Flexible fibreoptic intubation in swine – improvement for resident training and animal safety alike

Publikationstyp:
Zeitschriftenaufsatz
Metadaten:
Abstract
<jats:title>Abstract</jats:title><jats:sec><jats:title>Background</jats:title><jats:p>Efficient airway management to facilitate tracheal intubation encompasses essential skills in anaesthesiologic and intensive care. The application of flexible fibreoptic intubation in patients with difficult airways has been identified as the recommended method in various international guidelines. However, providing the opportunity to adequately train residents can be challenging. Using large animals for practice during ongoing studies could help to improve this situation, but there is no recent data on fibreoptic intubation in swine available.</jats:p></jats:sec><jats:sec><jats:title>Methods</jats:title><jats:p>Thirty male German landrace pigs were anesthetized, instrumented and randomized into two groups. The animals were either intubated conventionally using direct laryngoscopy or a single-use flexible video-endoscope. The intervention was carried out by providers with 3 months experience in conventional intubation of pigs and a brief introduction into endoscopy. Intubation attempts were supervised and aborted, when SpO2 dropped below 93%. After three failed attempts, an experienced supervisor intervened and performed the intubation. Intubation times and attempts were recorded and analysed.</jats:p></jats:sec><jats:sec><jats:title>Results</jats:title><jats:p>Flexible fibreoptic intubation showed a significantly higher success rate in first attempt endotracheal tube placement (75% vs. 47%) with less attempts overall (1.3 ± 0.6 vs. 2.1 ± 1.3,<jats:italic>P</jats:italic> = 0.043). Conventional intubation was faster (42 s ± 6 s vs. 67 s ± 10s,<jats:italic>P</jats:italic> &lt; 0.001), but showed a higher complication rate and more desaturation episodes during the trial.</jats:p></jats:sec><jats:sec><jats:title>Conclusions</jats:title><jats:p>Flexible fibreoptic intubation in swine is feasible and appears to be a safer and more accessible method for inexperienced users to learn. This could not only improve resident training options in hospitals with animal research facilities but might also prevent airway complications and needless animal suffering.</jats:p></jats:sec>
Autoren
  • Robert Ruemmler
  • Alexander Ziebart
  • Thomas Ott
  • Dagmar Dirvonskis
  • Erik Kristoffer Hartmann
DOI
10.1186/s12871-020-01127-2
eISSN
1471-2253
Ausgabe der Veröffentlichung
1
Zeitschrift
BMC Anesthesiology
Sprache
en
Artikelnummer
206
Online publication date
2020
Datum der Veröffentlichung
2020
Status
Published
Herausgeber
Springer Science and Business Media LLC
Herausgeber URL
http://dx.doi.org/10.1186/s12871-020-01127-2
Datum der Datenerfassung
2022
Titel
Flexible fibreoptic intubation in swine – improvement for resident training and animal safety alike
Ausgabe der Zeitschrift
20

Datenquelle: Crossref

Andere Metadatenquellen:
Author's licence
CC-BY
Autoren
  • Robert Ruemmler
  • Alexander Ziebart
  • Thomas Ott
  • Dagmar Dirvonskis
  • Erik Kristoffer Hartmann
Hosting institution
Universitätsbibliothek Mainz
Sammlungen
  • JGU-Publikationen
Resource version
Published version
DOI
10.1186/s12871-020-01127-2
File(s) embargoed
false
Open access
true
ISSN
1471-2253
Zeitschrift
BMC anesthesiology
Schlüsselwörter
  • 610 Medizin
  • 610 Medical sciences
Sprache
eng
Open access status
Open Access
Paginierung
206
Datum der Veröffentlichung
2020
Public URL
https://openscience.ub.uni-mainz.de/handle/20.500.12030/5795
Herausgeber
BioMed Central
Herausgeber URL
https://doi.org/10.1186/s12871-020-01127-2
Datum der Datenerfassung
2021
Datum, an dem der Datensatz öffentlich gemacht wurde
2021
Zugang
Public
Titel
Flexible fibreoptic intubation in swine : improvement for resident training and animal safety alike
Ausgabe der Zeitschrift
20

Files

ruemmler_robert-flexible_fibre-20210421120336880.pdf

Datenquelle: OPENSCIENCE.UB

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