Evidence map›Paper›PMID 32149114›Full record

ArticleBioMed research international2020

Comparison of Direct and Video Laryngoscopes during Different Airway Scenarios Performed by Experienced Paramedics: A Randomized Cross-Over Manikin Study.

Kurt Ruetzler, Lukasz Szarpak, Jacek Smereka, Marek Dabrowski, Szymon Bialka, Lauretta Mosteller, Agnieszka Szarpak, Kobi Ludwin, Marzena Wojewodzka-Zelezniakowicz, Jerzy Robert Ladny

Open access · hybridAbstract read
In one paragraph

Article in BioMed research international, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
1.8field-weighted citation impact, top 16% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

4 citing papers in PubMed, 11 citations in OpenAlex.

  1. Trial
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors at 7 institutions in 3 countries.

Kurt RuetzlerCleveland Clinic, Departments of General Anesthesiology and Outcomes Research, Anesthesiology Institute, Cleveland, OH, USA.ORCID https://orcid.org/0000-0003-0467-1736
Lukasz SzarpakLazarski University, Medical Simulation Center, Swieradowska 43, Warsaw, Poland.ORCID https://orcid.org/0000-0002-0973-5455
Jacek SmerekaWroclaw Medical University, Department of Emergency Medical Service, Parkowa 34, Wroclaw, Poland.ORCID https://orcid.org/0000-0002-1427-4796
Marek DabrowskiPoznań University of Medical Sciences, Chair and Department of Medical Education, Dabrowskiego 12, Poznan, Poland.
Szymon BialkaMedical University of Silesia, Department of Anesthesiology, Intensive Care and Emergency Medicine, 3-go Maja 13-15, Zabrze, Poland.
Lauretta MostellerCleveland Clinic, Department of Outcomes Research, Anesthesiology Institute, Cleveland, OH, USA.
Agnieszka SzarpakPolish Society of Disaster Medicine, Swieradowska 43, Warsaw, Poland.ORCID https://orcid.org/0000-0002-6196-6111
Kobi LudwinPolish Society of Disaster Medicine, Swieradowska 43, Warsaw, Poland.
Marzena Wojewodzka-ZelezniakowiczMedical University of Bialystok, Department of Emergency Medicine, Szpitalna 37, Bialystok, Poland.
Jerzy Robert LadnyMedical University of Bialystok, Department of Emergency Medicine, Szpitalna 37, Bialystok, Poland.
Cleveland Clinic · USMedical University of Białystok · PLRussian Respiratory Society · RUMedical University of Silesia · PLPoznan University of Medical Sciences · PLUczelnia Łazarskiego · PLWroclaw Medical University · PL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

aimThe aim of the study was to compare Macintosh laryngoscope (MAC), McGrath, and TruView PCD in 5 separate airway management scenarios.

methodsThis prospective cross-over simulation study involved 93 paramedics. All paramedics performed intubation using direct laryngoscope (MAC), McGrath, and TruView PCD video laryngoscopes. The study was performed in 5 different scenarios: (A) normal airway, (B) tongue oedema, (C) pharyngeal obstruction, (D) cervical collar stabilization with tongue oedema, and (E) cervical collar stabilization with pharyngeal obstruction.

resultsIn scenario A, the success rate was 99% with MAC, 100% with McGrath, and 94% with PCD. Intubation time was 17 s (IQR: 16-21) for MAC, 18 s (IQR: 16-21) for McGrath, and 27 s (IQR: 23-34) for PCD. In scenario B, the success rate was 61% with MAC, 97% with McGrath, and 97% with PCD (

conclusionsThe McGrath video laryngoscope proved better than Truview PCD and direct intubation with Macintosh laryngoscope in terms of success rate, duration of first intubation attempt, number of intubation attempts, Cormack-Lehane grade, percentage of glottis opening (POGO score), number of optimization manoeuvres, severity of dental compression, and ease of use.

Indexed as

LaryngoscopesManikinsAirway ManagementAllied Health PersonnelCross-Over StudiesEquipment DesignHumansIntubation, IntratrachealLaryngoscopyRespiratory SystemVideo Recording

Identifiers

PMID32149114
PMCPMC7049447
OpenAlexW3008265675

What OpenQuestion holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.