Development of the obstetric unanticipated difficult video-laryngoscopy algorithm through a quality improvement randomized open-label in situ simulation study
Authors' conclusion
Our data from simulated emergency tracheal intubation suggest that flexible bronchoscopy combined with video-laryngoscopy results in faster intubation time than using an Eschmann introducer combined with video-laryngoscopy.
Study context
- Population
- Anesthesia trainees in a simulated emergency cesarean delivery scenario
- Participants
- 28 anesthesia trainees
- Comparison
- Flexible bronchoscopy vs Eschmann introducer
- Flexible bronchoscopyn = 14
- Eschmann introducern = 14reference
- Primary endpoint
- Time to establish intubation
Methodological detailsopen-label, in situ simulation, quality improvement
- Open-label
- In situ simulation
- Quality improvement
Primary result
Time to intubation
Difference in mean
62 seconds
95% CI 42–82
P < 0.0001
By group
Flexible bronchoscopy vs Eschmann introducer
difference in mean 62 seconds (95% CI 42–82); P < 0.0001
As reported in the abstract
Secondary outcomes
| Outcome | Flexible bronchoscopy | Eschmann introducer | P value |
|---|---|---|---|
| Hypoxemia or need for bag and mask ventilation | 0 events | 71% | P = 0.0002 |
- Hypoxemia or need for bag and mask ventilation: 10/14
First-attempt intubation
- All flexible bronchoscopy-aided intubations established on first attempt
Failed intubation
- Similar in both groups
Original publication
Development of the obstetric unanticipated difficult video-laryngoscopy algorithm through a quality improvement randomized open-label in situ simulation study. Int J Obstet Anesth. Published 2 August 2024. doi:10.
Composed by AI from the published abstract and checked against it. How Briefs are made →