Evidence map›Paper›PMID 39916760›Full record

ArticleEuropean journal of anaesthesiology and intensive care2023

Novel co-axial, disposable, low-cost 3D printed videolaryngoscopes for patients with COVID-19: a manikin study.

Laura Gorman, Andrew N Dickson, Myles Monaghan, Frank Vaughan, Brian Murphy, Denis P Dowling, Conan McCaul, James F X Jones

Abstract read
In one paragraph

Article in European journal of anaesthesiology and intensive care, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing 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

6 citing papers in PubMed.

  1. Trial
  2. Review
  3. Article
  4. Article
  5. Article
  6. Comparison of Macintosh Laryngoscope, King VisionJournal of clinical medicine · 2024
    Article
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

8 authors.

Laura GormanFrom the School of Medicine, University College Dublin (LG), I-Form Advanced Manufacturing Research Centre, University College Dublin (AND), Our Lady of Lourdes Hospital, Drogheda, Ireland (MM), I-Form Advanced Manufacturing Research Centre, University College Dublin (FV), The Adelaide and Meath Hospital Dublin, Incorporating the National Children's Hospital (AMNCH) & Rotunda Hospital (BM), I-Form Advanced Manufacturing Research Centre, University College Dublin (DPD), Rotunda Hospital Dublin & Mater Misericordiae University Hospital Dublin (CM), and School of Medicine, University College Dublin, Dublin, Ireland (JFXJ).
Andrew N DicksonFrom the School of Medicine, University College Dublin (LG), I-Form Advanced Manufacturing Research Centre, University College Dublin (AND), Our Lady of Lourdes Hospital, Drogheda, Ireland (MM), I-Form Advanced Manufacturing Research Centre, University College Dublin (FV), The Adelaide and Meath Hospital Dublin, Incorporating the National Children's Hospital (AMNCH) & Rotunda Hospital (BM), I-Form Advanced Manufacturing Research Centre, University College Dublin (DPD), Rotunda Hospital Dublin & Mater Misericordiae University Hospital Dublin (CM), and School of Medicine, University College Dublin, Dublin, Ireland (JFXJ).
Myles MonaghanFrom the School of Medicine, University College Dublin (LG), I-Form Advanced Manufacturing Research Centre, University College Dublin (AND), Our Lady of Lourdes Hospital, Drogheda, Ireland (MM), I-Form Advanced Manufacturing Research Centre, University College Dublin (FV), The Adelaide and Meath Hospital Dublin, Incorporating the National Children's Hospital (AMNCH) & Rotunda Hospital (BM), I-Form Advanced Manufacturing Research Centre, University College Dublin (DPD), Rotunda Hospital Dublin & Mater Misericordiae University Hospital Dublin (CM), and School of Medicine, University College Dublin, Dublin, Ireland (JFXJ).
Frank VaughanFrom the School of Medicine, University College Dublin (LG), I-Form Advanced Manufacturing Research Centre, University College Dublin (AND), Our Lady of Lourdes Hospital, Drogheda, Ireland (MM), I-Form Advanced Manufacturing Research Centre, University College Dublin (FV), The Adelaide and Meath Hospital Dublin, Incorporating the National Children's Hospital (AMNCH) & Rotunda Hospital (BM), I-Form Advanced Manufacturing Research Centre, University College Dublin (DPD), Rotunda Hospital Dublin & Mater Misericordiae University Hospital Dublin (CM), and School of Medicine, University College Dublin, Dublin, Ireland (JFXJ).
Brian MurphyFrom the School of Medicine, University College Dublin (LG), I-Form Advanced Manufacturing Research Centre, University College Dublin (AND), Our Lady of Lourdes Hospital, Drogheda, Ireland (MM), I-Form Advanced Manufacturing Research Centre, University College Dublin (FV), The Adelaide and Meath Hospital Dublin, Incorporating the National Children's Hospital (AMNCH) & Rotunda Hospital (BM), I-Form Advanced Manufacturing Research Centre, University College Dublin (DPD), Rotunda Hospital Dublin & Mater Misericordiae University Hospital Dublin (CM), and School of Medicine, University College Dublin, Dublin, Ireland (JFXJ).
Denis P DowlingFrom the School of Medicine, University College Dublin (LG), I-Form Advanced Manufacturing Research Centre, University College Dublin (AND), Our Lady of Lourdes Hospital, Drogheda, Ireland (MM), I-Form Advanced Manufacturing Research Centre, University College Dublin (FV), The Adelaide and Meath Hospital Dublin, Incorporating the National Children's Hospital (AMNCH) & Rotunda Hospital (BM), I-Form Advanced Manufacturing Research Centre, University College Dublin (DPD), Rotunda Hospital Dublin & Mater Misericordiae University Hospital Dublin (CM), and School of Medicine, University College Dublin, Dublin, Ireland (JFXJ).
Conan McCaulFrom the School of Medicine, University College Dublin (LG), I-Form Advanced Manufacturing Research Centre, University College Dublin (AND), Our Lady of Lourdes Hospital, Drogheda, Ireland (MM), I-Form Advanced Manufacturing Research Centre, University College Dublin (FV), The Adelaide and Meath Hospital Dublin, Incorporating the National Children's Hospital (AMNCH) & Rotunda Hospital (BM), I-Form Advanced Manufacturing Research Centre, University College Dublin (DPD), Rotunda Hospital Dublin & Mater Misericordiae University Hospital Dublin (CM), and School of Medicine, University College Dublin, Dublin, Ireland (JFXJ).
James F X JonesFrom the School of Medicine, University College Dublin (LG), I-Form Advanced Manufacturing Research Centre, University College Dublin (AND), Our Lady of Lourdes Hospital, Drogheda, Ireland (MM), I-Form Advanced Manufacturing Research Centre, University College Dublin (FV), The Adelaide and Meath Hospital Dublin, Incorporating the National Children's Hospital (AMNCH) & Rotunda Hospital (BM), I-Form Advanced Manufacturing Research Centre, University College Dublin (DPD), Rotunda Hospital Dublin & Mater Misericordiae University Hospital Dublin (CM), and School of Medicine, University College Dublin, Dublin, Ireland (JFXJ).

