A comparison of the McGrath-MAC and Macintosh laryngoscopes for child tracheal intubation during resuscitation by paramedics. A randomized, crossover, manikin study. Szarpak L., Truszewski Z., Czyzewski L., Gaszynski T., & Rodriguez-Nunez A. 2016. ![A comparison of the McGrath-MAC and Macintosh laryngoscopes for child tracheal intubation during resuscitation by paramedics. A randomized, crossover, manikin study [link]](https://bibbase.org/img/filetypes/link.svg "link")
Paper abstract bibtex Introduction Prehospital tracheal intubation by paramedics during cardiopulmonary resuscitation (CPR) in children is challenging. The potential role of new intubation devices during CPR is unclear. Our objective was to assess the impact of CPR (with and without chest compressions [CCs]) on the success and time to intubation (TTI) with the Macintosh laryngoscope vs the McGrath video laryngoscope on a pediatric manikin. Methods This was an open, prospective, randomized, crossover, manikin trial involving 95 paramedics who performed intubations in a PediaSIM pediatric high-fidelity manikin with Macintosh and McGrath laryngoscopes, with and without concomitant mechanical CCs. Primary outcome was the TTI, and secondary outcome was success of the attempt. Participants rated their best glottic view, the severity of the potential dental trauma, and subjective opinion about the difficulty of the procedure. Results The median TTI with the Macintosh in the scenario with uninterrupted CC was 33 (interquartile range [IQR], 24-36) seconds, which is significantly longer than TTI in the scenario with interrupted CC (23 [IQR, 20-29] seconds, P \textless.001). Time to intubation using the McGrath was similar in both scenarios: 20 (IQR, 17-23) seconds vs 19.5 (IQR, 17-22) seconds (P =.083). A statistically significant difference between McGrath and Macintosh was noticed in TTI both in scenario with (P \textless.001) and without CC (P =.017). Conclusions McGrath video laryngoscope helps paramedics to intubate a pediatric manikin in a CPR scenario in less time and with fewer attempts than with the classical Macintosh, both in case of ongoing or stopped CC. McGrath use in actual patients could improve CPR quality by paramedics. Copyright © 2015 Elsevier Inc.
@misc{szarpak_l._comparison_2016,
title = {A comparison of the {McGrath}-{MAC} and {Macintosh} laryngoscopes for child tracheal intubation during resuscitation by paramedics. {A} randomized, crossover, manikin study},
url = {http://www.journals.elsevier.com/american-journal-of-emergency-medicine/},
abstract = {Introduction Prehospital tracheal intubation by paramedics during cardiopulmonary resuscitation (CPR) in children is challenging. The potential role of new intubation devices during CPR is unclear. Our objective was to assess the impact of CPR (with and without chest compressions [CCs]) on the success and time to intubation (TTI) with the Macintosh laryngoscope vs the McGrath video laryngoscope on a pediatric manikin. Methods This was an open, prospective, randomized, crossover, manikin trial involving 95 paramedics who performed intubations in a PediaSIM pediatric high-fidelity manikin with Macintosh and McGrath laryngoscopes, with and without concomitant mechanical CCs. Primary outcome was the TTI, and secondary outcome was success of the attempt. Participants rated their best glottic view, the severity of the potential dental trauma, and subjective opinion about the difficulty of the procedure. Results The median TTI with the Macintosh in the scenario with uninterrupted CC was 33 (interquartile range [IQR], 24-36) seconds, which is significantly longer than TTI in the scenario with interrupted CC (23 [IQR, 20-29] seconds, P {\textless}.001). Time to intubation using the McGrath was similar in both scenarios: 20 (IQR, 17-23) seconds vs 19.5 (IQR, 17-22) seconds (P =.083). A statistically significant difference between McGrath and Macintosh was noticed in TTI both in scenario with (P {\textless}.001) and without CC (P =.017). Conclusions McGrath video laryngoscope helps paramedics to intubate a pediatric manikin in a CPR scenario in less time and with fewer attempts than with the classical Macintosh, both in case of ongoing or stopped CC. McGrath use in actual patients could improve CPR quality by paramedics. Copyright © 2015 Elsevier Inc.},
journal = {American Journal of Emergency Medicine},
author = {{Szarpak L.} and {Truszewski Z.} and {Czyzewski L.} and {Gaszynski T.} and {Rodriguez-Nunez A.}},
