ORIGINAL PAPER
Muscle activity during endotracheal intubation using 4 laryngoscopes (Macintosh laryngoscope, Intubrite, TruView Evo2 and King Vision) – A comparative study
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Medical University of Lodz / Uniwersytet Medyczny w Łodzi, Łódź, Poland (Department of Emergency Medicine and Disaster Medicine / Zakład Medycyny Ratunkowej i Medycyny Katastrof)
Corresponding author
Tomasz Gaszyński
Barlicki University Hospital, Chair of Anaesthesiology and Intensive Therapy, Kopcińskiego 22, 90-153 Łódź
Med Pr Work Health Saf. 2016;67(2):155-62
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ABSTRACT
Background: Successful endotracheal intubation requires mental activity and no less important physical activity from the anesthesiologist,
so ergonomics of used devices is important. The aim of our study has been to compare 4 laryngoscopes regarding
an operator’s activity of selected muscles of the upper limb, an operator’s satisfaction with used devices and an operator’s fatigue
during intubation attempts. Material and Methods: The study included 13 anesthesiologists of similar seniority. To measure
muscle activity MyoPlus 2 with 2-channel surface ElectroMyoGraphy (sEMG) test device was used. Participant’s satisfaction
with studied devices was evaluated using Visual Analog Scale. An operator’s fatigue during intubation efforts was evaluated
by means of the modified Borg’s scale. Results: The highest activity of all the studied muscles was observed for the Intubrite
laryngoscope, followed by the Mackintosh, TruView Evo2 and the lowest one – for the King Vision video laryngoscope. A significant
statistical difference was observed for the King Vision and the rest of laryngoscopes (p < 0.05). No significant statistical
differences were observed between the Macintosh, TruView Evo2 and Intubrite laryngoscopes (p > 0.05). The shortest time of
intubation was achieved using the standard Macintosh blade laryngoscope. The highest satisfaction was noted for the King Vision
video laryngoscope, and the lowest for – the TruView Evo2. The Intubrite was the most demanding in terms of workload, in
the opinion of the participants’, and the least demanding was the King Vision video laryngoscope. Conclusions: Muscle activity,
namely the force used for intubation, is the smallest when the King Vision video laryngoscope is used with the highest satisfaction
and lowest workload, and the highest muscle activity was proven for the Intubrite laryngoscope with the highest workload. Med Pr 2016;67(2):155–162