Simulating face-to-face tracheal intubation of a trapped patient: A randomized comparison of the LMA Fastrach™, the GlideScope™, and the Airtraq™ laryngoscope

  • Amathieu R
  • Sudrial J
  • Abdi W
 et al. 
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BACKGROUND: We undertook a prospective randomized comparison of the LMA Fastrach™, Airtraq™ laryngoscope, and GlideScope™ used for face-to-face tracheal intubation simulated to mimic an entrapped patient.

METHODS: Thirty senior emergency medicine physicians were trained in the use of the LMA Fastrach™, GlideScope™, and Airtraq™ laryngoscope with a standard airway trainer manikin (control). Participants were then asked to perform tracheal intubation in two difficult situations simulated on a difficult airway management manikin wearing a cervical collar. In Situation 1, the manikin was in the supine position with a difficult airway caused by stiffening the cervical spine. In Situation 2, the manikin was positioned to simulate face-to-face tracheal intubation. We measured intubation times, success rates for tracheal intubation, and the difficulty of tracheal intubation. Values are means (sd).

RESULTS: In control and Situation 1, tracheal intubation details were similar. In Situation 2, face-to-face tracheal intubation success rate was increased with the Airtraq™ (100%), when compared with that of the GlideScope™ (70%, P
CONCLUSIONS: The Airtraq™ laryngoscope was superior to both the GlideScope™ and LMA Fastrach™ during simulated face-to-face difficult tracheal intubation.

Author-supplied keywords

  • airway
  • equipment
  • laryngoscope
  • tracheal intubation

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  • R. Amathieu

  • J. Sudrial

  • W. Abdi

  • D. Luis

  • H. Hahouache

  • X. Combes

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