Study Objectives Methods Results Conclusion

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... M.C. Choate, Paramedic1, P. V. R. Tilney, DO1,2. 1LifeFlight of Maine, Lewiston ME, 2Dept. of Emergency Medicine,. Central Maine Medical Center, Lewiston, ...
Impact of Video Laryngoscopy on Advanced Airway Management © Using the Hybrid Karl Storz CMAC Pocket Monitor B.K. Boehringer RN, Paramedic , M.C. Choate, Paramedic1, P. V. R. Tilney, DO 1

1,2

LifeFlight of Maine, Lewiston ME, 2Dept. of Emergency Medicine, Central Maine Medical Center, Lewiston, ME

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Study Objectives Determine the impact of video laryngoscopy on markers related to pre-hospital airway management by a critical care transport team.

Results Improvements were seen in all categories. Overall ETI success improved 4%. First-attempt success improved 24.6% and the success to attempt ratio improved 27.5%. Chi-square testing showed statistical significance with a p-value < 0.001 in all comparisons.

Conclusion Methods Endotracheal intubation (ETI) performance of 704 advanced airway encounters were reviewed retrospectively from 2006 through the first quarter of 2014. In 2013 the the Karl Storz CMAC® pocket monitor video laryngoscope was placed into service as the primary intubation device. The CMAC® was utilized in 115 patient encounters over this time period and historic data was manipulated into three categories: ETI success - defined as the ratio of patients with definitive ETI to the number of patients intended to be intubated First pass success - defined as the ratio of patients with successful intubation on the first attempt to the number of patients intended to be intubated Success to attempt ratio - defined as the number of patients with successful ETI compared with the total number of attempts. This is more reflective of encounters where first attempt success was not achieved. ** There was no significant change in crew configuration or training during this time period.

Expanding video laryngoscope technology is offering providers new tools to employ in the management of advanced airways. Equipment such as the Karl Storz CMAC® pocket monitor video laryngoscope are becoming more compact and less cost prohibitive for pre-hospital use, especially in the tight quarters of an aircraft. This retrospective chart review unequivocally demonstrates the positive impact of the CMAC® on successful airway management.