Woollard M, Mannion W, Lighton D, Johns I, O'meara P, Cotton C, Smyth M
School of Biomedical Sciences, Charles Sturt University, Bathurst, New South Wales, Australia.
Anaesthesia. 2007 Oct;62(10):1061-5. doi: 10.1111/j.1365-2044.2007.05215.x.
This study evaluated the ability of prehospital providers who had no previous training in intubation, to use an Airtraq laryngoscope to intubate a manikin model of a Cormack and Lehane grade III/IV view. Volunteers attending the Australian College of Ambulance Professionals conference, Adelaide, in November 2006 received approximately 5 min of Airtraq training. First-time intubation success rate was 26/33 (79%) (95% CI 61-91%); oesophageal intubation rate was 0/33 (0%) (95% CI 0-11%); median time to intubation was 17 s (IQR 10-25 s (range 5-30 s)); and median subject-rated difficulty of use score was 21 out of a maximum of 100 (IQR 7.5-35.5 (range 1-65)). Pre-hospital providers without previous laryngoscopy training achieved high first-time intubation success rates when managing a model of a grade III/IV difficult intubation with an Airtraq laryngoscope. Users evaluated it as easy to use and achieved intubation within an acceptable breath-to-breath interval.
本研究评估了此前未接受过插管培训的院前急救人员使用Airtraq喉镜对Cormack和Lehane III/IV级视野的人体模型进行插管的能力。2006年11月参加阿德莱德澳大利亚救护专业人员学院会议的志愿者接受了约5分钟的Airtraq培训。首次插管成功率为26/33(79%)(95%可信区间61 - 91%);食管插管率为0/33(0%)(95%可信区间0 - 11%);插管中位时间为17秒(四分位间距10 - 25秒(范围5 - 30秒));受试者评定的使用难度中位评分为满分100分中的21分(四分位间距7.5 - 35.5(范围1 - 65))。此前未接受过喉镜检查培训的院前急救人员在使用Airtraq喉镜处理III/IV级困难插管模型时,首次插管成功率较高。使用者认为其易于使用,并能在可接受的呼吸间隔内完成插管。