Evaluation of the usefulness of direct laryngoscopy and video laryngoscope training in pediatric airway management
DOI:
https://doi.org/10.61841/rr4egd63Keywords:
Children, Airway management, Laryngoscope, Endotracheal intubation, ParamedicsAbstract
Background/Objectives: This study aims to evaluate the usefulness of direct laryngoscope and video laryngoscope education in pediatric airway management of 119 paramedics. Methods/Statistical analysis: The study subjects were 37 first-class emergency medical personnel working at two fire stations located in J area. Secure normal airways, fixation of head and cervical vertebrae, performance of endotracheal intubation and confidence in tongue edema were assessed before and after training. Collected data were analyzed using frequency, descriptive statistics, and paired t-test by SPSS 22.0. Findings: Total endotracheal intubation scores in endotracheal intubation performance according to the type of laryngoscope was significantly higher in tongue edema situation with video laryngoscope before training (p=.024) and in head and cervical vertebral fixation situation with direct laryngoscope after training (p=.015). Endotracheal intubation time was faster in three cases of direct laryngoscope before and after training (p =.003, p=.040, p=.040), and faster in normal airway (p=.004) as well as tongue edema (p=.006) significantly. In the tongue edema, the tooth injury rate was decreased by video laryngoscope (p <.001, p = .001) before and after education and the confidence in performing endotracheal intubation was higher in direct laryngoscope (p <.001) and video laryngoscope (p<.001) after training. Improvements/Applications: In addition to direct laryngoscopy, continuous video laryngoscope training through a variety of on-site situations is required for effective childhood airway management of 119 paramedics.
Downloads
References
1. Choi UK, Cho KJ. A Comparison of endotracheal intubation using the macintosh laryngoscope the gum elastic bougie and the pentax airWay scope in neck-stabilized manikin. The Korean Journal of Emergency Medical Services. 2011 Dec;15(3):71-80.
2. Rho SG, Lee JG, Kim JH. A research on the actual condition of the prehospital emergency care and education in 119 emergency medical service. Journal of the Korea Academia-Industrial cooperation Society. 2012 May;13(5):2117-24. DOI:10.5762/KAIS.2012.13.5.2117
3. Deakin CD, King P, Thompson F. Prehospital advanced airway management by ambulance technicians and paramedics: is clinical practice sufficient to maintain skills? Journal of Emergency Medicine. 2009 Dec;26(12):888-
91. DOI:10.1136/emj.2008.064642
4. Narang A, Oldeg P, Medzon R, Mahmood A, Spector J, Robinett D. Comparison of intubation success of video laryngoscopy versus direct laryngoscopy in the difficult airway using high-fidelity simulation. Simulation Healthcare. 2009 Fall;4(3):160-5. DOI:10.1097/SIH.0b013e318197d2e5
5. Choo, HJ, Kown OY, Ko YG. Educational suitability of endotracheal intubation using a video-laryngoscope. Korean Journal of Medical Education. 2015 Sep;27(4):267-274. DOI: 10.3946/kjme.2015.27.4.267
6. Si JW, Lee SB, Do BS. Comparison of the Macintosh laryngoscope and the GlideScope (R) Video laryngoscope in easy and simulated difficult airway scenarios-A manikin study-. Journal of Korean Society Emergency Medicine. 2009 Dec;20(6):604-8.
7. Shin GS, Tak YJ. Assessment of the proficiency and usability of direct laryngoscopy and video laryngoscopy. Journal of Emergency Medical Services. 2019 Apr;23(1):87-99. DOI:10.14408/KJEMS.2019.23.1.087
8. Sim GS. Comparison of video laryngoscope and direct laryngoscope on rapidity and accuracy in tracheal intubation by paramedic. Journal of the Korean Society of Emergency Medical Technology. 2010 Apr;14(1):5-18.
9. Ham YL, Kim, JH, Lee JG. The necessity for education on endotracheal intubation through video laryngoscope - A focused on paramedic students -. Journal of emergency medical services, 2019 Apr;23(1):7-17. DOI:10.14408/KJEMS.2019.23.1.007
10. Lee JR. Updated review in pediatric airway management. Anesthesia & Pain Medicine. 2017 Jun;12(3):195-200. DOI:10.17085/apm.2017.12.3.195
11. 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 Jan;110(1):32-37. DOI:10.1097/ALN.0b013e318190b6a7
12. Kim SH, Park IC, Lee HS, Yoon CJ, Kang HG, Yoon YS, Lee KR. Proper Depth of Tracheal Intubation in Korean Children. Journal of Korean Society Emergency Medicine. 2002 Sep;13(3):319-23.
13. Brown III CA, Bair AE, Pallin DJ, Walls RM. Techniques, success, and adverse events of emergency department adult intubations. Annals of Emergency Medicine. 2015 Apr;65(4):363-70. DOI:10.1016/j.annemergmed.2014.10.036
Downloads
Published
Issue
Section
License
This work is licensed under a Creative Commons Attribution 4.0 International License.
You are free to:
- Share — copy and redistribute the material in any medium or format for any purpose, even commercially.
- Adapt — remix, transform, and build upon the material for any purpose, even commercially.
- The licensor cannot revoke these freedoms as long as you follow the license terms.
Under the following terms:
- Attribution — You must give appropriate credit , provide a link to the license, and indicate if changes were made . You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.
- No additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.
Notices:
You do not have to comply with the license for elements of the material in the public domain or where your use is permitted by an applicable exception or limitation .
No warranties are given. The license may not give you all of the permissions necessary for your intended use. For example, other rights such as publicity, privacy, or moral rights may limit how you use the material.
