Faster intubation with direct laryngoscopy vs handheld videoscope in uncomplicated manikin airways☆☆☆
Correspondence
- Corresponding author. Denver, CO 80204, USA. Tel.: +1 303 739 1217.

Correspondence
- Corresponding author. Denver, CO 80204, USA. Tel.: +1 303 739 1217.

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Fig. 1
Res-Q-Scope II with battery-operated LCD screen on handle.
Abstract
Objective
To compare average time to successful intubation and success rates using direct laryngoscopy (DL) with those using a battery-operated videoscope (VS) in uncomplicated manikin intubations.
Methods
Forty-four paramedics and emergency medicine faculty and residents received training with DL and VS. Participants performed 3 timed trials using each device. A single group repeated-measures analysis of variance for average time measurements was performed.
Results
Grouping physicians and paramedics, mean time to successful intubation for DL was 14.6 seconds (SD, 4.3 seconds) and for VS was 25.9 seconds (SD, 9.2 seconds; P < .001). All attempts were successful with both devices. A secondary measure compared intubation times for physicians and paramedics on both devices. For DL, mean time to successful intubation for physicians was 13.2 seconds (SD, 3.8 seconds) and for paramedics, 15.9 seconds (SD, 4.3 seconds; P > .43). For VS, mean time for physicians was 26.0 seconds (SD, 10.0 seconds) and for paramedics, 25.7 seconds (SD, 8.6 seconds; P > .43).
Conclusions
Intubation with DL in uncomplicated manikin airways was faster than with VS (P < .001). Success rates were equal.
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☆RES-Q-TECH provided one RES-Q-SCOPEII laryngoscope for our study at no charge. We received no financial compensation from any source, and the company does not know the results of our study.
☆☆The views expressed in this article are those of the authors and do not reflect the official policy or position of the Department of the US Air Force, Department of Defense, or the US government.
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