Comparison of seven videolaryngoscopes with the Macintosh laryngoscope in manikins by experienced and novice personnel
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Summary: Videolaryngoscopy is often reserved for ‘anticipated’ difficult airways, but thereby can result in a higher overall rate of complications. We observed 65 anaesthetists, 67 residents in anaesthesia, 56 paramedics and 65 medical students, intubating the trachea of a standardised manikin model with a normal airway using seven devices: Macintosh classic laryngoscope, Airtraq ® , Storz C‐ MAC ® , Coopdech VLP ‐100 ® , Storz C‐ MAC D‐Blade ® , GlideScope Cobalt ® , McGrath Series5 ® and Pentax AWS ® ) in random order. Time to and proportion of successful intubation, complications and user satisfaction were compared. All groups were fastest using devices with a Macintosh‐type blade. All groups needed significantly more attempts using the Airtraq and Pentax AWS (all p < 0.05). Devices with a Macintosh‐type blade (classic laryngoscope and C‐ MAC ) scored highest in user satisfaction. Our results underline the importance of variability in device performance across individuals and staff groups, which have important implications for which devices hospital providers should rationally purchase.
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Early mortality from trauma has essentially remained unchanged despite significant advances in prehospital care, injury prevention, and the development of trauma systems.
“Despite significant advances in prehospital care, injury prevention, and the development of trauma systems, early mortality from trauma has essentially remained unchanged.3”
From Airway Management in Trauma (2018) · cites this paper as [3]
The available copy contains bibliographic information identifying a study of laryngoscopes in manikins, but no passage addressing early trauma mortality. Searches for the mortality statement and for prehospital care, injury prevention, and trauma systems found no matching passage; the claim cannot be verified from this copy. (LLM, conf=0.75)
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Kovacs, G., & Sowers, N. (2018) · Emergency Medicine Clinics of North America · doi:10.1016/j.emc.2017.08.006 · Cited by 115 · see citing works
- Authors
- Pieters, B. M. A., Wilbers, N. E. R., Huijzer, M., Winkens, B., & van Zundert, A. A. J.
- Affiliations
- Radboud University Medical Center (NL)
- St.Jans Gasthuis Weert (NL)
- University Medical Center Utrecht (NL)
- Maastricht University (NL)
- The University of Queensland, Faculty of Medicine and Biomedical Sciences, Department of Anaesthesia and Perioperative Medicine Royal Brisbane and Women's Hospital Brisbane Queensland Australia
- Corresponding author
- Pieters, B. M. A.
- Venue
- Anaesthesia
- Publisher
- Wiley
- Published
- 2016-03-12
- Volume
- 71
- Issue
- 5
- Pages
- 556-564
- ISSN
- 0003-2409 (ISSN-L)
- 1365-2044
- OpenAlex
- W2293853959
- Cited by
- 67
- References
- 0
- Citations by year
- 2026: 4 · 2025: 2 · 2024: 9 · 2023: 10 · 2022: 8 · 2021: 4 · 2020: 4 · 2019: 6 · 2018: 5 · 2017: 11 · 2016: 4
- FWCI
- 12.71
- Type
- journal article
- Language
- en
- Open access
- Licence
- Locations
- Anaesthesia (publishedVersion)
- PubMed (publishedVersion)
- Research Publications (Maastricht University) (publishedVersion, other-oa)
- Research Publications (Maastricht University) (submittedVersion, other-oa)
- Funders
- Maastricht Universitair Medisch Centrum
- Topics
- Health Sciences › Medicine › Anesthesiology and Pain Medicine › Airway Management and Intubation Techniques
- Health Sciences › Medicine › Pulmonary and Respiratory Medicine › Tracheal and airway disorders
- Health Sciences › Medicine › Anesthesiology and Pain Medicine › Anesthesia and Sedative Agents
- Keywords
- video laryngoscopy, Macintosh laryngoscope, Airtraq, GlideScope, C-MAC, endotracheal intubation, manikin model, intubation time, intubation complications, user satisfaction, difficult airway
- MeSH terms
- Allied Health Personnel, Clinical Competence, Humans, Internship and Residency, Intubation, Intratracheal, Laryngoscopy, Manikins, Students, Medical, Laryngoscopes, Endpoint Determination
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