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Intubation with laryngoscope versus transillumination performed by paramedic students on manikins and cadavers

Authors
Journal
Resuscitation
0300-9572
Publisher
Elsevier
Publication Date
Volume
33
Issue
3
Identifiers
DOI: 10.1016/s0300-9572(96)01027-1
Keywords
  • Endotracheal Intubation
  • Transillumination
  • Training
  • Manikins
  • Cadavers

Abstract

Abstract Seventeen paramedic students, all of whom were novice intubators, performed laryngoscopic and Trachligh ™ intubation after supervised training for 90 min on two manikins (Laerdal, AMBU) and 30 min on cadavers. A maximum of two intubation attempts lasting a maximum 30 s each were permitted on each manikin and the cadaver. The time for confirming tube placement by auscultation and securing the tube was added. Laryngoscopic intubation was successful on cadavers and both manikins in 94–100% of the trials. Intubation with the Trachlight ™ was 100% successful in the Laerdal manikin, but significantly lower than with the laryngoscope in the AMBU manikin (65%), and in cadavers (50%). The mean intubation time was significantly longer (30–44 s) with the Trachlight ™ compared with laryngoscopic intubation (19–23 s) in both manikins and cadavers. The present results do not indicate that intubation with the Trachlight ™ is an improvement upon laryngoscopic intubation for novices.

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