title: Can the ETView VivaSight SL Rival Conventional Intubation Using the Macintosh Laryngoscope During Adult Resuscitation by Novice Physicians?: A Randomized Crossover Manikin Study.
abstract: The aim of this study was to assess the performance of the ETView VivaSight SL (ETView) single-lumen airway tube with an integrated high-resolution imaging camera in a manikin-simulated cardiopulmonary resuscitation scenario with and without chest compression. This was a randomized crossover manikin trial. Following a brief training session, 107 volunteer novice physicians who were inexperienced with airway management attempted to intubate a manikin using a Macintosh laryngoscope (MAC) and an ETView, with and without chest compressions. The participants were instructed to make 3 attempts in each scenario. In this trial, we compared intubation time, intubation success rates, and glottic visibility using a Cormack & Lehane Grade. Dental compression and ease of use of each device were also assessed. Median intubation times for the ETView and MAC without chest compressions were 17 (IQR, 15-19) s and 27 (IQR, 25-33) s, respectively (P < 0.001). The ETView proved more successful on the first intubation attempt than the MAC, regardless of compressions. Continuation of compressions caused an increase in intubation times for both the ETView (P = 0.27) and the MAC (P < 0.005). The ETView VivaSight SL is an effective tool for endotracheal intubation when used by novice physicians in a manikin-simulated cardiac arrest, both with and without chest compressions.
  
  
  BACKGROUND
  clinicaltrials.gov Identifier: NCT02295618.
authors.affiliation: From the Department of Anesthesiology and Critical Care, Cardinal Wyszynski National Institute of Cardiology, Warsaw, Poland (AK); Department of Anesthesiology and Critical Care, Cardinal Wyszynski National Institute of Cardiology, Warsaw, Poland and Department of Emergency Medicine, Medical University of Warsaw, Warsaw, Poland (LS); Department of Emergency Medicine, Medical University of Warsaw, Warsaw, Poland (ZT) and Department of Anesthesiology, Cardinal Wyszynski National Institute of Cardiology, Warsaw, Poland and Department of Nephrologic Nursing, Medical University of Warsaw, Medical University of Warsaw, Warsaw, Poland (LC).
authors.forename: Andrzej
authors.initials: A
authors.lastname: Kurowski
authors.forename: Lukasz
authors.initials: L
authors.lastname: Szarpak
authors.forename: Zenon
authors.initials: Z
authors.lastname: Truszewski
authors.forename: Lukasz
authors.initials: L
authors.lastname: Czyzewski
mesh_terms: D000328:Adult; D058109:Airway Management / Q000295:instrumentation; D016887:Cardiopulmonary Resuscitation / Q000295:instrumentation*; D018592:Cross-Over Studies; D005260:Female; D006801:Humans; D007442:Intubation, Intratracheal / Q000295:instrumentation*; D020704:Laryngoscopes; D008297:Male; D008348:Manikins; D013997:Time Factors