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundCOVID-19 continues to present challenges to both patient management and the protection of the airway management team involved, in particular in resource-constrained low-income countries. Among the most concerning complications in affected patients is rapid hypoxemic respiratory failure requiring tracheal intubation and mechanical ventilation. Videolaryngoscopy without peri-intubation oxygenation is the recommended approach in COVID-19 patients. However, the absence of peri-intubation oxygenation during intubation attempts can lead to hypoxia, and result in life-threatening complications in already critically ill patients.

objectiveTo develop low-cost disposable 3D printed videolaryngoscope designs with integrated channels for oxygen, suction, WIFI-enabled camera and tracheal tube channels, as well as a flexible transparent barrier anchor to offer optional additional protection to the user and airway management team.

designA manikin study. SETTING AND

participantsThree experienced consultant anaesthetists in the Mater Misericordiae University Hospital, Dublin, Ireland.

main outcome measuresTo generate novel co-axial videolaryngoscopes that meet International Standards, ISO7376 : 2020 standards for anaesthetic and respiratory equipment (laryngoscopes for tracheal intubation), and to demonstrate successful tracheal intubation of a manikin trainer in a range of configurations ('easy' to 'difficult') in accordance with the Cormack-Lehane grading of laryngeal view.

resultsFinal design prototypes met the minimum criteria for strength and rigidity according to ISO7376 : 2020, including blade tip displacement under load (65 N and 150 N). Preliminary validation has demonstrated successful tracheal intubation of a manikin trainer in all configurations including 'difficult' (Cormack-Lehane Grade 3 view).

conclusionsThis low-cost, rapid in-house manufacture could offer a mitigation of supply chain disruptions that can arise during global pandemics. Furthermore, it could offer a low-cost solution in low-income countries where there is an infection risk caused by re-using most current videolaryngoscopes requiring sterilisation before re-use, as well as limitations in the availability of personal protective equipment.

Identifiers

PMID39916760
PMCPMC11783612

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.