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Region Hovedstaden - en del af Københavns Universitetshospital
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Direct vs. Video-Laryngoscopy for Intubation by Paramedics of Simulated COVID-19 Patients under Cardiopulmonary Resuscitation: A Randomized Crossover Trial

Publikation: Bidrag til tidsskriftTidsskriftartikelForskningpeer review

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  • Leszek Gadek
  • Lukasz Szarpak
  • Lars Konge
  • Marek Dabrowski
  • Dominika Telecka-Gadek
  • Maciej Maslanka
  • Wiktoria Laura Drela
  • Marta Jachowicz
  • Lukasz Iskrzycki
  • Szymon Bialka
  • Frank William Peacock
  • Jacek Smereka
Vis graf over relationer

A safe way of securing the airway with an endotracheal tube is one of the priorities of an advanced cardiovascular life support algorithm for suspected or confirmed COVID-19 patients. The aim of this study was to compare intubation success rates (ISR) and intubation time (IT) of different laryngoscopes for simulated COVID-19 patients under cardiopulmonary resuscitation. The study was designed as a prospective, randomized, crossover trial. Fifty four active paramedics performed endotracheal intubation with a Macintosh direct laryngoscope (MAC) and McGrath videolaryngoscope (McGrath) with and without personal protective equipment (PPE). Without PPE, ISRs were 87% and 98% for MAC and McGrath, respectively (p = 0.32). ITs were 22.5 s (IQR: 19-26) and 19.5 s (IQR: 17-21) for MAC and McGrath, respectively (p = 0.005). With PPE, first-pass ISR were 30% and 89% with MAC and McGrath, respectively (p < 0.001). The overall success rates were 83% vs. 100% (p = 0.002). Median ITs were 34.0 s (IQR: 29.5-38.5) and 24.8 s (IQR: 21-29) for MAC and McGrath, respectively (p < 0.001). In conclusion, the McGrath videolaryngoscope appears to possess significant advantages over the Macintosh direct laryngoscope when used by paramedics in suspected or confirmed COVID-19 intubation scenarios.

OriginalsprogEngelsk
Artikelnummer5740
TidsskriftJournal of Clinical Medicine
Vol/bind10
Udgave nummer24
ISSN2077-0383
DOI
StatusUdgivet - 8 dec. 2021

ID: 70401455