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Addition of a video camera system improves the ease of Airtraq® tracheal intubation during chest compression

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Abstract

Recent resuscitation guidelines for cardiopulmonary resuscitation emphasize that rescuers should perform tracheal intubation with minimal interruption of chest compressions. We evaluated the use of video guidance to facilitate tracheal intubation with the Airtraq (ATQ) laryngoscope during chest compression. Eighteen novice physicians in our anesthesia department performed tracheal intubation on a manikin using the ATQ with a video camera system (ATQ-V) or with no video guidance (ATQ-N) during chest compression. All participants were able to intubate the manikin using the ATQ-N without chest compression, but five failed during chest compression (P < 0.05). In contrast, all participants successfully secured the airway with the ATQ-V, with or without chest compression. Concurrent chest compression increased the time required for intubation with the ATQ-N (without chest compression 14.8 ± 4.5 s; with chest compression, 28.2 ± 10.6 s; P < 0.05), but not with the ATQ-V (without chest compression, 15.9 ± 5.8 s; with chest compression, 17.3 ± 5.3 s; P > 0.05). The ATQ video camera system improves the ease of tracheal intubation during chest compressions.

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Conflict of interest

The authors have no affiliation with any manufacturer of any device described in the manuscript and declare no financial interest in relationship to the material described in the manuscript.

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Authors and Affiliations

  1. Department of Anesthesiology, Hyogo College of Medicine, Mukogawa-cho 1-1, Nishinomiya, Hyogo, 663-8501, Japan

    Hanako Kohama, Nobuyasu Komasawa & Shin-ichi Nishi

  2. Division of Intensive Care Unit, Hyogo College of Medicine, Nishinomiya, Japan

    Nobuyasu Komasawa, Ryusuke Ueki & Motoi Itani

  3. Department of Surgical Center, Hyogo College of Medicine, Nishinomiya, Japan

    Yoshiroh Kaminoh

Authors
  1. Hanako Kohama
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  2. Nobuyasu Komasawa
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  3. Ryusuke Ueki
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  4. Motoi Itani
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  5. Shin-ichi Nishi
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  6. Yoshiroh Kaminoh
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Corresponding author

Correspondence to Nobuyasu Komasawa.

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Kohama, H., Komasawa, N., Ueki, R. et al. Addition of a video camera system improves the ease of Airtraq® tracheal intubation during chest compression. J Anesth 26, 296–298 (2012). https://doi.org/10.1007/s00540-011-1301-6

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  • DOI: https://doi.org/10.1007/s00540-011-1301-6

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