RESUMO
Lightly embalmed hemorrhagic cadaver models and the Storz CMAC videolaryngoscope fitted with either an integrated suction blade vs. a traditional blade were used to determine efficacy of the instruments in hemorrhagic airway intubation. Significant differences were found between the devices in intubation success rates of the viscosity saliva and frothy blood models, as well as a significant difference in intubation times in the frothy blood model. Feedback provided by the study participants indicated preference for the integrated video suction blade in hemorrhagic airway intubation.
Assuntos
Hemorragia/terapia , Intubação Intratraqueal/instrumentação , Laringoscópios , Pneumopatias/terapia , Sucção/instrumentação , Cirurgia Assistida por Computador/instrumentação , Gravação em Vídeo/instrumentação , Desenho de Equipamento , Análise de Falha de Equipamento , Humanos , Intubação Intratraqueal/métodos , Integração de Sistemas , Interface Usuário-ComputadorRESUMO
This work describes a NATO-university telemedicine collaboration established to perform a teleneurosurgery consult to assist a deployed soldier with a spinal cord injury.
Assuntos
Centros Médicos Acadêmicos , Comportamento Cooperativo , Militares , Europa (Continente) , Humanos , Medicina Militar , Neurocirurgia , Projetos Piloto , TelemedicinaRESUMO
In this pilot study, we evaluated two types of videolaryngoscope blades (integrated suction vs. traditional) with the Storz CMAC videolaryngoscope in the intubation of a lightly embalmed hemorrhagic cadaver model. No significant differences were found between the devices in the success rates for the intubations. The study subjects indicated a preference for the integrated suction blade in hemorrhagic airway intubation.
Assuntos
Cadáver , Hemorragia , Intubação Intratraqueal/instrumentação , Microscopia de Vídeo/instrumentação , Sucção/instrumentação , Traqueia/irrigação sanguínea , Humanos , Projetos PilotoRESUMO
The wider angle of view of videolaryngoscopy versus standard direct laryngoscopy requires an assessment of the adjunctive devices used to facilitate intubation. In this study, subjects performed malleable bougie-assisted intubation and curved forceps removal of a glottic foreign body using videolaryngoscopy on a lightly embalmed cadaver and completed a post-procedure questionnaire. All subjects valued access to the malleable bougie available at their hospitals and 82% valued access to the curved forceps. Malleable bougie and curved forceps seem well-suited to facilitate videolaryngoscopic airway management.
Assuntos
Manuseio das Vias Aéreas/instrumentação , Cadáver , Pessoal de Saúde/educação , Corpos Estranhos/cirurgia , Glote , Humanos , Microscopia de Vídeo/instrumentação , Projetos Piloto , Análise e Desempenho de TarefasRESUMO
Previous studies have shown that the videolaryngoscope is an excellent intubation training tool as it allows the student and trainer to share the same anatomical view of the airway. Use of this training tool is limited; however, as many times intubation training must take place outside the hospital environment (as in the training of military health care providers). In this environment, the device can prove to be large and cumbersome. This study examined the use of the Storz CMAC, a compact video laryngoscope system, for intubation training in a simulated field hospital setting with the Nebraska National Air Guard. The study showed that the C-MAC was well-received by the trainees and would be useful in a deployment or hospital setting.
Assuntos
Instrução por Computador/métodos , Intubação Intratraqueal/instrumentação , Laringoscópios , Medicina Militar/educação , Medicina Militar/instrumentação , Interface Usuário-Computador , Gravação em Vídeo/instrumentação , Desenho de Equipamento , Análise de Falha de Equipamento , Humanos , Manequins , NebraskaRESUMO
This study examined the feasibility of using Skype technology in basic manikin intubation instruction of Nebraska National Air Guard personnel at a Casualty Training Exercise. Results show that the Skype monitor provided clear sound and visualization of the airway view to the trainees and the combination of VoIP technology and videolaryngoscopy for intubation training was highly valued by study participants.