Intubation using VieScope vs. Video laryngoscopy in full personal protective equipment – a randomized, controlled simulation trial

Abstract Background VieScope is a new type of laryngoscope, with a straight, transparent and illuminated blade, allowing for direct line of sight towards the larynx. In addition, VieScope is disposed of after single patient use, which can avoid cross-contaminations of contagious material. This has g...

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Autores principales:	Hannes Ecker, Simone Kolvenbach, Holger Herff, Wolfgang A. Wetsch
Formato:	article
Lenguaje:	EN
Publicado:	BMC 2021
Materias:	Endotracheal intubation Airway management Difficult airway Video-laryngoscopy VieScope Anesthesiology RD78.3-87.3
Acceso en línea:	https://doaj.org/article/ab3f2ae183bd47639b1f675346cf3293
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spelling	oai:doaj.org-article:ab3f2ae183bd47639b1f675346cf32932021-11-28T12:09:43ZIntubation using VieScope vs. Video laryngoscopy in full personal protective equipment – a randomized, controlled simulation trial10.1186/s12871-021-01502-71471-2253https://doaj.org/article/ab3f2ae183bd47639b1f675346cf32932021-11-01T00:00:00Zhttps://doi.org/10.1186/s12871-021-01502-7https://doaj.org/toc/1471-2253Abstract Background VieScope is a new type of laryngoscope, with a straight, transparent and illuminated blade, allowing for direct line of sight towards the larynx. In addition, VieScope is disposed of after single patient use, which can avoid cross-contaminations of contagious material. This has gained importance especially when treating patients with highly contagious infectious diseases, such as during the SARS-CoV2 pandemic. In this context, VieScope has not been evaluated yet in a clinical study. Material and methods This study compared intubation with VieScope to video-laryngoscopy (GlideScope) in normal and difficult airway in a standardized airway manikin in a randomized controlled simulation trial. Thirty-five medical specialists were asked to perform endotracheal intubation in full personal protective equipment (PPE). Primary endpoint was correct tube position. First-pass rate (i.e., success rate at the first attempt), time until intubation and time until first correct ventilation were registered as secondary endpoints. Results For correct tracheal tube placement, there was no significant difference between VieScope and GlideScope in normal and difficult airway conditions. VieScope had over 91% fist-pass success rate in normal airway setting. VieScope had a comparable success rate to GlideScope in difficult airway, but had a significantly longer time until intubation and time until ventilation. Conclusion VieScope and GlideScope had high success rates in normal as well as in difficult airway. There was no unrecognized esophageal intubation in either group. Overall time for intubation was longer in the VieScope group, though in an acceptable range given in literature. Results from this simulation study suggest that VieScope may be an acceptable alternative for tracheal intubation in full PPE. Trial Registration The study was registered at the German Clinical Trials Register www.drks.de (Registration date: 09/11/2020; TrialID: DRKS00023406 ).Hannes EckerSimone KolvenbachHolger HerffWolfgang A. WetschBMCarticleEndotracheal intubationAirway managementDifficult airwayVideo-laryngoscopyVieScopeAnesthesiologyRD78.3-87.3ENBMC Anesthesiology, Vol 21, Iss 1, Pp 1-7 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Endotracheal intubation Airway management Difficult airway Video-laryngoscopy VieScope Anesthesiology RD78.3-87.3
spellingShingle	Endotracheal intubation Airway management Difficult airway Video-laryngoscopy VieScope Anesthesiology RD78.3-87.3 Hannes Ecker Simone Kolvenbach Holger Herff Wolfgang A. Wetsch Intubation using VieScope vs. Video laryngoscopy in full personal protective equipment – a randomized, controlled simulation trial
description	Abstract Background VieScope is a new type of laryngoscope, with a straight, transparent and illuminated blade, allowing for direct line of sight towards the larynx. In addition, VieScope is disposed of after single patient use, which can avoid cross-contaminations of contagious material. This has gained importance especially when treating patients with highly contagious infectious diseases, such as during the SARS-CoV2 pandemic. In this context, VieScope has not been evaluated yet in a clinical study. Material and methods This study compared intubation with VieScope to video-laryngoscopy (GlideScope) in normal and difficult airway in a standardized airway manikin in a randomized controlled simulation trial. Thirty-five medical specialists were asked to perform endotracheal intubation in full personal protective equipment (PPE). Primary endpoint was correct tube position. First-pass rate (i.e., success rate at the first attempt), time until intubation and time until first correct ventilation were registered as secondary endpoints. Results For correct tracheal tube placement, there was no significant difference between VieScope and GlideScope in normal and difficult airway conditions. VieScope had over 91% fist-pass success rate in normal airway setting. VieScope had a comparable success rate to GlideScope in difficult airway, but had a significantly longer time until intubation and time until ventilation. Conclusion VieScope and GlideScope had high success rates in normal as well as in difficult airway. There was no unrecognized esophageal intubation in either group. Overall time for intubation was longer in the VieScope group, though in an acceptable range given in literature. Results from this simulation study suggest that VieScope may be an acceptable alternative for tracheal intubation in full PPE. Trial Registration The study was registered at the German Clinical Trials Register www.drks.de (Registration date: 09/11/2020; TrialID: DRKS00023406 ).
format	article
author	Hannes Ecker Simone Kolvenbach Holger Herff Wolfgang A. Wetsch
author_facet	Hannes Ecker Simone Kolvenbach Holger Herff Wolfgang A. Wetsch
author_sort	Hannes Ecker
title	Intubation using VieScope vs. Video laryngoscopy in full personal protective equipment – a randomized, controlled simulation trial
title_short	Intubation using VieScope vs. Video laryngoscopy in full personal protective equipment – a randomized, controlled simulation trial
title_full	Intubation using VieScope vs. Video laryngoscopy in full personal protective equipment – a randomized, controlled simulation trial
title_fullStr	Intubation using VieScope vs. Video laryngoscopy in full personal protective equipment – a randomized, controlled simulation trial
title_full_unstemmed	Intubation using VieScope vs. Video laryngoscopy in full personal protective equipment – a randomized, controlled simulation trial
title_sort	intubation using viescope vs. video laryngoscopy in full personal protective equipment – a randomized, controlled simulation trial
publisher	BMC
publishDate	2021
url	https://doaj.org/article/ab3f2ae183bd47639b1f675346cf3293
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Intubation using VieScope vs. Video laryngoscopy in full personal protective equipment – a randomized, controlled simulation trial

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