FRINK Linked Data Fragments server

Matches in SemOpenAlex for { <https://semopenalex.org/work/W2321888491> ?p ?o ?g. }

• W2321888491 endingPage "497" @default.
• W2321888491 startingPage "496" @default.
• W2321888491 abstract "Editor, In a randomised controlled crossover trial on an airway manikin simulating a trapped patient, Wetsch et al.1 found that none of five indirect laryngoscopes, including the Glidescope Ranger video laryngoscope, Storz C-MAC video laryngoscope, Pentax AWS, Airtraq optical laryngoscope and McGrath Series 5 video laryngoscope outperformed the Macintosh laryngoscope for emergency intubation. In our view, however, there are several aspects of this study that need to be clarified. The design of this study merits comment. We noted that all participants were anaesthetists with extensive experience of intubation with a Macintosh laryngoscope in the operating room and in emergency conditions; 80% of them were also board certified as emergency physicians, and 44% were currently active as emergency physicians responding to calls at the scene of emergencies. According to the participants’ demographics, we concluded that all participants had managed difficult airways caused by various factors and achieved proficiency with intubation using a Macintosh laryngoscope in the different conditions. However, the authors should have further specified whether some of the participants had performed emergency intubations with a Macintosh laryngoscope in a truly trapped patient during first aid. In this study, it was also unclear why practising intubation with the tested devices on the simulated difficult airway scenario was not allowed prior to the study, although all the participants had almost no clinical experience with any of the five indirect laryngoscopes. Previous studies on patients or airway manikins with normal and difficult airways have shown that a learning curve is indeed required for any of the indirect laryngoscopes, although it is rapid and steep.2–4 Actually, experience and competence with any of the new airway devices are critical for their successful use, especially when there is a difficult airway.5 Before the initiation of this study, therefore, the authors should have attempted to define proficiency with the uses of the different laryngoscopes for intubation on the simulated difficult airway scenarios. In this respect, we completely agree with Behringer and Kristensen5 that for the results of a comparative airway management study to be valid, participants must be equally proficient with each airway device to avoid bias. Because all participants were experienced with direct laryngoscope but inexperienced with indirect laryngoscopes, the results of this study may be biased against indirect laryngoscopy. This may account for the main finding that indirect laryngoscopes did not outperform the direct laryngoscope for emergency intubation. That is, the conclusion of this study may only suggest that the peak of the learning curve of each indirect laryngoscope has not been achieved by all study participants.6 One reason is that, as with any airway device, experience and skill must be obtained before using an indirect laryngoscope. Special training for the device is not only needed, but also practising intubation with the device should be undertaken on patients with a normal airway before using it for more difficult airways. It is worth mentioning that most airway devices require a learning curve of around 20 to 30 attempts for acquisition of reasonable competency, but performance continues to improve even after 100 cases.7 An additional issue raised by this article1 is that the Airtraq was defined as a video laryngoscope. In fact, it is an optical laryngoscope that utilises mirrors and lenses to visualise the glottis through a curved optical channel that mimics the anatomical airway.8 The image is transmitted to a proximal viewfinder which allows the operator to visualise the larynx and the intubation.9 If a proprietary Airtraq video camera adaptor is attached to the proximal viewfinder for viewing the larynx and the intubation on a video monitor, it functions as a video laryngoscope with a remote screen. A manikin study shows that attachment of a video camera system can improve the ease of intubation with the Airtraq during chest compression.10 In the literature, both the optical and video laryngoscopes are often designated as indirect laryngoscopes because they achieve laryngeal exposure through indirect imaging, using video cameras or a series of mirrors and prisms.11 Acknowledgements Assistance with the study: none declared. Sources of funding: None of the authors had any financial support. Conflicts of interest: None of the authors has a potential conflict of interest concerning this letter." @default.
• W2321888491 created "2016-06-24" @default.
• W2321888491 creator A5047465340 @default.
• W2321888491 creator A5078250469 @default.
• W2321888491 creator A5081492088 @default.
• W2321888491 creator A5091745851 @default.
• W2321888491 date "2012-10-01" @default.
• W2321888491 modified "2023-10-17" @default.
• W2321888491 title "Rational comparison of tracheal intubation with direct and indirect laryngoscopes in a simulated trapped manikin" @default.
• W2321888491 cites W1596301224 @default.
• W2321888491 cites W1825771357 @default.
• W2321888491 cites W1973355495 @default.
• W2321888491 cites W1974582061 @default.
• W2321888491 cites W2020775574 @default.
• W2321888491 cites W2027111677 @default.
• W2321888491 cites W2050041569 @default.
• W2321888491 cites W2062616317 @default.
• W2321888491 cites W2065649545 @default.
• W2321888491 cites W2087058712 @default.
