Raja Ahmad Anzari, Rudi Kurniadi Kadarsah, Iwan Abdul Rachman
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引用次数: 0
摘要
气管插管是气道管理的黄金标准。直接喉镜检查是一项困难的手术，失败率很高。3D 打印视频喉镜可作为喉镜的替代品，价格更实惠。本研究的目的是评估医科学生使用 Alba 3D 打印视频喉镜、C-MAC 视频喉镜和 Macintosh 操作模拟人进行气管插管的成功率和时间。这项研究采用横断面随机研究方法进行，共有 36 名医科学生参与。研究发现，使用 Alba 3D Print 的平均气管插管时间明显短于使用 Macintosh，但不优于 C-MAC（VL3D-25 vs LDM-50.5 vs VLC-21.5秒），P 值为 <0.001。使用阿尔巴三维模具进行气管插管的成功率明显优于使用 Macintosh，但与 C-MAC 相比无统计学意义（VL3D-91.7% vs LDM-97.2% vs VLC-75%，p 值为 <0.05）。这项研究得出结论，与 Macinctosh 相比，使用 Alba 3D 打印机的成功率更高、时间更短，可以成为 C-MAC 等商用视频喉镜的经济型替代品，用于教学目的。
Comparing Alba 3D printed video laryngoscope vs. video laryngoscope C-MAC® vs. direct macintosh laryngoscope operated by medical students: A randomized, crossover, manikin study
Endotracheal intubation is the gold standard for airway management. Direct laryngoscopy is a difficult procedure with a high failure rate. A 3D printed video laryngoscope can be used as a more affordable replacement for a laryngoscope. The aim of this study was to evaluate the success rate and time of endotracheal intubation in manikins using the Alba 3D printed video laryngoscope, the C-MAC video laryngoscope and the Macintosh operated by medical students. This study was conducted using a cross sectional randomised study method involving 36 medical students. This study found that the mean endotracheal intubation time using Alba 3D Print was significantly shorter than using Macintosh, but not better than C-MAC (VL3D-25 vs LDM-50.5 vs VLC-21.5 s) with a p-value of <0.001. The success rate of endotracheal intubation using Alba 3D moulds was significantly better than using Macintosh, but not statistically significant when compared to C-MAC (VL3D-91.7% vs LDM-97.2% vs VLC-75%) with p-value <0.05). This study concluded that the use of Alba 3D prints has a better success rate and time compared to Macinctosh and can be an affordable alternative to commercial video laryngoscopes such as C-MAC for educational purposes.
期刊介绍：
The objective of this new online journal is to serve as a multidisciplinary, peer-reviewed source of information related to the administrative, economic, operational, safety, and quality aspects of the ambulatory and in-patient operating room and interventional procedural processes. The journal will provide high-quality information and research findings on operational and system-based approaches to ensure safe, coordinated, and high-value periprocedural care. With the current focus on value in health care it is essential that there is a venue for researchers to publish articles on quality improvement process initiatives, process flow modeling, information management, efficient design, cost improvement, use of novel technologies, and management.
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