Publication: Is retrograde intubation more successful than direct laryngoscopic technique in difficult endotracheal intubation?
Issued Date
2016-12-01
Resource Type
ISSN
15328171
07356757
07356757
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2-s2.0-84995387787
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Mahidol University
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SCOPUS
Bibliographic Citation
American Journal of Emergency Medicine. Vol.34, No.12 (2016), 2384-2387
Suggested Citation
Pitsucha Sanguanwit, Thavinee Trainarongsakul, Noppanan Kaewsawang, Kittisak Sawanyawisuth, Yuwares Sitthichanbuncha Is retrograde intubation more successful than direct laryngoscopic technique in difficult endotracheal intubation?. American Journal of Emergency Medicine. Vol.34, No.12 (2016), 2384-2387. doi:10.1016/j.ajem.2016.08.063 Retrieved from: https://repository.li.mahidol.ac.th/handle/20.500.14594/40924
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Is retrograde intubation more successful than direct laryngoscopic technique in difficult endotracheal intubation?
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Abstract
© 2016 Elsevier Inc. Background Difficult airway intubation is an emergency condition both at the emergency department (ED) and in out-of-hospital situations. Retrograde intubation (RI) is another option for difficult airway management. There are limited data regarding the successful rate of RI compared with direct laryngoscopy (DL) intubation, the commonly used method in the ED. Methods This study was a randomized, controlled trial. Participants were randomly assigned to either the RI or the DL technique to attempt intubation on a difficult airway mannequin (Cormack and Lehane grades 3-4). First, all participants received the training on the RI or DL, and then attempted intubation. After the training, the participants had 2 chances to intubate. The outcomes of this study included numbers of participants who successfully intubated and times of successful intubation. Results There were 100 participants in this study, with 50 participants in each group (RI and DL). There was no significant difference between the groups in terms of experience at the ED or DL. The successful rate of intubation was significantly higher in the RI group than in the DL group (74% vs 12%; P =.001), as was the rate of successful intubation on the first attempt (34% vs 8%; P =.026). There were no statistical differences between physicians and medical students in any of the 3 outcomes in either the DL or RI group. Conclusions The RI technique had a higher success rate in difficult airway intubation than the DL technique, regardless of experience.