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Journal of Anesthesia

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01-08-2010 | Original Article

Validation of the Pentax-AWS Airwayscope utility as an intubation device during cardiopulmonary resuscitation on the ground

Authors: Nobuyasu Komasawa, Ryusuke Ueki, Motoi Itani, Shin-ichi Nishi, Yoshiroh Kaminoh

Published in: Journal of Anesthesia | Issue 4/2010

Abstract

Purpose

The 2005 American Heart Association guidelines for cardiopulmonary resuscitation emphasize that all rescuers should minimize interruption of chest compressions even for endotracheal intubation. We previously reported that the utility of the Pentax-AWS Airwayscope (AWS) was superior to that of the Macintosh laryngoscope (McL) for securing airways during chest compression in “on the bed” simulated circumstances. However, because most cardiopulmonary arrest happens “on the ground” in the real world, we compared the utility of the McL and the AWS during chest compression on the ground and on the bed.

Methods

Fourteen doctors training in the anesthesia department performed tracheal intubation on a manikin with the McL and the AWS in simulations “on the bed” and “on the ground”.

Results

In the McL trial, 6 participants failed on the bed, and 10 of them also failed on the ground during chest compression. In the AWS trial, all participants successfully secured the airway regardless of chest compression both on the bed and on the ground. With the AWS, intubation time was not lengthened because of chest compression either on the bed or on the ground. The AWS scored better than the McL on the visual analog scale in laryngoscopy and tube passage of the glottis both on the bed and on the ground.

Conclusion

We conclude that the AWS is an effective device for endotracheal intubation during chest compression not only on the bed but also on the ground.

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Title: Validation of the Pentax-AWS Airwayscope utility as an intubation device during cardiopulmonary resuscitation on the ground
Authors: Nobuyasu Komasawa
Ryusuke Ueki
Motoi Itani
Shin-ichi Nishi
Yoshiroh Kaminoh
Publication date: 01-08-2010
Publisher: Springer Japan
Published in: Journal of Anesthesia / Issue 4/2010
Print ISSN: 0913-8668
Electronic ISSN: 1438-8359
DOI: https://doi.org/10.1007/s00540-010-0950-1

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Validation of the Pentax-AWS Airwayscope utility as an intubation device during cardiopulmonary resuscitation on the ground

Abstract

Purpose

Methods

Results

Conclusion

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Purpose

Methods

Results

Conclusion

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