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Journal of Anesthesia

, Volume 27, Issue 5, pp 778–780 | Cite as

Comparison of Pentax-AWS Airwayscope, Airtraq and Miller laryngoscope for tracheal intubation by novice doctors during infant cardiopulmonary resuscitation simulation: a randomized crossover trial

  • Nobuyasu KomasawaEmail author
  • Ryusuke Ueki
  • Noriyasu Yamamoto
  • Shin-ichi Nishi
  • Yoshiroh Kaminoh
  • Chikara Tashiro
Short Communication

Abstract

Recent guidelines for infant cardiopulmonary resuscitation emphasize that all rescuers should minimize interruption of chest compressions, even for endotracheal intubation. We compared the utility of the Pentax-AWS Airway Scope (AWS) with an infant-sized Intlock (AWS-I), Airtraq laryngoscope (ATQ) and Miller laryngoscope during chest compressions on an infant manikin. Twenty-three novice doctors performed tracheal intubation on an infant manikin using the AWS-I, ATQ and Miller laryngoscope, with or without chest compressions. In Miller laryngoscope trials, one participant failed to secure the airway without chest compressions, while nine failed with compressions (P < 0.05). In ATQ trials, none of the participants failed without compressions, while six failed with compressions (P < 0.05). In AWS-I trials, all participants succeeded regardless of chest compressions. Intubation time was significantly longer with chest compressions with the Miller laryngoscope and ATQ, but not with the AWS-I. The AWS-I is an effective device for endotracheal intubation during chest compressions in infant simulations managed by novice doctors.

Keywords

Video laryngoscope Pentax-AWS Airwayscope Optic laryngoscope Airtraq Miller laryngoscope Chest compression Manikin Infant 

Notes

Conflict of interest

The authors have no affiliation with the manufacturers of any of the devices described in the manuscript and declare no financial interest in the material described in the manuscript. Financial support for the study was provided by our institution and department.

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Copyright information

© Japanese Society of Anesthesiologists 2013

Authors and Affiliations

  • Nobuyasu Komasawa
    • 1
    Email author
  • Ryusuke Ueki
    • 1
  • Noriyasu Yamamoto
    • 2
  • Shin-ichi Nishi
    • 3
  • Yoshiroh Kaminoh
    • 4
  • Chikara Tashiro
    • 1
  1. 1.Department of AnesthesiologyHyogo College of MedicineNishinomiyaJapan
  2. 2.Department of General Medicine and Community Health ScienceHyogo College of MedicineNishinomiyaJapan
  3. 3.Division of Intensive Care UnitHyogo College of MedicineNishinomiyaJapan
  4. 4.Department of Surgical CenterHyogo College of MedicineNishinomiyaJapan

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