Tracheal intubation following training with the GlideScope compared to direct laryngoscopy.

Abstract:

SUMMARY:Tracheal intubation using direct laryngoscopy has a high failure rate when performed by untrained medical personnel. This study compares tracheal intubation following direct laryngoscopy by inexperienced medical students when initially trained by using either the GlideScope, a video assisted laryngoscope, or a rigid (Macintosh) laryngoscope. Forty-two medical students with no previous experience in tracheal intubation were randomly divided into two equal groups to receive training with the GlideScope or with direct laryngoscopy. Subsequently, each medical student performed three consecutive intubations on patients with normal airways that were observed by a anaesthetist who was blinded to the training method. The rates of successful intubation were significantly higher in the Glidescope group after the first (48%), second (62%), and third (81%) intubations compared with the Macintosh group (14%, 14% and 33%; p = 0.043, 0.004 and 0.004, respectively). The mean (SD) times for the first, second, and third successful tracheal intubations were significantly shorter in the Glidescope group (59.3 (4.4) s, 56.6 (7.1) s and 50.1 (4.0) s) than the Macintosh group (70.7 (7.5) s, 73.7 (7.3) s and 67.6 (2.0) s; p = 0.006, 0.003 and 0.0001, respectively). Training with a video-assisted device such as the GlideScope improves the success rate and time for tracheal intubation in patients with normal airways when this is performed by inexperienced individuals following a short training programme.

journal_name

Anaesthesia

journal_title

Anaesthesia

authors

Ayoub CM,Kanazi GE,Al Alami A,Rameh C,El-Khatib MF

doi

10.1111/j.1365-2044.2010.06335.x

subject

Has Abstract

pub_date

2010-07-01 00:00:00

pages

674-8

issue

7

eissn

0003-2409

issn

1365-2044

pii

ANA6335

journal_volume

65

pub_type

杂志文章,随机对照试验
  • Phaeochromocytoma--a presentation mimicking malignant hyperthermia.

    abstract::A 52-year-old apparently healthy, normotensive woman who presented for elective cholecystectomy experienced intra-operative hypertension and tachycardia, which were controlled by propranolol. Oesophageal temperature increased, there was a metabolic and respiratory acidosis with hypoxaemia, and malignant hyperthermia w...

    journal_title:Anaesthesia

    pub_type: 杂志文章

    doi:10.1111/j.1365-2044.1988.tb05703.x

    authors: Crowley KJ,Cunningham AJ,Conroy B,O'Connell PR,Collins PG

    更新日期:1988-12-01 00:00:00

  • Deliberate self-poisoning with dapsone. A case report and summary of relevant pharmacology and treatment.

    abstract::We report the case of a 14-year-old girl who deliberately ingested 8-9 g of dapsone and presented with severe methaemoglobinaemia and altered mental status. Prompt treatment with repeated doses of methylene blue and organ support brought about control of the methaemoglobinaemia and averted organ failure. ...

    journal_title:Anaesthesia

    pub_type: 杂志文章

    doi:10.1111/j.1365-2044.1997.98-az0094b.x

    authors: Ferguson AJ,Lavery GG

    更新日期:1997-04-01 00:00:00

  • Extending a pipecuronium neuromuscular block. Increments of atracurium or vecuronium as an alternative to pipecuronium.

    abstract::Ten patients received increasing doses of pipecuronium at induction of anaesthesia. A dose response relationship was then constructed from which ED90 and ED95 values were measured as 43.4 micrograms.kg-1 and 50.5 micrograms.kg-1 respectively. A further 30 patients received pipecuronium in a dose sufficient to produce ...

    journal_title:Anaesthesia

    pub_type: 杂志文章

    doi:10.1111/j.1365-2044.1993.tb06899.x

    authors: Roberts SP,Ramsay TM,Healy TE,Wilson A,Pollard BJ

    更新日期:1993-03-01 00:00:00

  • Echocardiographic assessment of the haemodynamic effects of propofol: a comparison with etomidate and thiopentone.

