| Title: |
Emergency airway management in the prone position: an observational mannequin-based simulation study |
| Authors: |
Wesley Rajaleelan, Eugene Tuyishime, Eric Plitman, Zoe Unger, Lakshmi Venkataraghavan, Michael Dinsmore |
| Source: |
Advances in Simulation, Vol 9, Iss 1, Pp 1-8 (2024) |
| Publisher Information: |
BMC, 2024. |
| Publication Year: |
2024 |
| Collection: |
LCC:Computer applications to medicine. Medical informatics |
| Subject Terms: |
Prone extubation, Simulation, Mannequin, Computer applications to medicine. Medical informatics, R858-859.7 |
| More Details: |
Abstract Introduction Accidental extubation during prone position can be a life-threatening emergency requiring rapid establishment of the airway. However, there is limited evidence of the best airway rescue method for this potentially catastrophic emergency. The aim of this study was to determine the most effective method to recover the airway in case of accidental extubation during prone positioning by comparing three techniques (supraglottic airway, video laryngoscopy, and fiber-optic bronchoscopy) in a simulated environment. Methods Eleven anesthesiologists and 12 anesthesia fellows performed the simulated airway management using 3 different techniques on a mannequin positioned prone in head pins. Time required for definitive airway management and the success rates were measured. Results The success rates of airway rescue were 100% with the supraglottic airway device (SAD), 69.6% with the video laryngoscope (CMAC), and 91.3% with the FOB. The mean (SD) time to insertion was 18.1 (4.8) s for the supraglottic airway, 78.3 (32.0) s for the CMAC, and 57.3 (24.6) s for the FOB. There were significant differences in the time required for definitive airway management between the SAD and FOB (t = 5.79, p |
| Document Type: |
article |
| File Description: |
electronic resource |
| Language: |
English |
| ISSN: |
2059-0628 |
| Relation: |
https://doaj.org/toc/2059-0628 |
| DOI: |
10.1186/s41077-024-00285-4 |
| Access URL: |
https://doaj.org/article/46573f635e294715b937105a8c5cb542 |
| Accession Number: |
edsdoj.46573f635e294715b937105a8c5cb542 |
| Database: |
Directory of Open Access Journals |
