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Comparison of malleable stylet and reusable and disposable bougies by paramedics in a simulated difficult intubation

Gregory, P., Woollard, M., Lighton, D., Munro, G., Jenkinson, E., Newcombe, Robert Gordon ORCID: https://orcid.org/0000-0003-4400-8867, O'Meara, P. and Hamilton, L. 2012. Comparison of malleable stylet and reusable and disposable bougies by paramedics in a simulated difficult intubation. Anaesthesia 67 (4) , pp. 371-376. 10.1111/j.1365-2044.2011.06999.x

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Abstract

In a randomised crossover study, 60 ambulance paramedics attempted tracheal intubation of a manikin model of a Cormack and Lehane grade 3 ⁄ 4 view using a Portex stylet, Portex and Frova single-use bougies, and a Portex reusable bougie. Tracheal intubation within 30 s was achieved by 34 ⁄ 60 (57%) using the stylet, 18 ⁄ 60 (30%) using a Portex single-use bougie, 16 ⁄ 60 (27%) using a Frova single-use bougie and 5 ⁄ 60 (8%) using a Portex reusable bougie. The proportion intubating within 30 s was significantly higher with the stylet compared with any bougie (p < 0.001), but significantly lower with a Portex reusable bougie than any other device (p < 0.004). Participants rated the Portex reusable bougie as significantly more difficult to use than the other devices (p < 0.001). There was no evidence of a relationship between previous experience and success rate for any device.

Item Type: Article
Date Type: Publication
Status: Published
Schools: Medicine
Subjects: R Medicine > R Medicine (General)
Publisher: Wiley-Blackwell
ISSN: 1365-2044
Last Modified: 24 Oct 2022 09:57
URI: https://orca.cardiff.ac.uk/id/eprint/42689

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