Comparison of GlideScope Videolaryngoscopy to Direct Laryngoscopy for Intubation of a Pediatric Simulator by Novice Physicians
Objective. To compare novice clinicians’ performance using GlideScope videolaryngoscopy (GVL) to direct laryngoscopy (DL). Methods. This was a prospective, randomized crossover study. Incoming pediatric interns intubated pediatric simulators in four normal and difficult airway scenarios with GVL and...
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| Format: | Article |
| Language: | English |
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Wiley
2013-01-01
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| Series: | Emergency Medicine International |
| Online Access: | http://dx.doi.org/10.1155/2013/407547 |
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| author | Joni E. Rabiner Marc Auerbach Jeffrey R. Avner Dina Daswani Hnin Khine |
| author_facet | Joni E. Rabiner Marc Auerbach Jeffrey R. Avner Dina Daswani Hnin Khine |
| author_sort | Joni E. Rabiner |
| collection | DOAJ |
| description | Objective. To compare novice clinicians’ performance using GlideScope videolaryngoscopy (GVL) to direct laryngoscopy (DL). Methods. This was a prospective, randomized crossover study. Incoming pediatric interns intubated pediatric simulators in four normal and difficult airway scenarios with GVL and DL. Primary outcomes included time to intubation and rate of successful intubation. Interns rated their satisfaction of the devices and chose the preferred device. Results. Twenty-five interns were included. In the normal airway scenario, there were no differences in mean time for intubation with GVL or DL (61.4 versus 67.4 seconds, ) or number of successful intubations (19 versus 18, ). In the difficult airway scenario, interns took longer to intubate with GVL than DL (87.7 versus 61.3 seconds, ), but there were no differences in successful intubations (14 versus 15, ). There was a trend towards higher satisfaction for GVL than DL (7.3 versus 6.4, ), and GVL was chosen as the preferred device by a majority of interns (17/25, 68%). Conclusions. For novice clinicians, GVL does not improve time to intubation or intubation success rates in a pediatric simulator model of normal and difficult airway scenarios. Still, these novice clinicians overall preferred GVL. |
| format | Article |
| id | doaj-art-1e955999e12d49629a32ca23b74ccc0f |
| institution | Kabale University |
| issn | 2090-2840 2090-2859 |
| language | English |
| publishDate | 2013-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Emergency Medicine International |
| spelling | doaj-art-1e955999e12d49629a32ca23b74ccc0f2025-08-20T03:54:57ZengWileyEmergency Medicine International2090-28402090-28592013-01-01201310.1155/2013/407547407547Comparison of GlideScope Videolaryngoscopy to Direct Laryngoscopy for Intubation of a Pediatric Simulator by Novice PhysiciansJoni E. Rabiner0Marc Auerbach1Jeffrey R. Avner2Dina Daswani3Hnin Khine4Department of Pediatrics, Division of Pediatric Emergency Medicine, Children’s Hospital at Montefiore, Albert Einstein College of Medicine, 3315 Rochambeau Avenue, Bronx, NY 10467, USADepartment of Pediatrics, Division of Pediatric Emergency Medicine, Yale School of Medicine, 100 York Street, Suite 1F, New Haven, CT 06511, USADepartment of Pediatrics, Division of Pediatric Emergency Medicine, Children’s Hospital at Montefiore, Albert Einstein College of Medicine, 3315 Rochambeau Avenue, Bronx, NY 10467, USADepartment of Pediatrics, Division of Pediatric Emergency Medicine, Children’s Hospital at Montefiore, Albert Einstein College of Medicine, 3315 Rochambeau Avenue, Bronx, NY 10467, USADepartment of Pediatrics, Division of Pediatric Emergency Medicine, Children’s Hospital at Montefiore, Albert Einstein College of Medicine, 3315 Rochambeau Avenue, Bronx, NY 10467, USAObjective. To compare novice clinicians’ performance using GlideScope videolaryngoscopy (GVL) to direct laryngoscopy (DL). Methods. This was a prospective, randomized crossover study. Incoming pediatric interns intubated pediatric simulators in four normal and difficult airway scenarios with GVL and DL. Primary outcomes included time to intubation and rate of successful intubation. Interns rated their satisfaction of the devices and chose the preferred device. Results. Twenty-five interns were included. In the normal airway scenario, there were no differences in mean time for intubation with GVL or DL (61.4 versus 67.4 seconds, ) or number of successful intubations (19 versus 18, ). In the difficult airway scenario, interns took longer to intubate with GVL than DL (87.7 versus 61.3 seconds, ), but there were no differences in successful intubations (14 versus 15, ). There was a trend towards higher satisfaction for GVL than DL (7.3 versus 6.4, ), and GVL was chosen as the preferred device by a majority of interns (17/25, 68%). Conclusions. For novice clinicians, GVL does not improve time to intubation or intubation success rates in a pediatric simulator model of normal and difficult airway scenarios. Still, these novice clinicians overall preferred GVL.http://dx.doi.org/10.1155/2013/407547 |
| spellingShingle | Joni E. Rabiner Marc Auerbach Jeffrey R. Avner Dina Daswani Hnin Khine Comparison of GlideScope Videolaryngoscopy to Direct Laryngoscopy for Intubation of a Pediatric Simulator by Novice Physicians Emergency Medicine International |
| title | Comparison of GlideScope Videolaryngoscopy to Direct Laryngoscopy for Intubation of a Pediatric Simulator by Novice Physicians |
| title_full | Comparison of GlideScope Videolaryngoscopy to Direct Laryngoscopy for Intubation of a Pediatric Simulator by Novice Physicians |
| title_fullStr | Comparison of GlideScope Videolaryngoscopy to Direct Laryngoscopy for Intubation of a Pediatric Simulator by Novice Physicians |
| title_full_unstemmed | Comparison of GlideScope Videolaryngoscopy to Direct Laryngoscopy for Intubation of a Pediatric Simulator by Novice Physicians |
| title_short | Comparison of GlideScope Videolaryngoscopy to Direct Laryngoscopy for Intubation of a Pediatric Simulator by Novice Physicians |
| title_sort | comparison of glidescope videolaryngoscopy to direct laryngoscopy for intubation of a pediatric simulator by novice physicians |
| url | http://dx.doi.org/10.1155/2013/407547 |
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