• W2321888491 cites W2133167770 @default.
• W2321888491 doi "https://doi.org/10.1097/eja.0b013e328355228d" @default.
• W2321888491 hasPubMedId "https://pubmed.ncbi.nlm.nih.gov/22634851" @default.
• W2321888491 hasPublicationYear "2012" @default.
• W2321888491 type Work @default.
• W2321888491 sameAs 2321888491 @default.
• W2321888491 citedByCount "1" @default.
• W2321888491 countsByYear W23218884912012 @default.
• W2321888491 crossrefType "journal-article" @default.
• W2321888491 hasAuthorship W2321888491A5047465340 @default.
• W2321888491 hasAuthorship W2321888491A5078250469 @default.
• W2321888491 hasAuthorship W2321888491A5081492088 @default.
• W2321888491 hasAuthorship W2321888491A5091745851 @default.
• W2321888491 hasBestOaLocation W23218884911 @default.
• W2321888491 hasConcept C105922876 @default.
• W2321888491 hasConcept C141071460 @default.
• W2321888491 hasConcept C144024400 @default.
• W2321888491 hasConcept C149923435 @default.
• W2321888491 hasConcept C159110408 @default.
• W2321888491 hasConcept C194828623 @default.
• W2321888491 hasConcept C2776888792 @default.
• W2321888491 hasConcept C2778029997 @default.
• W2321888491 hasConcept C2778716859 @default.
• W2321888491 hasConcept C2780084366 @default.
• W2321888491 hasConcept C2780474809 @default.
• W2321888491 hasConcept C2780724011 @default.
• W2321888491 hasConcept C2780978852 @default.
• W2321888491 hasConcept C2781447300 @default.
• W2321888491 hasConcept C2910000593 @default.
• W2321888491 hasConcept C2910212199 @default.
• W2321888491 hasConcept C2910663819 @default.
• W2321888491 hasConcept C3018687963 @default.
• W2321888491 hasConcept C42219234 @default.
• W2321888491 hasConcept C545542383 @default.
• W2321888491 hasConcept C71924100 @default.
• W2321888491 hasConceptScore W2321888491C105922876 @default.
• W2321888491 hasConceptScore W2321888491C141071460 @default.
• W2321888491 hasConceptScore W2321888491C144024400 @default.
• W2321888491 hasConceptScore W2321888491C149923435 @default.
• W2321888491 hasConceptScore W2321888491C159110408 @default.
• W2321888491 hasConceptScore W2321888491C194828623 @default.
• W2321888491 hasConceptScore W2321888491C2776888792 @default.
• W2321888491 hasConceptScore W2321888491C2778029997 @default.
• W2321888491 hasConceptScore W2321888491C2778716859 @default.
• W2321888491 hasConceptScore W2321888491C2780084366 @default.
• W2321888491 hasConceptScore W2321888491C2780474809 @default.
• W2321888491 hasConceptScore W2321888491C2780724011 @default.
• W2321888491 hasConceptScore W2321888491C2780978852 @default.
• W2321888491 hasConceptScore W2321888491C2781447300 @default.
• W2321888491 hasConceptScore W2321888491C2910000593 @default.
• W2321888491 hasConceptScore W2321888491C2910212199 @default.
• W2321888491 hasConceptScore W2321888491C2910663819 @default.
• W2321888491 hasConceptScore W2321888491C3018687963 @default.
• W2321888491 hasConceptScore W2321888491C42219234 @default.
• W2321888491 hasConceptScore W2321888491C545542383 @default.
• W2321888491 hasConceptScore W2321888491C71924100 @default.
• W2321888491 hasIssue "10" @default.
• W2321888491 hasLocation W23218884911 @default.
• W2321888491 hasLocation W23218884912 @default.
• W2321888491 hasOpenAccess W2321888491 @default.
• W2321888491 hasPrimaryLocation W23218884911 @default.
• W2321888491 hasRelatedWork W1973834189 @default.
• W2321888491 hasRelatedWork W2029479379 @default.
• W2321888491 hasRelatedWork W2113139997 @default.
• W2321888491 hasRelatedWork W2308322248 @default.
• W2321888491 hasRelatedWork W2321888491 @default.
• W2321888491 hasRelatedWork W2388417539 @default.
• W2321888491 hasRelatedWork W2595217356 @default.
• W2321888491 hasRelatedWork W3024131766 @default.
• W2321888491 hasRelatedWork W3203676107 @default.
• W2321888491 hasRelatedWork W98767742 @default.
• W2321888491 hasVolume "29" @default.
• W2321888491 isParatext "false" @default.
• W2321888491 isRetracted "false" @default.
• W2321888491 magId "2321888491" @default.
• W2321888491 workType "article" @default.