Comparison of Macintosh, McCoy and C-MAC D-Blade video laryngoscope intubation by prehospital emergency health workers: a simulation study

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dc.authoridAKDUR, OKHAN/0000-0003-3099-6876
dc.contributor.authorYildirim, Ahmet
dc.contributor.authorKiraz, Hasan A.
dc.contributor.authorAgaoglu, Ibrahim
dc.contributor.authorAkdur, Okhan
dc.date.accessioned2025-01-27T21:03:35Z
dc.date.available2025-01-27T21:03:35Z
dc.date.issued2017
dc.departmentÇanakkale Onsekiz Mart Üniversitesi
dc.description.abstractThe aim of the this study is to evaluate the intubation success rates of emergency medical technicians using a Macintosh laryngoscope (ML), McCoy laryngoscope (MCL), and C MAC D-Blade (CMDB) video laryngoscope on manikin models with immobilized cervical spines. This randomized crossover study included 40 EMTs with at least 2 years' active service in ambulances. All participating technicians completed intubations in three scenarios-a normal airway model, a rigid cervical collar model, and a manual in-line cervical stabilization model-with three different laryngoscopes. The scenario and laryngoscope model were determined randomly. We recorded the scenario, laryngoscope method, intubation time in seconds, tooth pressure, and intubation on a previously prepared study form. We performed Friedman tests to determine whether there is a significant change in the intubation success rate, duration of tracheal intubation, tooth pressure, and visual analog scale scores due to violations of parametric test assumptions. We performed the Wilcoxon test to determine the significance of pairwise differences for multiple comparisons. An overall 5 % type I error level was used to infer statistical significance. We considered a p value of less than 0.05 statistically significant. The CMDB and MCL success rates were significantly higher than the ML rates in all scenario models (p < 0.05). The CMDB intubation duration was significantly shorter when compared with ML and MCL in all models. CMDB and MCL may provide an easier, faster intubation by prehospital emergency health care workers in patients with immobilized cervical spines.
dc.identifier.doi10.1007/s11739-016-1437-3
dc.identifier.endpage97
dc.identifier.issn1828-0447
dc.identifier.issn1970-9366
dc.identifier.issue1
dc.identifier.pmid27001885
dc.identifier.scopus2-s2.0-84961786688
dc.identifier.scopusqualityQ1
dc.identifier.startpage91
dc.identifier.urihttps://doi.org/10.1007/s11739-016-1437-3
dc.identifier.urihttps://hdl.handle.net/20.500.12428/27353
dc.identifier.volume12
dc.identifier.wosWOS:000392509500012
dc.identifier.wosqualityQ2
dc.indekslendigikaynakWeb of Science
dc.indekslendigikaynakScopus
dc.indekslendigikaynakPubMed
dc.language.isoen
dc.publisherSpringer-Verlag Italia Srl
dc.relation.ispartofInternal and Emergency Medicine
dc.relation.publicationcategoryinfo:eu-repo/semantics/openAccess
dc.rightsinfo:eu-repo/semantics/closedAccess
dc.snmzKA_WoS_20250125
dc.subjectIntubation
dc.subjectPrehospital
dc.subjectLaryngoscope
dc.subjectVideo
dc.subjectManikin
dc.titleComparison of Macintosh, McCoy and C-MAC D-Blade video laryngoscope intubation by prehospital emergency health workers: a simulation study
dc.typeArticle

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