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Intubrite laryngoscope as an alternative to the standard Macintosh laryngoscope?
Accepted Manuscript Intubrite laryngoscope as an alternative to the standard Macintosh laryngoscope?
Marek Dabrowski, Adrian Maciejewski PII: DOI: Reference:
S0735-6757(17)30790-8 doi:10.1016/j.ajem.2017.09.045 YAJEM 56990
To appear in: Received date: Accepted date:
5 September 2017 27 September 2017
Please cite this article as: Marek Dabrowski, Adrian Maciejewski , Intubrite laryngoscope as an alternative to the standard Macintosh laryngoscope?. The address for the corresponding author was captured as affiliation for all authors. Please check if appropriate. Yajem(2017), doi:10.1016/j.ajem.2017.09.045
This is a PDF file of an unedited manuscript that has been accepted for publication. As a service to our customers we are providing this early version of the manuscript. The manuscript will undergo copyediting, typesetting, and review of the resulting proof before it is published in its final form. Please note that during the production process errors may be discovered which could affect the content, and all legal disclaimers that apply to the journal pertain.
ACCEPTED MANUSCRIPT Title page Intubrite laryngoscope as an alternative to the standard Macintosh laryngoscope?
Marek Dabrowski, MSc, EMT-P Department of Rescue Medicine, Poznan University of Medical Sciences, Poznan, Poland;
RI SC NU
MA
Correspondence address: Marek Dabrowski Department of Rescue Medicine, Poznan University of Medical Sciences, Dabrowskiego 79 str, 60-529 Poznan, Poland tel. mob. +48 504136807 e-mail: [email protected]
PT
Adrian Maciejewski, MD Department of Rescue Medicine, Poznan University of Medical Sciences, Poznan, Poland;
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Sir, We have deliberately read the article written by Czekajlo and Zawada concerning intubation in immobilized cervical spine using the Intubrite laryngoscope [1]. The results from the authors point towards the potential use of videolaryngoscopy for patients with immobilized cervical spine. Moreover, an interesting method of immobilization of the cervical spine using a vacuum mattress, which is currently found in all Polish medical rescue teams. In the case of difficult intubation conditions, which may include: intubation in the prehospital setting, as well as restriction of head movement resulting from the stabilization of the cervical spine, using such an intubation technique with indirect visualization of the larynx is advantageous [2]. The advantage of using Intubrite videolaryngoscopy over the standard Macintosh, aside from the above research, it has been evaluated in other intubation studies including; normal airway, during resuscitation or in pediatric trauma patients [3,4]. While intubation efficacy with Intubrite and Macintosh laryngoscope is comparable in normal airways, in the case of restriction when opening the oral cavity or restriction during persistent chest compressions, videolaryngocopy is a more effective method [5]. Of course, simulation will never provide exact intubation conditions, but it is an effective tool in the standardization of the procedure and allows it to be performed repeatedly without harm to the potential patient. Through our analysis of the aforementioned article, it seems reasonable to implement clinical trials comparing both types of laryngoscopes. References: 1. Czekajlo MS, Zawada B. Comparison of Intubrite and Macintosh laryngoscope use in immobilized cervical spine by novice nurses. A mannequin trial. Am J Emerg Med. 2017. DOI:10.1016/j.ajem.2017.08.035
ACCEPTED MANUSCRIPT
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2. Bielski K, Smereka J, Ladny JR, Szarpak L. 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. 2016 Nov 22. pii: S07356757(16)30877-4. doi: 10.1016/j.ajem.2016.11.048. 3. Smereka J, Ladny JR, Szarpak L. Comparison of the Intubrite and Macintosh laryngoscopes in a difficult airway scenario. Am J Emerg Med. 2017 Jun;35(6):925. doi: 10.1016/j.ajem.2017.03.067. 4. Szarpak L, Smereka J, Ladny JR. Comparison of Macintosh and Intubrite laryngoscopes for intubation performed by novice physicians in a difficult airway scenario. Am J Emerg Med. 2017 May;35(5):796-797. doi: 10.1016/j.ajem.2017.01.005. 5. Szarpak Ł, Czyżewski Ł, Truszewski Z, Kurowski A, Gaszyoski T. Comparison of Coopdech®, CoPilot®, Intubrite®, and Macintosh laryngoscopes for tracheal intubation during pediatric cardiopulmonary resuscitation: a randomized, controlled crossover simulation trial. Eur J Pediatr. 2015 Nov;174(11):1517-23. doi: 10.1007/s00431-015-2567-8.