    abstract::The haemodynamic effects of propofol (2 mg/kg), etomidate (0.2 mg/kg) and thiopentone (4 mg/kg) were studied in 30 ASA 1 and 2 patients in whom anaesthesia had been induced with midazolam 0.1 mg/kg, fentanyl 5 micrograms/kg, vecuronium 0.1 mg/kg and atropine 10 micrograms/kg, and maintained with nitrous oxide in oxyge...

    journal_title:Anaesthesia

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1111/j.1365-2044.1991.tb09349.x

    authors: Gauss A,Heinrich H,Wilder-Smith OH

    更新日期:1991-02-01 00:00:00

  • Anaesthesia equipment malfunction.

    abstract::Anaesthetic equipment was studied to determine whether the accuracy was improved and failure rate decreased by routine maintenance and calibration by a biomedical technician. Each piece was evaluated, and then repaired and rechecked at intervals by the same technician. Equipment failures were divided into three types:...

    journal_title:Anaesthesia

    pub_type: 杂志文章

    doi:10.1111/j.1365-2044.1985.tb10505.x

    authors: Holley HS,Carroll JS

    更新日期:1985-01-01 00:00:00

  • Routine pre-operative chest radiography. 1977 compared with 1955 at Peterborough District General Hospital.

    abstract::Routine pre-operative chest X-rays have been taken for 22 years. There has been recent criticism of this investigation. 1000 such X-rays taken in 1977 are compared with the same number in 1955. It appears now that routine pre-operative chest X-rays are not necessary under 30 years of age but that they are essential ov...

    journal_title:Anaesthesia

    pub_type: 杂志文章

    doi:10.1111/j.1365-2044.1978.tb08334.x

    authors: Loder RE

    更新日期:1978-11-01 00:00:00

  • The nasopharyngeal airway. Assessment of position by fibreoptic laryngoscopy.

    abstract::Artificial nasopharyngeal airway position and performance were assessed in 120 anaesthetised adult patients. Using a fibreoptic laryngoscope mean distances from nares to larynx were measured at 209 mm (SD 11) in males and 180 mm (SD 11) in females; those from nares to epiglottis were 159 mm (SD 12) in males and 140 mm...

    journal_title:Anaesthesia

    pub_type: 杂志文章

    doi:10.1111/j.1365-2044.1993.tb07119.x

    authors: Stoneham MD

    更新日期:1993-07-01 00:00:00

  • The use of high-dose intravenous immunoglobulins in Guillain-Barré syndrome.

    abstract::A patient with severe Guillain-Barré syndrome responded to treatment with high-dose intravenous immunoglobulins. It is suggested, on the basis of recent case reports, that immunoglobulins may have an important rôle in the future treatment of this immune-mediated disease. ...

    journal_title:Anaesthesia

    pub_type: 杂志文章

    doi:

    authors: Rajah A

    更新日期:1992-03-01 00:00:00

  • Intra-ocular pressure and premedication with oral diazepam.

    abstract::Thirty patients scheduled for routine eye surgery were randomly allocated to receive either diazepam 0.2 mg/kg or ascorbic acid 100 mg orally 90 minutes pre-operatively in a double-blind fashion. Diazepam caused no significant change in intra-ocular pressure. ...

    journal_title:Anaesthesia

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1111/j.1365-2044.1982.tb01112.x

    authors: Trew CT,Manus NJ,Jackson DM

    更新日期:1982-03-01 00:00:00

  • Effects of famotidine and cimetidine on plasma levels of epidurally administered lignocaine.

    abstract::The effects of two H2-receptor antagonists, famotidine and cimetidine, on the plasma levels of epidurally administered lignocaine were studied. Group A (n = 20) received famotidine 20 mg orally the night before surgery and 20 mg intramuscularly 60 minutes before induction of anaesthesia. Group B (n = 15) received cime...

