31. Cooper RM. Complications associated with the use of the GlideScope videolaryngoscope. Can J Anaesth. 2007;54:54-57. doi: 10.1007/BF03021900.




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