Conventional Versus Video Guided Laryngoscopy In The Emergency Department

2.50
Hdl Handle:
http://hdl.handle.net/10755/308422
Category:
Abstract
Type:
Presentation
Title:
Conventional Versus Video Guided Laryngoscopy In The Emergency Department
Author(s):
Luttrell, Mary Beth; Baldwin, Sara A.
Lead Author STTI Affiliation:
Eta Omnicron
Author Details:
Mary Beth Luttrell, RN, CEN, mluttrell123@gmail.com; Sara A. Baldwin, PhD, RN, APHN-BC
Abstract:

Poster presented on: Saturday, November 16, 2013, Sunday, November 17, 2013

OBJECTIVE: Endotracheal intubation (ET) using conventional laryngoscopy (CL) requires a straight glottic view, often difficult in emergency conditions. Video-guided laryngoscopy (VGL) may offer improvement in ET success rates in the emergency department (ED). The purpose of this systematic review was to evaluate the efficiency of VGL compared to CL for emergency intubations in the ED.

METHODS: A sampling plan was established in the extraction of literature using these key terms: emergency, difficult, paramedic, novice, indirect view, video, optical, direct view, conventional, Macintosh, intubation or induction, comparison. A database search was performed from Clinical Evidence BMJ, CINAHL, Cochrane Library, Essential Evidence Plus, Health Reference Center-Academic, JBI COnNECT+, MEDLINE National Guidelines Clearinghouse, and PubMed. Inclusion criteria involved publications from 2005-2013. Each study was evaluated for its strength of evidence using the Johns Hopkins Nursing Evidence-Based Practice Research Evidence Appraisal Tool.

RESULTS: Twelve studies were collected; 2 were eliminated due to relevance and 2 for poor quality. Based on the 8 studies used, VGL out-performed CL, especially in difficult intubations. One study of low quality was inconclusive.

CONCLUSION: Video laryngoscopes may offer a more efficient alternative to conventional intubation equipment in the ED, especially with challenging airways. IMPLICATIONS: Considering the difficulties often faced in emergency conditions, finding the best method to intubate is essential to providing the best standard of care. Recommendations include: 1) Conduct a case-control study within the ED, 2) Provide ongoing training to gain and maintain familiarity and skill in using VGL, and 3) Establish quality assessment indicators to continually monitor outcomes and eventually adherence to any new recommendations.

Keywords:
glottic view; endotracheal intubation; video-guided laryngoscopy
Repository Posting Date:
19-Dec-2013
Date of Publication:
19-Dec-2013
Conference Date:
2013
Conference Name:
42nd Biennial Convention
Conference Host:
Sigma Theta Tau International, the Honor Society of Nursing
Conference Location:
Indianapolis, Indiana, USA
Description:
42nd Biennial Convention 2013 Theme: Give Back to Move Forward. Held at the JW Marriott
Note:
This is an abstract-only submission. If the author has submitted a full-text item based on this abstract, you may find it by browsing the Virginia Henderson Global Nursing e-Repository by author. If author contact information is available in this abstract, please feel free to contact him or her with your queries regarding this submission.

Full metadata record

DC FieldValue Language
dc.language.isoen_USen_GB
dc.type.categoryAbstracten_GB
dc.typePresentationen_GB
dc.titleConventional Versus Video Guided Laryngoscopy In The Emergency Departmenten_GB
dc.contributor.authorLuttrell, Mary Bethen_GB
dc.contributor.authorBaldwin, Sara A.en_GB
dc.contributor.departmentEta Omnicronen_GB
dc.author.detailsMary Beth Luttrell, RN, CEN, mluttrell123@gmail.com; Sara A. Baldwin, PhD, RN, APHN-BCen_GB
dc.identifier.urihttp://hdl.handle.net/10755/308422-
dc.description.abstract<p>Poster presented on: Saturday, November 16, 2013, Sunday, November 17, 2013</p><b>OBJECTIVE:</b> Endotracheal intubation (ET) using conventional laryngoscopy (CL) requires a straight glottic view, often difficult in emergency conditions. Video-guided laryngoscopy (VGL) may offer improvement in ET success rates in the emergency department (ED). The purpose of this systematic review was to evaluate the efficiency of VGL compared to CL for emergency intubations in the ED. <p><b>METHODS:</b> A sampling plan was established in the extraction of literature using these key terms: emergency, difficult, paramedic, novice, indirect view, video, optical, direct view, conventional, Macintosh, intubation or induction, comparison. A database search was performed from Clinical Evidence BMJ, CINAHL, Cochrane Library, Essential Evidence Plus, Health Reference Center-Academic, JBI COnNECT+, MEDLINE National Guidelines Clearinghouse, and PubMed. Inclusion criteria involved publications from 2005-2013. Each study was evaluated for its strength of evidence using the Johns Hopkins Nursing Evidence-Based Practice Research Evidence Appraisal Tool. <p><b>RESULTS:</b> Twelve studies were collected; 2 were eliminated due to relevance and 2 for poor quality. Based on the 8 studies used, VGL out-performed CL, especially in difficult intubations. One study of low quality was inconclusive. <p><b>CONCLUSION:</b> Video laryngoscopes may offer a more efficient alternative to conventional intubation equipment in the ED, especially with challenging airways. IMPLICATIONS: Considering the difficulties often faced in emergency conditions, finding the best method to intubate is essential to providing the best standard of care. Recommendations include: 1) Conduct a case-control study within the ED, 2) Provide ongoing training to gain and maintain familiarity and skill in using VGL, and 3) Establish quality assessment indicators to continually monitor outcomes and eventually adherence to any new recommendations.en_GB
dc.subjectglottic viewen_GB
dc.subjectendotracheal intubationen_GB
dc.subjectvideo-guided laryngoscopyen_GB
dc.date.available2013-12-19T17:31:07Z-
dc.date.issued2013-12-19-
dc.date.accessioned2013-12-19T17:31:07Z-
dc.conference.date2013en_GB
dc.conference.name42nd Biennial Conventionen_GB
dc.conference.hostSigma Theta Tau International, the Honor Society of Nursingen_GB
dc.conference.locationIndianapolis, Indiana, USAen_GB
dc.description42nd Biennial Convention 2013 Theme: Give Back to Move Forward. Held at the JW Marriotten_GB
dc.description.noteThis is an abstract-only submission. If the author has submitted a full-text item based on this abstract, you may find it by browsing the Virginia Henderson Global Nursing e-Repository by author. If author contact information is available in this abstract, please feel free to contact him or her with your queries regarding this submission.en_GB
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