title: [Use of a single-use fiberscope for the training in tracheal intubation under fiberscopy on labyrinth].
abstract: OBJECTIVE
  To evaluate a single-use fiberscope, the Ascope-Trainer, for the training in the intubation under fiberscope.
  
  
  METHODS
  Prospective randomized study approved by the local ethic committee.
  
  
  METHODS
  After evaluation of their level of expertise, "experienced" or "novices" in intubation under fiberscope, the doctors attending the Training for Referents in Difficult Airway Management performed a test on labyrinth with a standard fiberscope (T1). After they were assigned to two groups, training with the Ascope-Trainer (group A, n=35) or with a classic fiberscope (group C, n=29), they trained during 15 minutes and performed a new test (T2). An analysis of variance was used to compare means. A goal for the training was determined according to the "experienced" doctors' mean T1. A test of Khi(2) was used for the comparison of the number of participants having reached this goal as well as the progress in both groups A and C.
  
  
  RESULTS
  The T1 in the "experienced" group was 76 ± 31 s and the training improved significantly T2 (53 ± 17 s). Considering the novices, T2 was significantly lower than T1 in the group A (77 ± 38 s versus 135 ± 68 s) as well as in C (64 ± 28 s versus 122 ± 60 s), and the proportion of the novices having reached the goal of training was comparable in both groups.
  
  
  CONCLUSIONS
  Because its use is similar to the standard fiberscope, the Ascope-Trainer may be interesting for this type of training.
authors.affiliation: Service d'anesthésie-réanimation, groupe hospitalier Pitié-Salpêtrière, 43-87, boulevard de l'Hôpital, 75013 Paris, France. Electronic address: lenfant.francois@sfr.fr.
authors.forename: F
authors.initials: F
authors.lastname: Lenfant
authors.affiliation: Service d'anesthésie-réanimation chirurgicale, Hôtel-Dieu - PME, CHU de Nantes, 1, place Alexis-Ricordeau, 44000 Nantes, France.
authors.forename: D
authors.initials: D
authors.lastname: Pean
authors.affiliation: Service d'anesthésie-réanimation, groupe hospitalier Pitié-Salpêtrière, 43-87, boulevard de l'Hôpital, 75013 Paris, France.
authors.forename: M
authors.initials: M
authors.lastname: de Mesmay
authors.affiliation: Service d'anesthésie-réanimation, CHU de Rennes Pontchaillou, 2, rue Henri-le-Guilloux, 35033 Rennes, France.
authors.forename: A
authors.initials: A
authors.lastname: Maurice
authors.affiliation: Service d'anesthésie-réanimation chirurgicale, Hôtel-Dieu - PME, CHU de Nantes, 1, place Alexis-Ricordeau, 44000 Nantes, France.
authors.forename: S
authors.initials: S
authors.lastname: Decagny
authors.affiliation: Service d'anesthésie-réanimation chirurgicale, Hôtel-Dieu - PME, CHU de Nantes, 1, place Alexis-Ricordeau, 44000 Nantes, France.
authors.forename: C
authors.initials: C
authors.lastname: Lejus
authors.affiliation: Service d'anesthésie-réanimation, groupe hospitalier Pitié-Salpêtrière, 43-87, boulevard de l'Hôpital, 75013 Paris, France.
authors.forename: O
authors.initials: O
authors.lastname: Langeron
mesh_terms: D058109:Airway Management / Q000295:instrumentation / Q000379:methods; D000776:Anesthesiology / Q000193:education* / Q000295:instrumentation; D002983:Clinical Competence; D007758:Ear, Inner / Q000033:anatomy & histology*; D005336:Fiber Optic Technology; D006801:Humans; D007442:Intubation, Intratracheal / Q000295:instrumentation*; D020704:Laryngoscopes; D007828:Laryngoscopy; D008953:Models, Anatomic; D011446:Prospective Studies
keywords: Fiberscope; Fibroscope; Formation; Intubation trachéale; Single-use; Tracheal intubation; Training; Usage unique