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References

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2012:820961.

2- Latif RK, Akca O. Simulation based training of airway management with Macintosh blade and Glidescope video laryngoscope. Minerva Anestesiol. 2011; 77(1):1-3.

3- Konrad C, Schupfer G, Wietlisbach M, Gerber H. Learning manual skills in anesthesiology: is there a recommended number of cases for anesthetic procedures. Anesthesia and Analgesia.

1998; 86: 635-9

4- Stewart RD, Paris PM, Pelton GH, Garrestson D. Effect of varied training techniques on field endotracheal intubation success rates. Annals of Emergency Medicine. 1984; 13: 1032-6

5- Levitan RM, Goldman TS, Bryan DA, Shofer F, Herliach A. Training with video imaging improves the initial intubation success rates of paramedic trainees in an operating room setting.

Annals of Emergency Medicine. 2001; 37: 45-50

6- Bradly JS, Billows Gl, Olinger ML, Baha SP, Cordell WH, Nelson DR. Prehospital oral endotracheal intubations by basic emergency medical technicians. Annals of Emergency Medicine. 1998; 32; 26-32

7- Sayre MR, Sakle JC, Mistler AF, Evans JL, Kramer AT, Pancioli AM. Field trial of endotracheal iuntubation by basic EMTs. Annals of Emergency Medicine. 1998; 31: 228-33

8- Komatsu R, Kasuya Y, Yogo H, et al. Learning curves for bag and mask ventilation and orotracheal intubation: an application of the cumulative sum method. Anesthsiology. 2010;

112: 1525-31

9- Ayoub CM, Kanazi GE, Al Alami A, Rameh C, El-Khatib MF. Tracheal intubation following training with the GlideScope compared to direct laryngoscopy. Anesthesia. 2010; 65: 674-678 10- Stroumpoulis K, Stroumpolis T, Bassiakou E, et al. Macintosh and Glidescope performance by advanced cardiac life support providers a manikin study. Minerva Anesthesiol. 2011; 77: 11-6

(8)

A Comparison of Success Rate of Tracheal Intubation Following Training with Glide Scope and Training with Macintosh laryngoscope

Ghaemi M¹, Taghilo GhA²

1Dept. of Anesthesiology, School of Medicine, Zanjan University of Medical Sciences, Zanjan, Iran

2Dept. of Nursing, School of Nursing & Obstetric, Zanjan University of Medical Sciences, Instructor of anesthetic group, , Zanjan, Iran

Corresponding Author: Ghaemi M, Dept. of Anesthesiology, School of Medicine, Zanjan University of Medical Sciences, Zanjan, Iran

Email: [email protected]

Received: 3 Aug 2014 Accepted: 14 Dec 2014

Background and Objective: Tracheal intubation is one of the most essential skills employed by all healthcare providers, nevertheless novice intubators turn out to be less successful when they initially perform the intubation. Video- laryngoscopes (GlideScopes) are new instruments able to increase the success rate of tracheal intubation training. The aim of this study was to compare the success rate of tracheal intubation following training with GlideScope and training with Macintosh laryngoscope.

Materials and Methods: In this quasi-experimental study, a total of 30 semester-three anesthetics students of Zanjan Nursing School with no intubation skill served as participants of this study. They were assigned into two 15-person groups using convenience sampling after theoretical teaching and training on manikin. Next, they were trained to perform tracheal intubation on patients using GlideScope in one group and Macintosh laryngoscope in the other group. Then, the success rate and intubation time of 10 intubation trials done by each student were measured, recorded and analyzed through T-Test, X2 and ANOVA.

Results: The success rate and the mean time of intubation after ten times of intubation were 86.7%

and 18.14^sec and 60% and 19.46^sec in the GlideScope and Macintosh groups respectively. The success rates of intubation from the first one to the tenth one were higher in GlideScope group than those of Macintosh group. (p<0.05)

Conclusion: Tracheal intubation training with GlideScope, compared to the training with laryngoscope improves the success rate and time of intubation significantly.

Keywords: Tracheal intubation, Training, Video-laryngoscope