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Comparison of GlideScope(®) versus Macintosh laryngoscope for the removal of a hypopharyngeal foreign body: a randomized cross-over cadaver study.

Abstract：

OBJECTIVE:This study aimed to evaluate whether GlideScope(®) is an effective and acceptable method for the removal of a hypopharyngeal foreign body. METHODS:This was a prospective study conducted in 28 first year emergency residents with little prior airway management experience. Participants extracted hypopharyngeal foreign bodies using a Macintosh laryngoscope and GlideScope(®) with Magill and Sponge forceps. The primary endpoints were extraction time and success rate with each device. Participant preferences were also assessed. RESULTS:The cumulative success rate in relation to time to extraction was significantly higher with the Macintosh laryngoscope than with the GlideScope(®) (p<0.001) regardless of the extraction device. Significantly fewer attempts were required for the first successful extraction with the Macintosh laryngoscope versus GlideScope(®) with Magill forceps (p=<0.001) and Sponge forceps (p=<0.001). The time for successful foreign body extraction using GlideScope(®) was significantly lower when using Magill (median 46 s, IQR 28-75 s) forceps than Sponge forceps (median 79 s, IQR 41-88 s). CONCLUSIONS:In this cadaver model, the Macintosh laryngoscope appeared to be more efficient and preferred than GlideScope(®) for extracting hypopharyngeal airway foreign bodies that are associated with fatal asphyxiation.

journal_name

Resuscitation

journal_title

Resuscitation

authors

Je SM,Kim MJ,Chung SP,Chung HS

doi

10.1016/j.resuscitation.2012.02.032

subject

Has Abstract

pub_date

2012-10-01 00:00:00

pages

1277-80

issue

10

eissn

0300-9572

issn

1873-1570

pii

S0300-9572(12)00139-6

journal_volume

83

pub_type

杂志文章

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