Annals of Emergency Medicine
Volume 50, Issue 3 , Pages 258-263 , September 2007

A Comparison of Plastic Single-Use With Metallic Reusable Laryngoscope Blades for Out-of-Hospital Tracheal Intubation

Presented in part at the annual meeting of the Société Française d’Anesthésie et de Réanimation, September 2005, Paris, France.

  • Patricia Jabre, MD

      Affiliations

    • Department of Emergency Medicine, Service d’Urgence et de Réanimation 94, Créteil, France
    • Service d’Urgence et de Réanimation 93 and EA3409, Bobigny, France
    • ,
  • Bertrand Leroux, MD

      Affiliations

    • Department of Anesthesiology, Service d’Urgence et de Réanimation 94, Créteil, France
    • ,
  • Stéphanie Brohon, MD

      Affiliations

    • Department of Emergency Medicine, Service d’Urgence et de Réanimation 94, Créteil, France
    • ,
  • Candice Penet, MD

      Affiliations

    • Department of Emergency Medicine, Service d’Urgence et de Réanimation 94, Créteil, France
    • ,
  • David Lockey, MD

      Affiliations

    • London Helicopter Emergency Medical Service, Royal London Hospital, London, England.
    • ,
  • Frederic Adnet, MD, PHD

      Affiliations

    • Department of Emergency Medicine, Service d’Urgence et de Réanimation 94, Créteil, France
    • Service d’Urgence et de Réanimation 93 and EA3409, Bobigny, France
    • ,
  • Alain Margenet, MD

      Affiliations

    • Department of Anesthesiology, Service d’Urgence et de Réanimation 94, Créteil, France
    • ,
  • Jean Marty, MD, PHD

      Affiliations

    • Department of Emergency Medicine, Service d’Urgence et de Réanimation 94, Créteil, France
    • Department of Intensive Care, Service d’Urgence et de Réanimation 94, Créteil, France
    • ,
  • Xavier Combes, MD

      Affiliations

    • Department of Anesthesiology, Service d’Urgence et de Réanimation 94, Créteil, France
    • Corresponding Author InformationAddress for correspondence: Xavier Combes, MD, SAMU 94, CHU H Mondor (AP-HP), 94000 Créteil, France.

Received 26 April 2006 ,Revised 21 February 2007 ,Accepted 27 April 2007.

