PMID- 31008427
OWN - NLM
STAT- PubMed-not-MEDLINE
LR  - 20231006
IS  - 2472-5390 (Electronic)
IS  - 2472-5390 (Linking)
VI  - 3
IP  - 2
DP  - 2019 Apr
TI  - The Impact of Video Laryngoscopy on the Clinical Learning Environment of 
      Emergency Medicine Residents: A Report of 14,313 Intubations.
PG  - 156-162
LID - 10.1002/aet2.10316 [doi]
AB  - BACKGROUND: The introduction of video laryngoscopy (VL) may impact emergency 
      medicine (EM) residents' intubation practices. METHODS: We analyzed 14,313 
      intubations from 11 EM training sites, July 1, 2002, to December 31, 2012, 
      assessing the likelihood of first-attempt success and likelihood of having a 
      second attempt, by rank and device. We determined whether direct laryngoscopy 
      (DL) first-attempt success decreased as VL became more prevalent using a logistic 
      regression model with proportion of encounters initiated with VL at that center 
      in the prior 90 and 365 days as predictors of DL first-attempt success. RESULTS: 
      First-attempt success by PGY-1s was 71% (95% confidence interval [CI] = 63% to 
      78%); PGY-2s, 82% (95% CI = 78% to 86%); and PGY-3+, 89% (95% CI = 85% to 92%). 
      Residents' first-attempt success rate was higher with the C-MAC video 
      laryngoscope (C-MAC) versus DL, 92% versus 84% (risk difference [RD] = 8%, 95% 
      CI = 4% to 11%), but there was no statistical difference between the GlideScope 
      video laryngoscope (GVL) and DL, 80% versus 84% (RD = -4%, 95% CI = -10% to 1%). 
      PGY-1s were more likely to have a second intubation attempt after first-attempt 
      failure with VL versus DL: 32% versus 18% (RD = 14%, 95% CI = 5% to 23%). DL 
      first-attempt success rates did not decrease as VL became more prevalent. 
      CONCLUSIONS: First-attempt success increases with training. Interns are more 
      likely to have a second attempt when using VL. The C-MAC may be associated with 
      increased first-attempt success for EM residents compared with DL or GVL. The 
      increasing prevalence of VL is not accompanied by a decrease in DL success.
FAU - Monette, Derek L
AU  - Monette DL
AD  - Departments of Emergency Medicine Brigham and Women's Hospital and Harvard 
      Medical School Boston MA.
AD  - Departments of Emergency Medicine Massachusetts General Hospital and Harvard 
      Medical School Boston MA.
FAU - Brown, Calvin A 3rd
AU  - Brown CA 3rd
AD  - Departments of Emergency Medicine Brigham and Women's Hospital and Harvard 
      Medical School Boston MA.
FAU - Benoit, Justin L
AU  - Benoit JL
AD  - Department of Emergency Medicine University of Cincinnati Cincinnati OH.
FAU - McMullan, Jason T
AU  - McMullan JT
AD  - Department of Emergency Medicine University of Cincinnati Cincinnati OH.
FAU - Carleton, Steven C
AU  - Carleton SC
AD  - Department of Emergency Medicine University of Cincinnati Cincinnati OH.
FAU - Steuerwald, Michael T
AU  - Steuerwald MT
AD  - Department of Emergency Medicine University of Wisconsin Madison WI.
FAU - Eyre, Andrew
AU  - Eyre A
AD  - Departments of Emergency Medicine Brigham and Women's Hospital and Harvard 
      Medical School Boston MA.
FAU - Pallin, Daniel J
AU  - Pallin DJ
AD  - Departments of Emergency Medicine Brigham and Women's Hospital and Harvard 
      Medical School Boston MA.
CN  - NEAR III Investigators
LA  - eng
PT  - Journal Article
DEP - 20190115
PL  - United States
TA  - AEM Educ Train
JT  - AEM education and training
JID - 101722142
PMC - PMC6457358
EDAT- 2019/04/23 06:00
MHDA- 2019/04/23 06:01
PMCR- 2020/01/15
CRDT- 2019/04/23 06:00
PHST- 2018/08/01 00:00 [received]
PHST- 2018/11/05 00:00 [revised]
PHST- 2018/11/27 00:00 [accepted]
PHST- 2019/04/23 06:00 [entrez]
PHST- 2019/04/23 06:00 [pubmed]
PHST- 2019/04/23 06:01 [medline]
PHST- 2020/01/15 00:00 [pmc-release]
AID - AET210316 [pii]
AID - 10.1002/aet2.10316 [doi]
PST - epublish
SO  - AEM Educ Train. 2019 Jan 15;3(2):156-162. doi: 10.1002/aet2.10316. eCollection 
      2019 Apr.