Marek Dabrowski, Adrian Maciejewski PII: DOI: Reference:
S0735-6757(17)30790-8 doi:10.1016/j.ajem.2017.09.045 YAJEM 56990
To appear in: Received date: Accepted date:
5 September 2017 27 September 2017
Please cite this article as: Marek Dabrowski, Adrian Maciejewski , Intubrite laryngoscope as an alternative to the standard Macintosh laryngoscope?. The address for the corresponding author was captured as affiliation for all authors. Please check if appropriate. Yajem(2017), doi:10.1016/j.ajem.2017.09.045
This is a PDF file of an unedited manuscript that has been accepted for publication. As a service to our customers we are providing this early version of the manuscript. The manuscript will undergo copyediting, typesetting, and review of the resulting proof before it is published in its final form. Please note that during the production process errors may be discovered which could affect the content, and all legal disclaimers that apply to the journal pertain.
ACCEPTED MANUSCRIPT Title page Intubrite laryngoscope as an alternative to the standard Macintosh laryngoscope?
Marek Dabrowski, MSc, EMT-P Department of Rescue Medicine, Poznan University of Medical Sciences, Poznan, Poland;
RI SC NU
MA
Correspondence address: Marek Dabrowski Department of Rescue Medicine, Poznan University of Medical Sciences, Dabrowskiego 79 str, 60-529 Poznan, Poland tel. mob. +48 504136807 e-mail: [email protected]
PT
Adrian Maciejewski, MD Department of Rescue Medicine, Poznan University of Medical Sciences, Poznan, Poland;
AC
CE
PT E
D
Sir, We have deliberately read the article written by Czekajlo and Zawada concerning intubation in immobilized cervical spine using the Intubrite laryngoscope [1]. The results from the authors point towards the potential use of videolaryngoscopy for patients with immobilized cervical spine. Moreover, an interesting method of immobilization of the cervical spine using a vacuum mattress, which is currently found in all Polish medical rescue teams. In the case of difficult intubation conditions, which may include: intubation in the prehospital setting, as well as restriction of head movement resulting from the stabilization of the cervical spine, using such an intubation technique with indirect visualization of the larynx is advantageous [2]. The advantage of using Intubrite videolaryngoscopy over the standard Macintosh, aside from the above research, it has been evaluated in other intubation studies including; normal airway, during resuscitation or in pediatric trauma patients [3,4]. While intubation efficacy with Intubrite and Macintosh laryngoscope is comparable in normal airways, in the case of restriction when opening the oral cavity or restriction during persistent chest compressions, videolaryngocopy is a more effective method [5]. Of course, simulation will never provide exact intubation conditions, but it is an effective tool in the standardization of the procedure and allows it to be performed repeatedly without harm to the potential patient. Through our analysis of the aforementioned article, it seems reasonable to implement clinical trials comparing both types of laryngoscopes. References: 1. Czekajlo MS, Zawada B. Comparison of Intubrite and Macintosh laryngoscope use in immobilized cervical spine by novice nurses. A mannequin trial. Am J Emerg Med. 2017. DOI:10.1016/j.ajem.2017.08.035
ACCEPTED MANUSCRIPT
AC
CE
PT E
D
MA
NU
SC
RI
PT
2. Bielski K, Smereka J, Ladny JR, Szarpak L. 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. 2016 Nov 22. pii: S07356757(16)30877-4. doi: 10.1016/j.ajem.2016.11.048. 3. Smereka J, Ladny JR, Szarpak L. Comparison of the Intubrite and Macintosh laryngoscopes in a difficult airway scenario. Am J Emerg Med. 2017 Jun;35(6):925. doi: 10.1016/j.ajem.2017.03.067. 4. Szarpak L, Smereka J, Ladny JR. Comparison of Macintosh and Intubrite laryngoscopes for intubation performed by novice physicians in a difficult airway scenario. Am J Emerg Med. 2017 May;35(5):796-797. doi: 10.1016/j.ajem.2017.01.005. 5. Szarpak Ł, Czyżewski Ł, Truszewski Z, Kurowski A, Gaszyoski T. Comparison of Coopdech®, CoPilot®, Intubrite®, and Macintosh laryngoscopes for tracheal intubation during pediatric cardiopulmonary resuscitation: a randomized, controlled crossover simulation trial. Eur J Pediatr. 2015 Nov;174(11):1517-23. doi: 10.1007/s00431-015-2567-8.