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- W4240841613 abstract "The result of impaired vision on an anesthesiologist’s ability to intubate the trachea is unknown. We studied 12 attending staff anesthesiologists as they intubated 2 anesthesia mannequins (A and B) under 6 conditions. The conditions were: 1) usual vision, 2) central-vision loss with 20/500 bilaterally and a 24° central scotoma, 3) peripheral-field loss with 20/20 bilaterally and a 7° visual field, 4) peripheral-field loss with 20/20 bilaterally and a 3.5° visual field, 5) central-vision loss with 20/200 bilaterally and a 12° central scotoma, and 6) right eye ocular media opacity and 20/70 left eye usual acuity. The time to intubation was recorded by stopwatch from gripping the laryngoscope until the anesthesiologist signaled that the endotracheal tube was properly placed in the trachea. The mean ± sd times to intubation for Mannequins A and B were 16.0 ± 3.3, 31.9 ± 10.4, 26.4 ± 9.0, 26.4 ± 7.7, 22.4 ± 5.1, 25.5 ± 16.9 and 16.6 ± 6.6, 26.9 ± 10.0, 21.4 ± 9.2, 21.4 ± 5.8, 21.5 ± 7.7, 17.7 ± 5.1 s for the 6 conditions, respectively. Multiple analysis of variance revealed a highly significant difference for the time to successful intubation between the anesthesiologists’ usual vision and the vision-impaired conditions. There was a significant improvement in time to successful intubation from the first to subsequent intubation attempts. There were also more esophageal intubations in the vision-impaired conditions. This implies that anesthesiologists who develop acute severe vision impairment might have more difficulty intubating the trachea, which could initiate more critical incidents. The results of this study cannot be applied to anesthesiologists with chronic vision impairment." @default.
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- W4240841613 date "2002-06-01" @default.
- W4240841613 modified "2023-09-24" @default.
- W4240841613 title "Acute Vision Impairment: Does It Affect an Anesthesiologist’s Ability to Intubate the Trachea?" @default.
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- W4240841613 doi "https://doi.org/10.1213/00000539-200206000-00036" @default.
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