Porównanie skuteczności trzech metod intubacji dzieci podczas resuscytacji – badanie pilotażowe

*Łukasz Szarpak¹, Andrzej Kurowski², Katarzyna Karczewska³, Togay Evrin⁴, Tomasz J. Merta⁵

Summary
Introduction. Securing the airway is one of the basic skills that paramedics should have. Obstruction of the airways is a major cause of cardiac arrest among children. Adequate airway management, oxygenation and ventilation are important goals of paediatric cardiopulmonary resuscitation.
Aim. The aim of this study is to compare the effectiveness of a paediatric patient intubation during simulated cardiopulmonary resuscitation performed by paramedic students.
Material and methods. Three intubation devices were compared in a simulated scenario of resuscitation: Miller Laryngoscope, GlideScope and ILMA. A group of 45 student paramedics intubated a pediatric manikin with uninterrupted chest compressions.
Results. The mean intubation time performed with these devices was 37.55 ± 12.84 s, 45.63 ± 21.63 s, 35.51 ± 5.87 s. The overall efficacy of intubation was 86.65% for Miller, 95.54% for GlideScope, and 91.12% for ILMA, respectively. Participants reported the ILMA to be easier to use in intubation method during chest compression scenario.
Conclusions. Video laryngoscopy and blind intubation using ILMA are a good alternative for the Miller laryngoscope for intubation during resuscitation without interruption of chest compressions.

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