Evidence map›Paper›PMID 36143008›Full record

ArticleJournal of clinical medicine2022

Airway Management during Massive Gastric Regurgitation Using VieScope or Macintosh Laryngoscope-A Randomized, Controlled Simulation Trial.

Hannes Ecker, Sebastian Stranz, Simone Kolvenbach, Holger Herff, Martin Hellmich, Wolfgang A Wetsch

Open access · goldAbstract read
In one paragraph

Article in Journal of clinical medicine, 2022. 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
1.0field-weighted citation impact, top 25% 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, 7 citations in OpenAlex.

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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

6 authors at 1 institution in 1 country.

Hannes EckerUniversity of Cologne, Faculty of Medicine, and University Hospital Cologne, Department of Anesthesiology and Intensive Care Medicine, Kerpener Str. 62, 50937 Cologne, Germany.
Sebastian StranzUniversity of Cologne, Faculty of Medicine, and University Hospital Cologne, Department of Anesthesiology and Intensive Care Medicine, Kerpener Str. 62, 50937 Cologne, Germany.
Simone KolvenbachUniversity of Cologne, Faculty of Medicine, and University Hospital Cologne, Department of Anesthesiology and Intensive Care Medicine, Kerpener Str. 62, 50937 Cologne, Germany.
Holger HerffUniversity of Cologne, Faculty of Medicine, and University Hospital Cologne, Department of Anesthesiology and Intensive Care Medicine, Kerpener Str. 62, 50937 Cologne, Germany.
Martin HellmichUniversity of Cologne, Faculty of Medicine, and University Hospital Cologne, Institute of Medical Statistics and Computational Biology, Kerpener Str. 62, 50937 Cologne, Germany.ORCID 0000-0001-5174-928X
Wolfgang A WetschUniversity of Cologne, Faculty of Medicine, and University Hospital Cologne, Department of Anesthesiology and Intensive Care Medicine, Kerpener Str. 62, 50937 Cologne, Germany.ORCID 0000-0001-5800-6665
University of Cologne · DE

Funding

Deutsche Forschungsgemeinschaft 491454339
6 · The paper itself

Abstract

In this model of massive gastric aspiration, we compared two different laryngoscopes (VieScope and Macintosh) in a randomized, controlled simulation study. The primary endpoint was time to intubation; the secondary endpoints were intubation success (i.e., tracheal tube position) and amount of pulmonary aspiration. Thirty-four anesthetists performed endotracheal intubation using VieScope and Macintosh laryngoscopy in a randomized order on an airway manikin simulating massive regurgitation of gastric fluid. The primary endpoint “time until intubation” could be achieved significantly faster (mean −12.4 s [95% confidence intervals (CI) −19.7 s; −7.3 s]) with Macintosh compared to VieScope (p < 0.001). Concerning “correct tube position”, no statistical difference was found between the devices (p = 1.0). The mean time to first ventilation was −11.1 s [95% CI −18.3 s; −5.3 s] when using Macintosh (p = 0.001). The mean volume of aspirated gastric fluid was lower in the Macintosh group: −90.0 mL [95% CI −235.0 mL; −27.5 mL] (p = 0.011). Data from this simulation study suggest that in a model of massive gastric regurgitation, airway management can be achieved faster and with less gastric aspiration when using a Macintosh laryngoscope compared to a VieScope laryngoscope.

Indexed as

endotracheal intubationlaryngoscopepulmonary aspirationregurgitationVieScope

Identifiers

PMID36143008
PMCPMC9503399
OpenAlexW4296004346

What OpenQuestion holds

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LicenceCC BY
Read underepoch 390

Registered trials

None linked

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.