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. 2014 Oct;30(4):488-91.
doi: 10.4103/0970-9185.142810.

Efficacy of Video-Guided Laryngoscope in Airway Management Skills of Medical Students

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Free PMC article

Efficacy of Video-Guided Laryngoscope in Airway Management Skills of Medical Students

Ali Peirovifar et al. J Anaesthesiol Clin Pharmacol. .
Free PMC article

Abstract

Background & aims: Video-guided laryngoscopy, though unproven in achieving better success rates of laryngoscopy outcome and intubation, seems to provide better glottic visualization compared with direct laryngoscopy. The objective of this study was to compare the efficacy of video-guided laryngoscope (VGL) in the airway management skills of medical students.

Materials and methods: Medical students throughout their anesthesiology rotations were enrolled in this study. All students received standard training in the airway management during their course and were randomly allocated into two 20 person groups. In Group D, airway management was performed by direct laryngoscopy via Macintosh blade and in Group G intubation was performed via VGL. Time to intubation, number of laryngoscopy attempts and success rate were noted. Successful intubation was considered as the primary outcome.

Statistical analysis: All data were analyzed using SPSS 16 software. Chi-square and Fisher's exact test were used for analysis of categorical variables. For analyzing continuous variables independent t-test was used. P < 0.05 was considered as statistically significant.

Results: Number of laryngoscopy attempts was less in Group G in comparison to Group D; this, however, was statistically insignificant (P: 0.18). Time to intubation was significantly less in Group G as compared to Group D (P: 0.02). Successful intubation in Group G was less frequently when compared to Group D (P: 0.66). Need for attending intervention, esophageal intubation and hypoxemic events during laryngoscopy were less in Group G; this, however, was statistically insignificant.

Conclusions: The use of video-guided laryngoscopy improved the first attempt success rate, time to intubation, laryngoscopy attempts and airway management ability of medical students compared to direct laryngoscopy.

Keywords: Airway management; education; medical students; video-guided laryngoscope.

Conflict of interest statement

Conflict of Interest: None declared.

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References

    1. Golzari SE, Khan ZH, Ghabili K, Hosseinzadeh H, Soleimanpour H, Azarfarin R, et al. Contributions of medieval Islamic physicians to the history of tracheostomy. Anesth Analg. 2013;116:1123–32. - PubMed
    1. Ezri T, Weisenberg M, Khazin V, Zabeeda D, Sasson L, Shachner A, et al. Difficult laryngoscopy: Incidence and predictors in patients undergoing coronary artery bypass surgery versus general surgery patients. J Cardiothorac Vasc Anesth. 2003;17:321–4. - PubMed
    1. el-Ganzouri AR, McCarthy RJ, Tuman KJ, Tanck EN, Ivankovich AD. Preoperative airway assessment: Predictive value of a multivariate risk index. Anesth Analg. 1996;82:1197–204. - PubMed
    1. Parish M, Panahi JR, Afhami MR, Pour AM. Role for the second anesthesiologist in failed intubations. Anesth Analg. 2006;102:971. - PubMed
    1. 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;101:531–4. - PubMed
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