PMID- 27212721 OWN - NLM STAT- PubMed-not-MEDLINE DCOM- 20160523 LR - 20200930 IS - 0019-5049 (Print) IS - 0976-2817 (Electronic) IS - 0019-5049 (Linking) VI - 60 IP - 5 DP - 2016 May TI - Learning and performance of endotracheal intubation by paramedical students: Comparison of GlideScope((R)) and intubating laryngeal mask airway with direct laryngoscopy in manikins. PG - 337-42 LID - 10.4103/0019-5049.181595 [doi] AB - BACKGROUND AND AIMS: GlideScope video laryngoscope (GVL) and intubating laryngeal mask airway (I-LMA) may be used to facilitate intubation and secure the airway in patients with normal and abnormal airways. The aim of this study was to evaluate whether (GVL) and (I-LMA) facilitate and improve the tracheal intubation success rate and could be learned and performed easily by paramedic students when compared with Macintosh direct laryngoscopy (DL). METHODS: This study was a prospective, randomised crossover trial that included 100 paramedic students. Macintosh DL, I-LMA and GVL were tested in both normal and difficult airway scenarios. Each participant was allowed up to three intubation attempts with each device, in each scenario. The time required to perform tracheal intubation, the success rate, number of intubation attempts and of optimisation manoeuvres and the severity of dental trauma were recorded. Statistical analysis was performed using Chi-square, one-way ANOVA, or Kruskal-Wallis test as appropriate, followed by post hoc test. RESULTS: GVL and I-LMA required less time to successfully perform tracheal intubation, showed a greater success rate of intubation, reduced the number of intubation attempts and optimization manoeuvres required and reduced the severity of dental trauma compared to Macintosh DL in both normal and difficult airway scenarios. CONCLUSION: GVL and I-LMA provide better airway management than Macintosh DL in both normal and difficult airway scenarios. FAU - Bahathiq, Adil Omar AU - Bahathiq AO AD - Department of Physiology, College of Medicine, Umm Al-Qura University, Makkah Mukarramah, Saudi Arabia. FAU - Abdelmontaleb, Tharwat Helmy AU - Abdelmontaleb TH AD - Department of Anesthesia Technology, College of Applied Medical Sciences, Umm Al Qura University, Makkah Mukarramah, Saudi Arabia. FAU - Newigy, Mohammed Khairt AU - Newigy MK AD - Department of Anesthesia Technology, College of Applied Medical Sciences, Umm Al Qura University, Makkah Mukarramah, Saudi Arabia. LA - eng PT - Journal Article PL - India TA - Indian J Anaesth JT - Indian journal of anaesthesia JID - 0013243 PMC - PMC4870947 OTO - NOTNLM OT - Airway management OT - intratracheal OT - intubation OT - laryngeal mask OT - laryngoscopy EDAT- 2016/05/24 06:00 MHDA- 2016/05/24 06:01 PMCR- 2016/05/01 CRDT- 2016/05/24 06:00 PHST- 2016/05/24 06:00 [entrez] PHST- 2016/05/24 06:00 [pubmed] PHST- 2016/05/24 06:01 [medline] PHST- 2016/05/01 00:00 [pmc-release] AID - IJA-60-337 [pii] AID - 10.4103/0019-5049.181595 [doi] PST - ppublish SO - Indian J Anaesth. 2016 May;60(5):337-42. doi: 10.4103/0019-5049.181595.