Comparison of malleable stylet and reusable and disposable bougies by paramedics in a simulated difficult intubation
Gregory, P. Woollard, M. Lighton, D. Munro, G. Jenkinson, E. Newcombe, R. G. O’Meara, P. Hamilton, L.
Gregory, P.
Woollard, M.
Lighton, D.
Munro, G.
Jenkinson, E.
Newcombe, R. G.
O’Meara, P.
Hamilton, L.
Editors
Other contributors
Affiliation
Epub Date
Issue Date
2012-04
Submitted date
Alternative
Abstract
In a randomised crossover study, 60 ambulance paramedics attempted tracheal intubation of a manikin model of a Cormack and Lehane grade 3/4 view using a Portex stylet, Portex and Frova single-use bougies, and a Portex reusable bougie. Tracheal intubation within 30 s was achieved by 34/60 (57%) using the stylet, 18/60 (30%) using a Portex single-use bougie, 16/60 (27%) using a Frova single-use bougie and 5/60 (8%) using a Portex reusable bougie. The proportion intubating within 30 s was significantly higher with the stylet compared with any bougie (p < 0.001), but significantly lower with a Portex reusable bougie than any other device (p < 0.004). Participants rated the Portex reusable bougie as significantly more difficult to use than the other devices (p < 0.001). There was no evidence of a relationship between previous experience and success rate for any device.
Citation
Comparison of malleable stylet and reusable and disposable bougies by paramedics in a simulated difficult intubation 2012, 67 (4):371 Anaesthesia
Publisher
Journal
Research Unit
PubMed ID
PubMed Central ID
Embedded videos
Additional Links
Type
Journal article
Language
en
Description
Series/Report no.
ISSN
00032409