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Impact of Stylet Bend Angle on the Performance of Orotracheal Intubation by Emergency Response Nurses: A Randomized Simulation Study
Author(s) -
Farzaneh Golaghaie,
Reza Momeni,
Hadi Jafarimanesh,
Majid Golestanieraghi,
Mohamad Golitaleb,
Fatemeh Rafiei
Publication year - 2018
Publication title -
eurasian journal of emergency medicine
Language(s) - English
Resource type - Journals
eISSN - 2149-6048
pISSN - 2149-5807
DOI - 10.5152/eajem.2018.78942
Subject(s) - stylet , intubation , medicine , laryngoscopy , tracheal intubation , endotracheal intubation , anesthesia , surgery
Aim: To determine the effect of stylet bend angle on the time to tracheal intubation and the success rate by emergency response nurses in a simulated situation. Materials and Methods: A prospective randomized study was conducted. Each participant performed six intubation attempts, three with 30° and three with 60° stylet angles. Each stylet angle was tested totally 105 times. Generalized estimating equations were used to analyze data. Results: The overall success rate of simulated tracheal intubations was 94%. The mean time to successful intubation (in seconds) was 10.99±18.80 and 13.04±18.82 for 30° and 60° stylet bend angles, respectively. The 30° stylet bend angle significantly reduced the time to intubation (p<0.01). Conclusion: Using the 30° stylet bend angle resulted in faster tracheal intubation by the emergency response nurses in the simulated situation. Keywords: Emergency response team, direct laryngoscopy, stylet, endotracheal intubation

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