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Flexible fibreoptic intubation in swine – improvement for resident training and animal safety alike

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Τίτλος: Flexible fibreoptic intubation in swine – improvement for resident training and animal safety alike
Συγγραφείς: Ruemmler, Robert, Ziebart, Alexander, Ott, Thomas, Dirvonskis, Dagmar, Hartmann, Erik Kristoffer
Πηγή: http://lobid.org/resources/99370673924206441#!, 20(1):206.
Έτος έκδοσης: 2020
Συλλογή: Publisso (ZB MED-Publikationsportal Lebenswissenschaften)
Θεματικοί όροι: Airway Management/methods [MeSH], Fiber Optic Technology/methods [MeSH], Swine [MeSH], Internship and Residency/methods [MeSH], Intubation, Intratracheal/methods [MeSH], Animal safety, Humans [MeSH], Pliability [MeSH], Prospective Studies [MeSH], Animals [MeSH], Video-Assisted Surgery/methods [MeSH], Airway and respiratory management, Animal Welfare [MeSH], Difficult airway, Resident training, Male [MeSH], Equipment Design/methods [MeSH], Fibreoptic intubation, Pilot Projects [MeSH], Video-Assisted Surgery/education [MeSH], Fiber Optic Technology/education [MeSH], Airway management, Research Article
Περιγραφή: Background!#!Efficient 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.!##!Methods!#!Thirty 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.!##!Results!#!Flexible 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 < 0.001), but showed a higher complication rate and more desaturation episodes during the trial.!##!Conclusions!#!Flexible 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.
Τύπος εγγράφου: article in journal/newspaper
Γλώσσα: English
Relation: https://repository.publisso.de/resource/frl:6466128; https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7430093/
DOI: 10.1186/s12871-020-01127-2
Διαθεσιμότητα: https://repository.publisso.de/resource/frl:6466128
https://doi.org/10.1186/s12871-020-01127-2
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7430093/
Rights: https://creativecommons.org/licenses/by/4.0/
Αριθμός Καταχώρησης: edsbas.2CC5CF1A
Βάση Δεδομένων: BASE
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  Data: Flexible fibreoptic intubation in swine – improvement for resident training and animal safety alike
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  Data: Background!#!Efficient 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.!##!Methods!#!Thirty 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.!##!Results!#!Flexible fibreoptic intubation showed a significantly higher success rate in first attempt endotracheal tube placement (75% vs. 47%) with less attempts overall (1.3 &#177; 0.6 vs. 2.1 &#177; 1.3, P = 0.043). Conventional intubation was faster (42 s &#177; 6 s vs. 67 s &#177; 10s, P &lt; 0.001), but showed a higher complication rate and more desaturation episodes during the trial.!##!Conclusions!#!Flexible 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.
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      – Type: doi
        Value: 10.1186/s12871-020-01127-2
    Languages:
      – Text: English
    Subjects:
      – SubjectFull: Airway Management/methods [MeSH]
        Type: general
      – SubjectFull: Fiber Optic Technology/methods [MeSH]
        Type: general
      – SubjectFull: Swine [MeSH]
        Type: general
      – SubjectFull: Internship and Residency/methods [MeSH]
        Type: general
      – SubjectFull: Intubation
        Type: general
      – SubjectFull: Intratracheal/methods [MeSH]
        Type: general
      – SubjectFull: Animal safety
        Type: general
      – SubjectFull: Humans [MeSH]
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      – SubjectFull: Pliability [MeSH]
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        Type: general
      – SubjectFull: Resident training
        Type: general
      – SubjectFull: Male [MeSH]
        Type: general
      – SubjectFull: Equipment Design/methods [MeSH]
        Type: general
      – SubjectFull: Fibreoptic intubation
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      – TitleFull: Flexible fibreoptic intubation in swine – improvement for resident training and animal safety alike
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              M: 01
              Type: published
              Y: 2020
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