    journal_title:Anaesthesia

    pub_type: 临床试验,杂志文章

    doi:10.1111/j.1365-2044.1990.tb14437.x

    authors: Kishikawa K,Namiki A,Miyashita K,Saitoh K

    更新日期:1990-09-01 00:00:00

  • Decision analysis in anaesthesia: a tool for developing and analysing clinical management plans.

    abstract::Traditional medical decision making is unstructured and incorporates evidence haphazardly. I present a more structured approach based on decision analysis, a model that considers all relevant options and outcomes informed by evidence where appropriate. This method is useful both for planning clinical management and fo...

    journal_title:Anaesthesia

    pub_type: 杂志文章,评审

    doi:10.1111/j.1365-2044.2006.04649.x

    authors: Yentis SM

    更新日期:2006-07-01 00:00:00

  • Regional anaesthesia for repeat Caesarean section in a patient with phantom limb pain.

    abstract::The triggering of phantom limb pain by subarachnoid or epidural anaesthesia has been well described leading to the suggestion that neuraxial regional anaesthesia is relatively contraindicated in lower limb amputees. We report our experience of the provision of anaesthesia for repeat Caesarean section on two occasions ...

    journal_title:Anaesthesia

    pub_type: 杂志文章

    doi:10.1111/j.1365-2044.1996.tb07657.x

    authors: Uncles DR,Glynn CJ,Carrie LE

    更新日期:1996-01-01 00:00:00

  • Evaluation of the Airtraq and Macintosh laryngoscopes in patients at increased risk for difficult tracheal intubation.

    abstract::The Airtraq, a novel single use indirect laryngoscope, has demonstrated promise in the normal and simulated difficult airway. We compared the ease of intubation using the Airtraq with the Macintosh laryngoscope, in patients at increased risk for difficult tracheal intubation, in a randomised, controlled clinical trial...

    journal_title:Anaesthesia

    pub_type: 杂志文章,随机对照试验

    doi:10.1111/j.1365-2044.2007.05316.x

    authors: Maharaj CH,Costello JF,Harte BH,Laffey JG

    更新日期:2008-02-01 00:00:00

  • The relationship between obstructive sleep apnoea and postoperative delirium and pain: an observational study of a surgical cohort.

    abstract::Patients with obstructive sleep apnoea are at increased risk of adverse postoperative outcomes, such as cardiac and respiratory complications. It has been hypothesised that obstructive sleep apnoea also increases the risk for postoperative delirium and acute postoperative pain. We conducted a retrospective, observatio...

    journal_title:Anaesthesia

    pub_type: 杂志文章

    doi:10.1111/anae.14855

    authors: Strutz PK,Kronzer V,Tzeng W,Arrington B,McKinnon SL,Ben Abdallah A,Haroutounian S,Avidan MS

    更新日期:2019-12-01 00:00:00

  • Propofol-fentanyl anaesthesia for coronary artery surgery and cardiopulmonary bypass.

    abstract::A two-stage propofol infusion combined with fentanyl was used to maintain anaesthesia during coronary artery surgery in patients with good ventricular function. Whole blood propofol concentrations were measured at frequent intervals; plasma protein binding was measured before, during and after cardiopulmonary bypass. ...

    journal_title:Anaesthesia

    pub_type: 杂志文章

    doi:10.1111/j.1365-2044.1989.tb11223.x

    authors: Russell GN,Wright EL,Fox MA,Douglas EJ,Cockshott ID

    更新日期:1989-03-01 00:00:00

  • Impact of a physician-led pre-hospital critical care team on outcomes after major trauma.

    abstract::The deployment of physician-led pre-hospital enhanced care teams capable of critical care interventions at the scene of injury may confer a survival benefit to victims of major trauma. However, the evidence base for this widely adopted model is disputed. Failure to identify a clear survival benefit has been attributed...

    journal_title:Anaesthesia

    pub_type: 杂志文章

    doi:10.1111/anae.14501

    authors: Hepple DJ,Durrand JW,Bouamra O,Godfrey P

    更新日期:2019-04-01 00:00:00

  • A comparison of the predictive performance of three pharmacokinetic models for propofol using measured values obtained during target-controlled infusion.