References 

  1. Mort TC. The incidence and risk factors for cardiac arrest during emergency tracheal intubation: a justification for incorporating the ASA guidelines in the remote location. J Clin Anesth. 2004;16:508–516
  2. Mort TC. Emergency tracheal intubation: complications associated with repeated laryngoscopic attempts. Anesth Analg. 2004;99:607–613
  3. Mort TC. Esophageal intubation with indirect clinical tests during emergency tracheal intubation: a report on patient morbidity. J Clin Anesth. 2005;17:255–262
  4. Wang HE, Yealy DM. How many attempts are required to accomplish out-of-hospital endotracheal intubation?. Acad Emerg Med. 2006;13:372–377
  5. Dunford JV, Davis DP, Ochs M, et al. Incidence of transient hypoxia and pulse rate reactivity during paramedic rapid sequence intubation. Ann Emerg Med. 2003;42:721–728
  6. Beamer JE, Cox RA. MRSA contamination of a laryngoscope blade: a potential vector for cross infection. Anaesthesia. 1999;54:1010–1011
  7. Hirsch N, Beckett A, Collinge J, et al. Lymphocyte contamination of laryngoscope blades: a possible vector for transmission of variant Creutzfeldt-Jakob disease. Anaesthesia. 2005;60:664–667
  8. Phillips RA, Monaghan WP. Incidence of visible and occult blood on laryngoscope blades and handles. AANA J. 1997;65:241–246
  9. Hill AF, Zeidler M, Ironside J, et al. Diagnosis of new variant Creutzfeldt-Jakob disease by tonsil biopsy. Lancet. 1997;349:99–100
  10. Galinski M, Adnet F, Tran D, et al. Disposable laryngoscope blades do not interfere with ease of intubation in scheduled general anaesthesia patients. Eur J Anaesthesiol. 2003;20:731–735
  11. Asai T, Uchiyama Y, Yamamoto K, et al. Evaluation of the disposable Vital View laryngoscope apparatus. Anaesthesia. 2001;56:342–345
  12. Evans A, Vaughan RS, Hall JE, et al. A comparison of the forces exerted during laryngoscopy using disposable and non-disposable laryngoscope blades. Anaesthesia. 2003;58:869–873
  13. Rassam S, Wilkes AR, Hall JE, et al. A comparison of 20 laryngoscope blades using an intubating manikin: visual analogue scores and forces exerted during laryngoscopy. Anaesthesia. 2005;60:384–394
  14. Amour J, Marmion F, Birenbaum A, et al. Comparison of plastic single-use and metal reusable laryngoscope blades for orotracheal intubation during rapid sequence induction of anesthesia. Anesthesiology. 2006;104:60–64
  15. Cormack RS, Lehane J. Difficult tracheal intubation in obstetrics. Anaesthesia. 1984;39:1105–1111
  16. Adnet F, Borron SW, Racine SX, et al. The Intubation Difficulty Scale (IDS): proposal and evaluation of a new score characterizing the complexity of endotracheal intubation. Anesthesiology. 1997;87:1290–1297
  17. Combes X, Jabre P, Jbeili C, et al. Prehospital standardization of medical airway management: incidence and risk factors of difficult airway. Acad Emerg Med. 2006;13:828–834
  18. Adnet F, Cydulka RK, Lapandry C. Emergency tracheal intubation of patients lying supine on the ground: influence of operator body position. Can J Anaesth. 1998;45:266–269
  19. Davis DP, Dunford JV, Poste JC, et al. The impact of hypoxia and hyperventilation on outcome after paramedic rapid sequence intubation of severely head-injured patients. J Trauma. 2004;57:1–8
  20. Ricard-Hibon A, Chollet C, Leroy C, et al. Succinylcholine improves the time of performance of a tracheal intubation in prehospital critical care medicine. Eur J Anaesthesiol. 2002;19:361–367
  21. Cantineau JP, Tazarourte K, Merckx P, et al. Tracheal intubation in prehospital resuscitation: importance of rapid-sequence induction anesthesia. Ann Fr Anesth Reanim. 1997;16:878–884
  22. Hodzovic I, Latto IP, Wilkes AR, et al. Evaluation of Frova, single-use intubation introducer, in a manikin (Comparison with Eschmann multiple-use introducer and Portex single-use introducer). Anaesthesia. 2004;59:811–816
  23. Annamaneni R, Hodzovic I, Wilkes AR, et al. A comparison of simulated difficult intubation with multiple-use and single-use bougies in a manikin. Anaesthesia. 2003;58:45–49

 Supervising editor: Kathy J. Rinnert, MD, MPHAuthor contributions: PJ, BL, FA, JM, and XC conceived the study. SB, CP, and AM supervised the conduct of the trial and data collection. PJ provided statistical advice and analyzed the data. PJ and XC drafted the article, and all authors contributed substantially to its revision. DL has rewritten the article. XC takes responsibility for the paper as a whole.Funding and support: By Annals policy, all authors are required to disclose any and all commercial, financial, and other relationships in any way related to the subject of this article, that might create any potential conflict of interest. See the Manuscript Submission Agreement in this issue for examples of specific conflicts covered by this statement. Support was provided solely from departmental sources of the Service de Médecine d’Urgence et de Réanimation of Henri-Mondor University Hospital and Paris XII Val-De-Marne School of Medicine 94000 Créteil.Available online June 20, 2007.Reprints not available from the authors.

PII: S0196-0644(07)00559-8

doi: 10.1016/j.annemergmed.2007.04.022

Annals of Emergency Medicine
Volume 50, Issue 3 , Pages 258-263 , September 2007

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