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Ann Fr Anesth Reanim. 2014 Jan;33(1):12-5. doi: 10.1016/j.annfar.2013.11.001. Epub 2013 Dec 27.

[Use of a single-use fiberscope for the training in tracheal intubation under fiberscopy on labyrinth].

[Article in French]

Author information

1
Service d'anesthésie-réanimation, groupe hospitalier Pitié-Salpêtrière, 43-87, boulevard de l'Hôpital, 75013 Paris, France. Electronic address: lenfant.francois@sfr.fr.
2
Service d'anesthésie-réanimation chirurgicale, Hôtel-Dieu - PME, CHU de Nantes, 1, place Alexis-Ricordeau, 44000 Nantes, France.
3
Service d'anesthésie-réanimation, groupe hospitalier Pitié-Salpêtrière, 43-87, boulevard de l'Hôpital, 75013 Paris, France.
4
Service d'anesthésie-réanimation, CHU de Rennes Pontchaillou, 2, rue Henri-le-Guilloux, 35033 Rennes, France.

Abstract

GOAL OF THE STUDY:

To evaluate a single-use fiberscope, the Ascope-Trainer, for the training in the intubation under fiberscope.

TYPE OF STUDY:

Prospective randomized study approved by the local ethic committee.

METHODOLOGY:

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.

KEYWORDS:

Fiberscope; Fibroscope; Formation; Intubation trachéale; Single-use; Tracheal intubation; Training; Usage unique

PMID:
24373674
DOI:
10.1016/j.annfar.2013.11.001
[Indexed for MEDLINE]

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