    abstract::We compared the predictive performance of the existing Diprifusor and Schnider models, used for target-controlled infusion of propofol, with a new modification of the Diprifusor model (White) incorporating age and sex covariates. The bias and inaccuracy (precision) of each model were determined using computer simulati...

    journal_title:Anaesthesia

    pub_type: 杂志文章

    doi:10.1111/anae.12631

    authors: Glen JB,White M

    更新日期:2014-06-01 00:00:00

  • Spinal anaesthesia for outpatient surgery.

    abstract::In a prospective study of 51 young male outpatients given spinal anaesthesia through a 25-gauge needle, we found a 37.2% incidence of postdural puncture headache. In addition, 54.9% complained of backache after surgery. Occurrence of headache significantly prolonged the sick-leave from work. General anaesthesia would ...

    journal_title:Anaesthesia

    pub_type: 杂志文章

    doi:10.1111/j.1365-2044.1985.tb10612.x

    authors: Flaatten H,Raeder J

    更新日期:1985-11-01 00:00:00

  • Damage to the laryngeal mask by residual fluid in the cuff.

    abstract::It has been suggested that, in some situations, the cuff of the laryngeal mask should be filled with fluid. We speculated that this practice might damage the device during sterilisation in an autoclave. We studied whether injection of a small volume of water into the cuff of the laryngeal mask and subsequent sterilisa...

    journal_title:Anaesthesia

    pub_type: 杂志文章

    doi:10.1111/j.1365-2044.1997.242-az0377.x

    authors: Asai T,Koga K,Morris S

    更新日期:1997-10-01 00:00:00

  • Tracheal pressures during open suctioning.

    abstract::The purpose of this bench-top study was to determine the subatmospheric tracheal pressures that could be generated by different sizes of suction catheters when placed into the different sizes of tracheal tubes encountered in adult anaesthetic practice. Five sizes of suction catheter were studied from 8 to 16 Fr and fi...

    journal_title:Anaesthesia

    pub_type: 杂志文章

    doi:10.1111/j.1365-2044.2007.05348.x

    authors: Vanner R,Bick E

    更新日期:2008-03-01 00:00:00

  • Addressing priorities for surgical research in Africa: implementation of a multicentre cloud-based peri-operative registry in Ethiopia.

    abstract::In resource-constrained settings, where inequalities in access to and quality of surgical care results in excess mortality, peri-operative care registries are uncommon. A south-south collaboration supported the implementation of a context specific, clinician-led, multicentre real-time peri-operative registry in Ethiop...

    journal_title:Anaesthesia

    pub_type: 杂志文章

    doi:10.1111/anae.15394

    authors: Network for Peri-operative Critical care (N4PCc)*.

    更新日期:2021-01-25 00:00:00

  • Potentially modifiable risk factors for atrial fibrillation following lung resection surgery: a retrospective cohort study.

    abstract::Atrial fibrillation is the most frequent arrhythmia after thoracic surgery and is associated with increased hospital costs, morbidity and mortality. In this study, we aimed to identify potentially modifiable risk factors for postoperative atrial fibrillation following lung resection surgery and to suggest possible mea...

    journal_title:Anaesthesia

    pub_type: 杂志文章

    doi:10.1111/anae.13644

    authors: Lee SH,Ahn HJ,Yeon SM,Yang M,Kim JA,Jung DM,Park JH

    更新日期:2016-12-01 00:00:00

  • Reduction of acute haemorrhage with aprotinin.

    abstract::We describe the use of aprotinin in two patients to control life threatening haemorrhage due to coagulopathy when other therapeutic measures had failed. We review the use of aprotinin and give a rationale for its use in acute coagulopathy. ...

    journal_title:Anaesthesia

    pub_type: 杂志文章

    doi:10.1111/j.1365-2044.1993.tb07014.x

    authors: Valentine S,Williamson P,Sutton D

    更新日期:1993-05-01 00:00:00

  • Haemostatic management of obstetric haemorrhage.

