title: Comparison of direct laryngoscopy to Pediatric King LT-D in simulated airways.
abstract: OBJECTIVE
  Previous reports have shown a high rate of ventilation failure via direct laryngoscopy as compared with the King LT-D airway. This difference is further divergent in the pediatric population. The goal of this study was to compare the difference in efficacy of ventilation by prehospital providers in a simulated environment between direct laryngoscopy and Pedi-King LT-D.
  
  
  METHODS
  In this study, 37 paramedics were exposed to 2 identical 5-minute clinical scenarios in a simulation center using a pediatric simulation tool. In the first scenario, the provider was given all of the standard laryngoscopy equipment. In the second scenario, they were given access only to the Pedi-King LT-D. A comparison of adequate ventilation time between the scenarios was performed.
  
  
  RESULTS
  A mean improvement of 102 seconds was found when using the Pedi-King airway, with a clinically significant P < 0.0001.
  
  
  CONCLUSIONS
  With a significant improvement in ventilation time in these simulated airways, consideration should be made to practice placement of the King Airway Device as first-line airway stabilization. Further live prospective studies would aid in this recommendation.
authors.affiliation: Department of Emergency Medicine, Eastern Virginia Medical School, Norfolk, VA, USA.
authors.forename: Donald V
authors.initials: DV
authors.lastname: Byars
authors.forename: Richard A
authors.initials: RA
authors.lastname: Brodsky
authors.forename: David
authors.initials: D
authors.lastname: Evans
authors.forename: Bruce
authors.initials: B
authors.lastname: Lo
authors.forename: Theresa
authors.initials: T
authors.lastname: Guins
authors.forename: Amy M
authors.initials: AM
authors.lastname: Perkins
mesh_terms: D002648:Child; D018592:Cross-Over Studies; D004632:Emergency Medical Services; D004634:Emergency Medical Technicians / Q000193:education; D006801:Humans; D007442:Intubation, Intratracheal / Q000295:instrumentation*; D007828:Laryngoscopy; D008348:Manikins; D013997:Time Factors