Comparación de la intubación con King Vision y Laringoscopio Macintosh en manos de personal sin experiencia
Akihisa Y1, Maruyama K, Koyama Y, Yamada R, Ogura A, Andoh T. Comparison of intubation performance betweenthe King Visionand Macintosh laryngoscopes in novicepersonnel: a randomized,crossover manikinstudy. Anesth (2014) 28:51–57. DOI 10.1007/s00540-013-1666-9.
DOI:
https://doi.org/10.30445/rear.v6i7.235Palabras clave:
king vision, laringoscopia, pentax, Videolaringoscopio, vía aéreaResumen
A día de hoy el gold estándar para la intubación orotraqueal (IOT) sigue siendo el Laringoscopio Macintosh (MAC) (1), un laringoscopio directo (LD) que precisa la alineación de los ejes orofaringeo-laríngeo para visualizar la glotis.
Los Laringoscopios Indirectos (LI) permiten aprender de forma sencilla las técnicas de manejo de la vía aérea al visualizar de forma sencilla la glotis sin necesidad de obtener una línea de visión directa.
El videolaringoscopio (VL) King Vision (KV) es un dispositivo relativamente nuevo, que dispone de 2 tipos de pala, una con canal (KVC) y otra sin canal (KVSC).
Los autores, tras no encontrar ningún estudio que evaluase la eficacia del KV en manos de personal inexperto, llevan a cabo un estudio aleatorizado en maniquí con la cabeza en posición neutra para estudiar si este VL es, como otros LI, superior al MAC en manos de personal sin experiencia.
Citas
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10.- Morgan PJ, Cleave-Hogg D. Simulation technology in training students, residents and faculty. Curr Opin Anaesthesiol 2005; 18: 199-203.
11.- Corvetto MA1, Bravo MP, Montaña RA, Altermatt FR, Delfino AE. Inserción de la simulación clínica en el currículum de Anestesiología en un hospital universitario.Rev Esp Anestesiol Reanim. 2013 Jun-Jul;60(6):320-6. doi: 10.1016/j.redar.2013.02.007. Epub 2013 Apr 10.
12.- Ziv A, Wolpe PR, Small SD, Glick S. Simulation-based medical education: An ethical imperative. Acad Med. 2003;78:783---8.
13.- Del Moral I, Rabanal JM, Díaz de Terán JC. Simuladores en anestesia. Rev Esp Anestesiol Reanim 2001; 48: 423-33.
14.- Wisborg T, Brattebø G, Brinchmann-Hansen A, Einar P, Schrøder K. Effects of nationwide training of multiprofessional trauma teams in Norwegian hospitals. J Trauma 2008; 64:1613-8.
15.- Wootten R, Sorensen G, Burwinkle T. The role of simulation in Anesthesia. Advances in Anesthesia 2008;26:213-224.
16.- Russo SG, Eich C, Barwing J. Self-reported changes in attitude and behavior after attending a simulation-aided airway management course. J Clin Anesth 2007;19(7):517–522.
17.- Kuduvalli PM, Jervis A, Tighe SQM, Robin NM. Unanticipated diffi cult airway management in anaesthetised patients: a prospective study of the effect of mannequin training on management strategies and skill retention. Anaesthesia 2008;63:364-369.
18.- McGaghie WC, Issenberg SB, Cohen ER, Barsuk JH, Wayne DB. Does simulation-based medical education with deliberate practice yield better results than traditional clinical education? A Metaanalytic comparative review of the evidence. Academic Medicine 2011;86:706-711.
19.- Cook DA, Hatala R, Brydges R. Technology-enhanced simulation for health professions education a systematic review and meta-analysis. JAMA 2011;306:978-988.
2.- Ray DC, Billington C, Kearns PK, Kirkbride R, Mackintosh K, Reeve CS, Robinson N, Stewart CJ, Trudeau T. A comparison of McGrath and Macintosh laryngoscopes in novice users: a manikin study. Anaesthesia. 2009;64:1207–10.
3.- Hirabayashi Y, Seo N. Airtraq optical laryngoscope: tracheal intubation by novice laryngoscopists. EmergMed J. 2009;26:112–3.