year = {2016},
keywords = {*endotracheal intubation, *laryngoscope, *laryngoscope/dc [Device Comparison], *resuscitation, *videolaryngoscope, *videolaryngoscope/dc [Device Comparison], Child, article, clinical study, compression, controlled clinical trial, controlled study, crossover procedure, device comparison, female, human, injury, injury severity, major clinical study, male, manikin, outcome assessment, paramedical personnel, priority journal, prospective study, randomized controlled trial, tooth, tooth injury}
}
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{"_id":"6a7EJD4Lw4CPqCcg2","bibbaseid":"szarpakl-truszewskiz-czyzewskil-gaszynskit-rodrigueznuneza-acomparisonofthemcgrathmacandmacintoshlaryngoscopesforchildtrachealintubationduringresuscitationbyparamedicsarandomizedcrossovermanikinstudy-2016","downloads":0,"creationDate":"2017-05-12T20:20:58.299Z","title":"A comparison of the McGrath-MAC and Macintosh laryngoscopes for child tracheal intubation during resuscitation by paramedics. A randomized, crossover, manikin study","author_short":["Szarpak L.","Truszewski Z.","Czyzewski L.","Gaszynski T.","Rodriguez-Nunez A."],"year":2016,"bibtype":"misc","biburl":"http://bibbase.org/zotero/gxu917","bibdata":{"bibtype":"misc","type":"misc","title":"A comparison of the McGrath-MAC and Macintosh laryngoscopes for child tracheal intubation during resuscitation by paramedics. A randomized, crossover, manikin study","url":"http://www.journals.elsevier.com/american-journal-of-emergency-medicine/","abstract":"Introduction Prehospital tracheal intubation by paramedics during cardiopulmonary resuscitation (CPR) in children is challenging. The potential role of new intubation devices during CPR is unclear. Our objective was to assess the impact of CPR (with and without chest compressions [CCs]) on the success and time to intubation (TTI) with the Macintosh laryngoscope vs the McGrath video laryngoscope on a pediatric manikin. Methods This was an open, prospective, randomized, crossover, manikin trial involving 95 paramedics who performed intubations in a PediaSIM pediatric high-fidelity manikin with Macintosh and McGrath laryngoscopes, with and without concomitant mechanical CCs. Primary outcome was the TTI, and secondary outcome was success of the attempt. Participants rated their best glottic view, the severity of the potential dental trauma, and subjective opinion about the difficulty of the procedure. Results The median TTI with the Macintosh in the scenario with uninterrupted CC was 33 (interquartile range [IQR], 24-36) seconds, which is significantly longer than TTI in the scenario with interrupted CC (23 [IQR, 20-29] seconds, P \\textless.001). Time to intubation using the McGrath was similar in both scenarios: 20 (IQR, 17-23) seconds vs 19.5 (IQR, 17-22) seconds (P =.083). A statistically significant difference between McGrath and Macintosh was noticed in TTI both in scenario with (P \\textless.001) and without CC (P =.017). Conclusions McGrath video laryngoscope helps paramedics to intubate a pediatric manikin in a CPR scenario in less time and with fewer attempts than with the classical Macintosh, both in case of ongoing or stopped CC. McGrath use in actual patients could improve CPR quality by paramedics. Copyright © 2015 Elsevier Inc.","journal":"American Journal of Emergency Medicine","author":[{"firstnames":[],"propositions":[],"lastnames":["Szarpak L."],"suffixes":[]},{"firstnames":[],"propositions":[],"lastnames":["Truszewski Z."],"suffixes":[]},{"firstnames":[],"propositions":[],"lastnames":["Czyzewski L."],"suffixes":[]},{"firstnames":[],"propositions":[],"lastnames":["Gaszynski T."],"suffixes":[]},{"firstnames":[],"propositions":[],"lastnames":["Rodriguez-Nunez A."],"suffixes":[]}],"year":"2016","keywords":"*endotracheal intubation, *laryngoscope, *laryngoscope/dc [Device Comparison], *resuscitation, *videolaryngoscope, *videolaryngoscope/dc [Device Comparison], Child, article, clinical study, compression, controlled clinical trial, controlled study, crossover procedure, device comparison, female, human, injury, injury severity, major clinical study, male, manikin, outcome assessment, paramedical personnel, priority journal, prospective study, randomized controlled trial, tooth, tooth injury","bibtex":"@misc{szarpak_l._comparison_2016,\n\ttitle = {A comparison of the {McGrath}-{MAC} and {Macintosh} laryngoscopes for child tracheal intubation during resuscitation by paramedics. {A} randomized, crossover, manikin