Emergency Medical Service teams help victims of traffic accidents, who often experience
a cervical spine and head injury [
[1]
]. Due to injury to the central nervous system and impaired consciousness, such patients
may develop airway obstruction. If it happens the golden standard for protection of
airway patency is endotracheal intubation, which allows for long-term airway patency
maintenance, ventilation of the patient during extraction from the vehicle and during
transportation to the hospital. In the case of patients stuck in a vehicle requiring
endotracheal intubation for restoring airway patency, the endotracheal intubation
can be performed using face-to-face technique [
[2]
]. However, as numerous studies show, when there is a difficult access to the patient's
airways the efficacy of endotracheal intubation with Macintosh laryngoscope is insufficient
[
3
,
4
,
5
]. Studies show that is such a case, the use of video laryngoscopy may increase the
effectiveness of endotracheal intubation [
6
,
7
,
8
]. The aim of this study was to compare the effectiveness of the first face-to-face
intubation attempt using the Macintosh laryngoscope and the first attempt using McGrath
MAC videolaryngoscope.To read this article in full you will need to make a payment
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References
- Prehospital intubation does not decrease complications in the penetrating trauma patient.Am Surg. 2014; 80: 9-14
- A comparison of the Macintosh laryngoscope and blind intubation via I-gel in intubating an entrapped patient: a randomized crossover manikin study.Am J Emerg Med. 2017; 35: 787-789https://doi.org/10.1016/j.ajem.2016.11.048
- C-MAC compared with direct laryngoscopy for intubation in patients with cervical spine immobilization: a manikin trial.Am J Emerg Med. 2017 Aug; 35: 1142-1146https://doi.org/10.1016/j.ajem.2017.03.030
- Comparison of direct and optical laryngoscopy during simulated cardiopulmonary resuscitation.Am J Emerg Med. 2017 Mar; 35: 518-519https://doi.org/10.1016/j.ajem.2016.12.026
- Comparison between the TrueView EVO2 PCD and direct laryngoscopy for endotracheal intubation performed by paramedics: preliminary data.Am J Emerg Med. 2017 May; 35: 789-790https://doi.org/10.1016/j.ajem.2016.11.063
- Comparison of the Trachway video intubating stylet and Macintosh laryngoscope for endotracheal intubation.Am. J. Emerg. Med. 2017; 35: 574-575https://doi.org/10.1016/j.ajem.2016.12.015
- Comparison of the VivaSight single lumen endotracheal tube and the Macintosh laryngoscope for emergency intubation by experienced paramedics in a standardized airway manikin with restricted access: a randomized, crossover trial.Am J Emerg Med. 2016 May; 34: 929-930https://doi.org/10.1016/j.ajem.2016.02.054
- Evaluation of the effectiveness of selected techniques for endotracheal intubation in conditions of simulated resuscitation performed by nurses.Disaster Emerg Med J. 2016; 1: 57-58https://doi.org/10.5603/DEMJ.2016.0010
Article Info
Publication History
Published online: February 03, 2018
Accepted:
January 30,
2018
Received:
January 29,
2018
Footnotes
☆Source of support: No sources of financial and material support to be declared.
Identification
Copyright
© 2018 Elsevier Inc. All rights reserved.
