[Tracheal intubation through the intubating laryngeal mask airway training on manikin: comparison of single use and reusable devices from the same manufacturer].
BACKGROUND
Recently, the French Society for Anaesthesia and Intensive Care (SFAR) has updated algorithms for difficult airway management, in which, the place of the intubating laryngeal mask (ILMA) is well defined. Moreover, in the guidelines, the SFAR recommended that the training for the different techniques for difficult intubation should initially be achieved on manikins. However, few data are available for disposable ILMA learning process on manikins.


METHODS
To compare, on manikin, the learning curves of the disposable and reusable ILMA.


METHODS
Forty operators (anaesthesiologist, nurse, resident), experienced with conventional tracheal intubation but novice to commercially available ILMAs (Sebac, Pantin, France), underwent videotape learning and manikin training. After randomisation, each participant had to perform 10 timed consecutive tracheal intubations with either reusable or disposable ILMA. The learning curve was built according to the duration of successful procedure. Failure was considered if tracheal intubation could not be achieved or if the procedure lasted more than five minutes.


RESULTS
No difference was noted between the two groups in terms of learning curves, number and repartition of the failed attempts during the learning process.


CONCLUSIONS
This study shows that both disposable and reusable ILMA share similar learning process on manikins. Further studies are needed to evaluate the efficiency of the disposable ILMA in the clinical field of difficult intubation.
Haardt
V
V
Service d'anesthésie et réanimation, unité de neuro-anesthésie, CHU de Dijon, hôpital général, 3, rue du Faubourg-Raines, 21033 Dijon cedex, France.
Lenfant
F
F
Cailliod
R
R
Freysz
M
M
D000776:Anesthesiology / Q000193:education*; D004867:Equipment Design; D017743:Equipment Reuse; D007442:Intubation, Intratracheal; D017214:Laryngeal Masks; D008348:Manikins; D012151:Resuscitation / Q000193:education*