study},\n\turl = {http://www.journals.elsevier.com/american-journal-of-emergency-medicine/},\n\tabstract = {Introduction Prehospital tracheal intubation by paramedics during cardiopulmonary resuscitation (CPR) in children is challenging. The potential role of new intubation devices during CPR is unclear. Our objective was to assess the impact of CPR (with and without chest compressions [CCs]) on the success and time to intubation (TTI) with the Macintosh laryngoscope vs the McGrath video laryngoscope on a pediatric manikin. Methods This was an open, prospective, randomized, crossover, manikin trial involving 95 paramedics who performed intubations in a PediaSIM pediatric high-fidelity manikin with Macintosh and McGrath laryngoscopes, with and without concomitant mechanical CCs. Primary outcome was the TTI, and secondary outcome was success of the attempt. Participants rated their best glottic view, the severity of the potential dental trauma, and subjective opinion about the difficulty of the procedure. Results The median TTI with the Macintosh in the scenario with uninterrupted CC was 33 (interquartile range [IQR], 24-36) seconds, which is significantly longer than TTI in the scenario with interrupted CC (23 [IQR, 20-29] seconds, P {\\textless}.001). Time to intubation using the McGrath was similar in both scenarios: 20 (IQR, 17-23) seconds vs 19.5 (IQR, 17-22) seconds (P =.083). A statistically significant difference between McGrath and Macintosh was noticed in TTI both in scenario with (P {\\textless}.001) and without CC (P =.017). Conclusions McGrath video laryngoscope helps paramedics to intubate a pediatric manikin in a CPR scenario in less time and with fewer attempts than with the classical Macintosh, both in case of ongoing or stopped CC. McGrath use in actual patients could improve CPR quality by paramedics. Copyright © 2015 Elsevier Inc.},\n\tjournal = {American Journal of Emergency Medicine},\n\tauthor = {{Szarpak L.} and {Truszewski Z.} and {Czyzewski L.} and {Gaszynski T.} and {Rodriguez-Nunez A.}},\n\tyear = {2016},\n\tkeywords = {*endotracheal intubation, *laryngoscope, *laryngoscope/dc [Device Comparison], *resuscitation, *videolaryngoscope, *videolaryngoscope/dc [Device Comparison], Child, article, clinical study, compression, controlled clinical trial, controlled study, crossover procedure, device comparison, female, human, injury, injury severity, major clinical study, male, manikin, outcome assessment, paramedical personnel, priority journal, prospective study, randomized controlled trial, tooth, tooth injury}\n}\n\n","author_short":["Szarpak L.","Truszewski Z.","Czyzewski L.","Gaszynski T.","Rodriguez-Nunez A."],"key":"szarpak_l._comparison_2016","id":"szarpak_l._comparison_2016","bibbaseid":"szarpakl-truszewskiz-czyzewskil-gaszynskit-rodrigueznuneza-acomparisonofthemcgrathmacandmacintoshlaryngoscopesforchildtrachealintubationduringresuscitationbyparamedicsarandomizedcrossovermanikinstudy-2016","role":"author","urls":{"Paper":"http://www.journals.elsevier.com/american-journal-of-emergency-medicine/"},"keyword":["*endotracheal intubation","*laryngoscope","*laryngoscope/dc [Device Comparison]","*resuscitation","*videolaryngoscope","*videolaryngoscope/dc [Device Comparison]","Child","article","clinical study","compression","controlled clinical trial","controlled study","crossover procedure","device comparison","female","human","injury","injury severity","major clinical study","male","manikin","outcome assessment","paramedical personnel","priority journal","prospective study","randomized controlled trial","tooth","tooth injury"],"downloads":0,"html":""},"search_terms":["comparison","mcgrath","mac","macintosh","laryngoscopes","child","tracheal","intubation","during","resuscitation","paramedics","randomized","crossover","manikin","study","szarpak l.","truszewski z.","czyzewski l.","gaszynski t.","rodriguez-nunez a."],"keywords":["*endotracheal intubation","*laryngoscope","*laryngoscope/dc [device comparison]","*resuscitation","*videolaryngoscope","*videolaryngoscope/dc [device comparison]","child","article","clinical study","compression","controlled clinical trial","controlled study","crossover procedure","device comparison","female","human","injury","injury severity","major clinical study","male","manikin","outcome assessment","paramedical personnel","priority journal","prospective study","randomized controlled trial","tooth","tooth injury"],"authorIDs":[],"dataSources":["9LqPNaySNpNxYBFzj"]}