4.- Di Marco P, Scattoni L, Spinoglio A, Luzi M, Canneti A, Pietropaoli P, Reale C. Learning curve of the Airtraq and the Macintosh laryngoscopes for tracheal intubation by novice laryngoscopists: a clinical study. AnesthAnalg. 2011;112:122–5.
5.- Lim Y, Lim TJ, Liu EH. Ease of intubation with the GlideScope or Macintosh laryngoscope by inexperienced operators in simulated difficult airways. Can J Anaesth. 2004;51:641–2.
6.- Maharaj CH, Higgins BD, Harte BH, Laffey JG. Evaluation of intubation using the Airtraq or Macintosh laryngoscope by anaesthetists in easy and simulated difficult laryngoscopy–a manikin study. Anaesthesia. 2006;61:469–77.
7.- Savoldelli GL, Schiffer E, Abegg C, Baeriswyl V, Clergue F, Waeber JL. Comparison of the glidescope, the McGrath, the Airtraq and Macintosh laryngoscopes in simulated difficult airways*. Anaesthesia. 2008;63:1358–64.
8.- Schebesta K, Hu¨pfl M, Ringl H, Machata AM, Chiari A, Kimberger O. A comparison of paediatric airway anatomy with the SimBa by high-fidelity patient simulator. Resuscitation. 2011;82:468–72.
9.- Schebesta K, Hu¨pfl M, Ro¨ssler B, Ringl H, Mu¨ller MP, Kimberger O. Degrees of reality: airway anatomy of high-fidelity human patient simulators and airway trainers. Anesthesiology.2012;116:1204–9.
10.- Morgan PJ, Cleave-Hogg D. Simulation technology in training students, residents and faculty. Curr Opin Anaesthesiol 2005; 18: 199-203.
11.- Corvetto MA1, Bravo MP, Montaña RA, Altermatt FR, Delfino AE. Inserción de la simulación clínica en el currículum de Anestesiología en un hospital universitario.Rev Esp Anestesiol Reanim. 2013 Jun-Jul;60(6):320-6. doi: 10.1016/j.redar.2013.02.007. Epub 2013 Apr 10.
12.- Ziv A, Wolpe PR, Small SD, Glick S. Simulation-based medical education: An ethical imperative. Acad Med. 2003;78:783---8.
13.- Del Moral I, Rabanal JM, Díaz de Terán JC. Simuladores en anestesia. Rev Esp Anestesiol Reanim 2001; 48: 423-33.
14.- Wisborg T, Brattebø G, Brinchmann-Hansen A, Einar P, Schrøder K. Effects of nationwide training of multiprofessional trauma teams in Norwegian hospitals. J Trauma 2008; 64:1613-8.
15.- Wootten R, Sorensen G, Burwinkle T. The role of simulation in Anesthesia. Advances in Anesthesia 2008;26:213-224.
16.- Russo SG, Eich C, Barwing J. Self-reported changes in attitude and behavior after attending a simulation-aided airway management course. J Clin Anesth 2007;19(7):517–522.
17.- Kuduvalli PM, Jervis A, Tighe SQM, Robin NM. Unanticipated diffi cult airway management in anaesthetised patients: a prospective study of the effect of mannequin training on management strategies and skill retention. Anaesthesia 2008;63:364-369.
18.- McGaghie WC, Issenberg SB, Cohen ER, Barsuk JH, Wayne DB. Does simulation-based medical education with deliberate practice yield better results than traditional clinical education? A Metaanalytic comparative review of the evidence. Academic Medicine 2011;86:706-711.
19.- Cook DA, Hatala R, Brydges R. Technology-enhanced simulation for health professions education a systematic review and meta-analysis. JAMA 2011;306:978-988.
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Martínez Hurtado, E., & Sánchez Merchante, M. Comparación de la intubación con King Vision y Laringoscopio Macintosh en manos de personal sin experiencia: Akihisa Y1, Maruyama K, Koyama Y, Yamada R, Ogura A, Andoh T. Comparison of intubation performance betweenthe King Visionand Macintosh laryngoscopes in novicepersonnel: a randomized,crossover manikinstudy. Anesth (2014) 28:51–57. DOI 10.1007/s00540-013-1666-9. Revista Electrónica AnestesiaR, 6(7), 2. https://doi.org/10.30445/rear.v6i7.235
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