Yüz Yüze Eğitim ile Video Aracılı Uzaktan Eğitimin Videolaringoskopa Adaptasyon Sürecine Etkisi
Abstract
Objectives: Videolaryngoscopes are considered useful in difficult intubation and have been included in recent guidelines. However, videolaryngoscopy
training is inadequate and the learning curve is slow. Therefore, as an alternative to face-to-face education, it was aimed to evaluate the effect of
video-mediated distance education on the adaptation process to the videolaryngoscope.
Materials and Methods: Fifth - 6th grade medical faculty students and residents with less than 1 year experience without videolaryngoscopy
practice were divided into two groups as video-mediated distance education (Group 1) and face-to-face education (Group 2) groups. Laryngoscope
placement and larynx visualization times, Cormack Lehane (CML) score, tube placement and total intubation times, and intubation performances of
the practitioners were evaluated on the mannequin with three applications repeated at intervals of one week.
Results: Thirty-five practitioners were included, 18 (10 female, 8 male) in Group 1 and 17 (12 female, 5 male) in Group 2. While tube placement
and total intubation time were significantly shortened in intragroup evaluations in both groups [32 (15.25-87) vs 16 (12.75-20.75), p=0.006; 32
(19.5-44.5) vs 14 (10-17.5), p=0.006]; there was no significant difference between the groups. While the CML score was 84% in Group 1 in the
first application, this rate was 88% in Group 2. In the third application, the CML score was found to be 1 at a rate of 95% in Group 1 and 100% in
Group 2 (p>0.05).
Conclusion: Videolaryngoscopes can be used for airway, laryngoscopy, intubation training as well as difficult airway management. The problem
caused by the low number of people who will provide videolaryngoscope usage training can be overcome with video trainings and more people can
be easily accessed. Video-mediated distance learning for videolaryngoscopy is a good alternative to face-to-face training.
Keywords
Videolaryngoscopy, Video Mediated Training, Distance Learning
Ethical Statement
Etik
Etik Kurul Onayı: Ankara Üniversitesi Tıp Fakültesi Etik
Kurulu’ndan onay alınmıştır (22.05.2017 tarih ve karar no: 10-
545-17).
Hasta Onayı: Çalışma maket üzerinde yapılmıştır.
Hakem Değerlendirmesi: Editörler kurulu dışında olan
kişiler tarafından değerlendirilmiştir.
References
- 1. Caplan RA, Posner KL, Ward RJ, et al. Adverse respiratory events in anesthesia: a closed claims analysis. Anesthesiology. 1990;72:828-833.
- 2. Crosby ET, Cooper RM, Douglas MJ, et al. The unanticipated difficult airway with recommendations for management. Can J Anaesth. 1998;45:757-776.
- 3. Apfelbaum JL, Hagberg CA, Caplan RA, et al. Practice guidelines for management of the difficult airway: an updated report by the American Society of Anesthesiologists Task Force on Management of the Difficult Airway. Anesthesiology. 2013;118:251-270.
- 4. Frerk C, Mitchell VS, McNarry AF, et al. Difficult Airway Society 2015 guidelines for management of unanticipated difficult intubation in adults. Br J Anaesth. 2015;115: 827-848.
- 5. Cavus E, Bein B, Dörges V. [Airwaymanagement: video-assisted airway management]. Anasthesiol Intensivmed Notfallmed Schmerzther. 2011;46:588-596.
- 6. Andersen LH, Rovsing L, Olsen KS. GlideScope videolaryngoscope vs. Macintosh direct laryngoscope for intubation of morbidly obese patients: a randomized trial. Acta Anesthesiol Scand. 2011;55:1090-1097.
- 7. Howard-Quijano KJ, Huang YM, Matevosian R, et al. Video-assisted instruction improves the success rate for tracheal intubation by novices. Br J Anaesth. 2008;101:568-572.
- 8. Griesdale DE, Liu D, McKinney J, et al. Glidescope® video-laryngoscopy versus direct laryngoscopy for endotracheal intubation: a systematic review and meta-analysis. Can J Anaesth. 2012;59:41 52.
- 9. Faul F, Erdfelder E, Lang AG, et al. G*Power 3: a flexible statistical power analysis program for the social, behavioral, and biomedical sciences. Behav Res Methods. 2007;39:175-191.
- 10. Ng I, Hill AL, Williams DL, et al. Randomized controlled trial comparing the McGrath videolaryngoscope with the C-MAC videolaryngoscope in intubating adult patients with potential difficult airways. Br J Anaesth. 2012;109:439-443.