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• W1494644863 abstract "We enjoyed the editorial by Rai and Popat [1]. They stated that they ‘…could not find a study in which the authors followed up their published manikin-based study with a patient-based study…’ [1]. Although the tight definition (i.e. a published manikin study followed by a patient study) is not met, we have met the important principle in two recent studies. In two studies of similar design (one referenced in the editorial), we completed manikin-based evaluation of insertion of an i-gel (Intersurgical, Wokingham, UK) [2] and LMA Supreme™ (LMA Company, St Helier, Jersey, UK) [3] before proceeding to study such insertions in elective patients. A self-imposed requirement of the study protocol was that the manikin phase of the study was completed and analysed before proceeding to the patient phase. This was done for reasons of safety and governance. We did not attempt to publish the manikin-based phase as, in agreement with Rai and Popat, we think this would have had no clinical value due to the lack of fidelity of current patient airway simulators. One area of manikin-based studies that may usefully be expanded is the evaluation of the manikins themselves. Although our group in Bath has done some work, to which the authors kindly refer, there is much to be done to evaluate whether there are areas of practice where manikins have particular limitations, and to drive improvements in manikin fidelity and verisimilitude. It is commonplace to attend the trade show at conferences and expensive airway workshops, which usually make extensive use of manikins, many of which have almost no relevance to clinical use. Manikins for supraglottic airway insertion [4] and management of difficult intubation [5] are a particular problem. We hope that Rai and Popat’s editorial will remind both researchers and editors to be much more rigorous in their approach to the use of manikins for equipment evaluation. Dr Behringer made a wise comment at last year’s Difficult Airway Society meeting: ‘Manikin studies are all well and good, providing your patients are manikins’. We rather agree. TC has been paid by Intavent Orthofix and the LMA Company for lecturing. No other external funding or conflicts of interest declared. Previously posted at the Anaesthesia Correspondence website: http://www.anaesthesiacorrespondence.com." @default.
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• W1494644863 date "2011-05-16" @default.
• W1494644863 modified "2023-10-17" @default.
• W1494644863 title "Evaluation of airway equipment: man or manikin?" @default.
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• W1494644863 doi "https://doi.org/10.1111/j.1365-2044.2011.06726.x" @default.
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