Academic Journal
Flexible fibreoptic intubation in swine – improvement for resident training and animal safety alike
| Title: | Flexible fibreoptic intubation in swine – improvement for resident training and animal safety alike |
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| Authors: | Robert Ruemmler, Alexander Ziebart, Thomas Ott, Dagmar Dirvonskis, Erik Kristoffer Hartmann |
| Contributors: | Johannes Gutenberg-Universität Mainz |
| Source: | BMC Anesthesiol BMC Anesthesiology, Vol 20, Iss 1, Pp 1-6 (2020) |
| Publisher Information: | Springer Science and Business Media LLC, 2020. |
| Publication Year: | 2020 |
| Subject Terms: | Male, Swine, Difficult airway, 610 Medizin, Airway management, Pilot Projects, Video-Assisted Surgery, Animal Welfare, Animal safety, 03 medical and health sciences, 0302 clinical medicine, Anesthesiology, 610 Medical sciences, Intubation, Intratracheal, Animals, Fiber Optic Technology, Humans, RD78.3-87.3, Prospective Studies, Airway Management, Pliability, ddc:610, Internship and Residency, Equipment Design, 3. Good health, Fibreoptic intubation, Airway Management/methods [MeSH], Fiber Optic Technology/methods [MeSH], Swine [MeSH], Internship and Residency/methods [MeSH], Intubation, Intratracheal/methods [MeSH], Humans [MeSH], Pliability [MeSH], Prospective Studies [MeSH], Animals [MeSH], Video-Assisted Surgery/methods [MeSH], Airway and respiratory management, Animal Welfare [MeSH], Resident training, Male [MeSH], Equipment Design/methods [MeSH], Pilot Projects [MeSH], Video-Assisted Surgery/education [MeSH], Fiber Optic Technology/education [MeSH], Research Article |
| Description: | BackgroundEfficient airway management to facilitate tracheal intubation encompasses essential skills in anaesthesiologic and intensive care. The application of flexible fibreoptic intubation in patients with difficult airways has been identified as the recommended method in various international guidelines. However, providing the opportunity to adequately train residents can be challenging. Using large animals for practice during ongoing studies could help to improve this situation, but there is no recent data on fibreoptic intubation in swine available.MethodsThirty male German landrace pigs were anesthetized, instrumented and randomized into two groups. The animals were either intubated conventionally using direct laryngoscopy or a single-use flexible video-endoscope. The intervention was carried out by providers with 3 months experience in conventional intubation of pigs and a brief introduction into endoscopy. Intubation attempts were supervised and aborted, when SpO2 dropped below 93%. After three failed attempts, an experienced supervisor intervened and performed the intubation. Intubation times and attempts were recorded and analysed.ResultsFlexible fibreoptic intubation showed a significantly higher success rate in first attempt endotracheal tube placement (75% vs. 47%) with less attempts overall (1.3 ± 0.6 vs. 2.1 ± 1.3,P = 0.043). Conventional intubation was faster (42 s ± 6 s vs. 67 s ± 10s,P ConclusionsFlexible fibreoptic intubation in swine is feasible and appears to be a safer and more accessible method for inexperienced users to learn. This could not only improve resident training options in hospitals with animal research facilities but might also prevent airway complications and needless animal suffering. |
| Document Type: | Article Conference object Other literature type |
| Language: | English |
| ISSN: | 1471-2253 |
| DOI: | 10.1186/s12871-020-01127-2 |
| DOI: | 10.21203/rs.3.rs-24625/v2 |
| DOI: | 10.21203/rs.3.rs-24625/v1 |
| DOI: | 10.25358/openscience-5786 |
| Access URL: | https://bmcanesthesiol.biomedcentral.com/track/pdf/10.1186/s12871-020-01127-2 https://pubmed.ncbi.nlm.nih.gov/32807106 https://doaj.org/article/ce1c315622ee4ef58192baa25937e41b https://pubmed.ncbi.nlm.nih.gov/32807106/ https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7430093 https://bmcanesthesiol.biomedcentral.com/articles/10.1186/s12871-020-01127-2 https://www.researchsquare.com/article/rs-24625/v2 https://www.ncbi.nlm.nih.gov/pubmed/32807106 https://link.springer.com/content/pdf/10.1186/s12871-020-01127-2.pdf https://repository.publisso.de/resource/frl:6466128 |
| Rights: | CC BY |
| Accession Number: | edsair.doi.dedup.....e6c6de1b697e8dc72ff62e6b8e998057 |
| Database: | OpenAIRE |
| ISSN: | 14712253 |
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| DOI: | 10.1186/s12871-020-01127-2 |