护士在医学模拟环境中对bébéVieScope和直接喉镜进行儿科气道管理的随机交叉比较。

IF 2.9 3区 医学 Q3 ENGINEERING, BIOMEDICAL Expert Review of Medical Devices Pub Date : 2023-07-01 Epub Date: 2023-09-05 DOI:10.1080/17434440.2023.2253142
Pawel Wieczorek, Michal Pruc, Maciej J Krajsman, Wojciech Wieczorek, Basar Cander, Lukasz Szarpak, Alla Navolokina, Michal Matuszewski, Michal Zyla, Nicola L Bragazzi, Jacek Smereka
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引用次数: 0

摘要

背景:在危及生命的紧急情况下,气道管理对儿童至关重要,气管插管是黄金标准。它可以防止反流并实现机械通气。正在开发和实施新型气道管理设备,以满足医务人员的需求。研究设计和方法:这项前瞻性、随机、交叉模拟试验使用BéBéVie Scope在三种情况下评估了气管插管的成功率:正常气道(场景A)、舌水肿(场景B)和持续胸部按压(场景C)™ 喉镜(VieScope)和Macintosh刀片喉镜(MAC)作为一种比较工具,由气管插管经验有限的护士进行。结果:研究结果显示,在方案A中,VieScope和MAC在首次尝试成功率或气管插管时间方面没有显著差异。然而,VieScope与声门更好的可视化有关。在方案B和C中,VieScope在首次通过成功率、插管时间、Cormack-Lehane分级、POGO评分和气管插管容易性方面明显优于MAC。结论:BéBéVieScope可用于儿科患者的气管插管,特别是在舌头水肿和持续胸部压迫的情况下,提供比传统喉镜更高的首次通过成功率。
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A randomized crossover comparison of the bébé VieScope and direct laryngoscope for pediatric airway management by nurses in medical simulation settings.

Background: Airway management in life-threatening emergencies is essential for children, and endotracheal intubation is the gold standard. It protects against regurgitation and enables mechanical ventilation. New types of airway management equipment are being developed and implemented to meet the needs of medical personnel.

Research design and methods: This prospective, randomized, cross-over simulation trial evaluated the success of endotracheal intubation in three scenarios: normal airway (scenario-A), tongue edema (scenario-B), and continuous chest compression (scenario-C), using the bébé Vie Scope™ laryngoscope (VieScope) and the Macintosh blade laryngoscope (MAC) as a comparative tool performed by nurses with limited tracheal intubation experience.

Results: The results of the study showed that in scenario-A, there were no significant differences in the first attempt success rate or endotracheal intubation time between VieScope and MAC. However, VieScope was associated with better visualization of the glottis. In scenarios B and C, VieScope was significantly more effective than MAC in terms of first-pass success rate, time to intubate, Cormack-Lehane grade, POGO score, and ease of endotracheal intubation.

Conclusions: Bébé VieScope may be useful for endotracheal intubation in pediatric patients, particularly in cases of tongue edema and ongoing chest compression, providing a higher first-pass success rate than conventional laryngoscopes.

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来源期刊
Expert Review of Medical Devices
Expert Review of Medical Devices 医学-工程:生物医学
CiteScore
5.90
自引率
3.20%
发文量
69
审稿时长
6-12 weeks
期刊介绍: The journal serves the device research community by providing a comprehensive body of high-quality information from leading experts, all subject to rigorous peer review. The Expert Review format is specially structured to optimize the value of the information to reader. Comprehensive coverage by each author in a key area of research or clinical practice is augmented by the following sections: Expert commentary - a personal view on the most effective or promising strategies Five-year view - a clear perspective of future prospects within a realistic timescale Key issues - an executive summary cutting to the author''s most critical points In addition to the Review program, each issue also features Medical Device Profiles - objective assessments of specific devices in development or clinical use to help inform clinical practice. There are also Perspectives - overviews highlighting areas of current debate and controversy, together with reports from the conference scene and invited Editorials.
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