Evidence map›Paper›PMID 36995204›Full record

Trial reportUlusal travma ve acil cerrahi dergisi = Turkish journal of trauma & emergency surgery : TJTES2023

Impact of VieScope® on first-attempt success during simulated COVID-19 patients intubation: A randomized cross-over simulation trial.

Togay Evrin, Leyla Öztürk Sönmez, Lezsek Gadek, Michal Pruc, Alla Navolokina, Wojciech Wieczorek, Maciej Cyran, Jacek Smereka, Gül Deniz Özkan

Abstract readRandomized Controlled Trial
In one paragraph

Trial report in Ulusal travma ve acil cerrahi dergisi = Turkish journal of trauma & emergency surgery : TJTES, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
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

1 citing paper in PubMed.

  1. Review
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

9 authors.

Togay EvrinDepartment of Emergency Medicine, Ufuk University Faculty of Medicine, Dr. Rıdvan Ege Training and Research Hospital, Ankara-Türkiye.
Leyla Öztürk SönmezDepartment of Emergency Medicine, Beyhekim Training and Research Hospital, Konya-Türkiye.
Lezsek GadekResearch Unit, Polish Society of Disaster Medicine, Warsaw-Poland.
Michal PrucResearch Unit, Polish Society of Disaster Medicine, Warsaw-Poland.
Alla NavolokinaInternational European University, Kyiv-Ukraine.
Wojciech WieczorekDepartment of Emergency Medicine, Medical University of Warsaw, Warsaw-Poland.
Maciej CyranInstitute of Outcomes Research, Maria Sklodowska-Curie, Warsaw-Poland.
Jacek SmerekaDepartment of Emergency Medical Service, Medical University of Wroclaw, Wroclaw-Poland.
Gül Deniz ÖzkanDepartment of Emergency Medicine, Şanlıurfa Mehmet Akif İnan Training and Research Hospital, Şanlıurfa-Türkiye.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe purpose of our study was to determine the efficacy of intubation with VieScope® and Macintosh laryngoscope in different scenarios of simulated COVID-19 patients by paramedics wearing personal protective equipment (PPE) for aerosol gener-ating procedures (AGPs).

methodsStudy was designed as a prospective, observational, randomized, crossover simulation trial. 37 paramedics took part in the study. They performed endotracheal intubation (ETI) of a person suspected of COVID-19. Intubation was performed using VieS-cope® and Macintosh laryngoscopes in two research scenarios: Scenario A - normal airway and Scenario B - difficult airway. Both the order of participants and the methods of intubation were random.

resultsIn Scenario A, time to intubation using VieScope® and Macintosh laryngoscope amounted to 35.3 (IQR; 32-40) seconds and 35.8 (IQR: 30-40)s, respectively. Nearly all participants performed ETI successfully both with VieScope® and Macintosh laryngo-scope (100% vs. 94.6%). In scenario B, intubation with the VieScope®, compared to the Macintosh laryngoscope, was associated with a shorter intubation time (p<0.001), a higher success rate of the first intubation attempt (p<0.001), a better visualization degree glottis (p=0.012) and ease of intubation (p<0.001).

conclusionOur analysis suggests that the use of a VieScope® compared to Macintosh laryngoscope in difficult airway intuba-tion performed by paramedics wearing PPE-AGP is associated with shorter intubation times, greater intubation efficiency as well as better visualization of the glottis. Additional clinical trials are necessary to confirm the obtained results.

Indexed as

Allied Health PersonnelCOVID-19Equipment DesignHumansIntubation, IntratrachealManikinsProspective Studies

Identifiers

PMID36995204
PMCPMC10214889

What OpenQuestion holds

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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.