    abstract::The haemostatic management of major obstetric haemorrhage remains challenging, and current published guidance relies heavily on experience from the non-pregnant population and expert opinion. In recent years, an interest in the implications of relative hypofibrinogenaemia, point-of-care monitoring of coagulation abnor...

    journal_title:Anaesthesia

    pub_type: 杂志文章,评审

    doi:10.1111/anae.12913

    authors: Collis RE,Collins PW

    更新日期:2015-01-01 00:00:00

  • Upper limb sympathetic blockade following intercostal nerve blocks.

    abstract::A case of transient sympathetic block of the arm following percutaneous intercostal nerve injections is described and the possible aetiology discussed. ...

    journal_title:Anaesthesia

    pub_type: 杂志文章

    doi:10.1111/j.1365-2044.1987.tb05371.x

    authors: Purcell-Jones G,Speedy HM,Justins DM

    更新日期:1987-09-01 00:00:00

  • Evidence for benefit vs novelty in new intubation equipment.

    abstract::A myriad of new intubation equipment has been introduced commercially since the appearance of Macintosh/Miller blades in the 1940s. We review the role of devices that are relevant to current clinical practice based on their presence in the scientific literature. The comparative performance of new vs traditional direct...

    journal_title:Anaesthesia

    pub_type: 杂志文章,评审

    doi:10.1111/j.1365-2044.2011.06935.x

    authors: Behringer EC,Kristensen MS

    更新日期:2011-12-01 00:00:00

  • Measurement of cardiac output by transpulmonary arterial thermodilution using a long radial artery catheter. A comparison with intermittent pulmonary artery thermodilution.

    abstract::Cardiac output can be measured accurately by transpulmonary arterial thermodilution using the PiCCO (Pulsion Medical Systems, Munich, Germany) system with a femoral artery catheter. We have investigated the accuracy of a new 50 cm 4 French gauge radial artery catheter and the ability to use the system with a shorter r...

    journal_title:Anaesthesia

    pub_type: 杂志文章

    doi:10.1111/j.1365-2044.2004.03710.x

    authors: Orme RM,Pigott DW,Mihm FG

    更新日期:2004-06-01 00:00:00

  • Pulmonary shunts in the prone position.

    abstract::Pulmonary shunting (Qs/Qt with the FIO2 = 1) was determined in ten young healthy non-obese patients prior to anaesthesia, 30 min after induction in the supine position and 1 h later during surgery in the prone position. Respiration was spontaneous in awake patients and was controlled following the induction of anaesth...

    journal_title:Anaesthesia

    pub_type: 杂志文章

    doi:10.1111/j.1365-2044.1978.tb08387.x

    authors: Stone JG,Khambatta HJ

    更新日期:1978-06-01 00:00:00

  • Dutch case-control study of anaesthesia-related morbidity and mortality. Rationale and methods.

    abstract::To date, anaesthesia-related mortality, morbidity and risk factors have almost exclusively been studied qualitatively rather than quantitatively. Therefore, knowledge of the relative risk associated with many anaesthesia-related factors is still lacking. Recently, a quantitative study of the determinants and preventio...

    journal_title:Anaesthesia

    pub_type: 杂志文章,多中心研究

    doi:10.1046/j.1365-2044.1998.00303.x

    authors: Arbous MS,Grobbee DE,van Kleef JW,Meursing AE

    更新日期:1998-02-01 00:00:00

  • From Clover to computer. Towards programmed anaesthesia?

    abstract::The control of depth of anaesthesia has been viewed as a control-system problem the solution of which can involve both feedback and feedforward techniques. The nature of the problem in Clover's day and the solutions he found have been examined. A similar analysis has been made in respect of the modern anaesthetist. Fi...

    journal_title:Anaesthesia

    pub_type: 传,历史文章,杂志文章

    doi:10.1111/j.1365-2044.1979.tb06272.x

    authors: Mapleson WW

    更新日期:1979-02-01 00:00:00