Ontology type: schema:ScholarlyArticle Open Access: True
2010-12
AUTHORSBen H Boedeker, Mary A Barak-Bernhagen, David J Miller, Thomas A Nicholas, Andrew Linnaus, WB Murray
ABSTRACTBACKGROUND: The Bonfils intubating fiberscope has a limited upward tip angle of 40 degrees and requires retromolar entry into the hypopharynx. These factors may make its use less desirable when managing the difficult airway because most anesthesia providers are well versed in midline oral intubation rather than the lateral retromolar approach. The Center for Advanced Technology and Telemedicine at the University of Nebraska Medical Center has developed a novel fiberscope with a more anterior 60 degrees curve to allow for easier midline insertion and intubation. The objective of this work was to evaluate the novel fiberscope, in comparison to the Bonfils intubating fiberscope, in terms of use and function in difficult airway intubation. METHODS: Twenty-two anesthesia providers participated in simulated intubations of a difficult airway mannequin to compare the Bonfils intubating fiberscope with the novel curved Boedeker intubating fiberscope. The intubations were assessed based upon the following variables: recorded Cormack Lehane airway scores, requests for cricoid pressure, time to intubation, number of intubation attempts and success or failure of the procedure. RESULTS: Participants using the Bonfils fiberscope recorded an average Cormack Lehane (CL) airway score of 1.67 +/- 1.02 (median = 1); with the novel fiberscope, the recorded average airway grade improved to 1.18 +/- 0.50 (median = 1). The difference in airway scores was not statistically significant (p = 0.34; Fishers Exact Test comparing CL grades 1&2 vs. 3&4). There was, however, a statistically significant difference in intubation success rates between the two devices. With the Bonfils fiberscope, 68% (15/22) of participants were successful in intubation compared to a 100% success rate in intubation with the novel fiberscope (22/22) (p = 0.008). After the intubation trial, the majority of participants (95%) indicated a preference for the novel fiberscope (n = 20). CONCLUSIONS: With this data, we can infer that the novel fiberscope curvature appears to improve or maintain the quality of an intubation attempt (airway score, cricoid pressure requirement, intubation time, number of attempts, placement success). The data indicate that the novel fiberscope offers a superior intubation experience to currently available best practices. The instrument was well received and would be welcomed by most study participants should the device become clinically available in the future. More... »
PAGES11
http://scigraph.springernature.com/pub.10.1186/1471-227x-10-11
DOIhttp://dx.doi.org/10.1186/1471-227x-10-11
DIMENSIONShttps://app.dimensions.ai/details/publication/pub.1034233171
PUBMEDhttps://www.ncbi.nlm.nih.gov/pubmed/20507596
JSON-LD is the canonical representation for SciGraph data.
TIP: You can open this SciGraph record using an external JSON-LD service: JSON-LD Playground Google SDTT
[
{
"@context": "https://springernature.github.io/scigraph/jsonld/sgcontext.json",
"about": [
{
"id": "http://purl.org/au-research/vocabulary/anzsrc-for/2008/1102",
"inDefinedTermSet": "http://purl.org/au-research/vocabulary/anzsrc-for/2008/",
"name": "Cardiorespiratory Medicine and Haematology",
"type": "DefinedTerm"
},
{
"id": "http://purl.org/au-research/vocabulary/anzsrc-for/2008/11",
"inDefinedTermSet": "http://purl.org/au-research/vocabulary/anzsrc-for/2008/",
"name": "Medical and Health Sciences",
"type": "DefinedTerm"
},
{
"inDefinedTermSet": "https://www.nlm.nih.gov/mesh/",
"name": "Airway Obstruction",
"type": "DefinedTerm"
},
{
"inDefinedTermSet": "https://www.nlm.nih.gov/mesh/",
"name": "Equipment Design",
"type": "DefinedTerm"
},
{
"inDefinedTermSet": "https://www.nlm.nih.gov/mesh/",
"name": "Fiber Optic Technology",
"type": "DefinedTerm"
},
{
"inDefinedTermSet": "https://www.nlm.nih.gov/mesh/",
"name": "Intubation, Intratracheal",
"type": "DefinedTerm"
},
{
"inDefinedTermSet": "https://www.nlm.nih.gov/mesh/",
"name": "Manikins",
"type": "DefinedTerm"
}
],
"author": [
{
"affiliation": {
"alternateName": "Omaha VA Medical Center",
"id": "https://www.grid.ac/institutes/grid.413785.c",
"name": [
"University of Nebraska Medical Center, Omaha, NE, USA",
"Omaha VA Medical Center, Omaha, NE, USA"
],
"type": "Organization"
},
"familyName": "Boedeker",
"givenName": "Ben H",
"id": "sg:person.0712006036.85",
"sameAs": [
"https://app.dimensions.ai/discover/publication?and_facet_researcher=ur.0712006036.85"
],
"type": "Person"
},
{
"affiliation": {
"alternateName": "Omaha VA Medical Center",
"id": "https://www.grid.ac/institutes/grid.413785.c",
"name": [
"University of Nebraska Medical Center, Omaha, NE, USA",
"Omaha VA Medical Center, Omaha, NE, USA"
],
"type": "Organization"
},
"familyName": "Barak-Bernhagen",
"givenName": "Mary A",
"id": "sg:person.01221632757.16",
"sameAs": [
"https://app.dimensions.ai/discover/publication?and_facet_researcher=ur.01221632757.16"
],
"type": "Person"
},
{
"affiliation": {
"alternateName": "University of Nebraska Medical Center",
"id": "https://www.grid.ac/institutes/grid.266813.8",
"name": [
"University of Nebraska Medical Center, Omaha, NE, USA"
],
"type": "Organization"
},
"familyName": "Miller",
"givenName": "David J",
"id": "sg:person.01011165435.89",
"sameAs": [
"https://app.dimensions.ai/discover/publication?and_facet_researcher=ur.01011165435.89"
],
"type": "Person"
},
{
"affiliation": {
"alternateName": "University of Nebraska Medical Center",
"id": "https://www.grid.ac/institutes/grid.266813.8",
"name": [
"University of Nebraska Medical Center, Omaha, NE, USA"
],
"type": "Organization"
},
"familyName": "Nicholas",
"givenName": "Thomas A",
"id": "sg:person.01015640657.68",
"sameAs": [
"https://app.dimensions.ai/discover/publication?and_facet_researcher=ur.01015640657.68"
],
"type": "Person"
},
{
"affiliation": {
"alternateName": "University of Nebraska Medical Center",
"id": "https://www.grid.ac/institutes/grid.266813.8",
"name": [
"University of Nebraska Medical Center, Omaha, NE, USA"
],
"type": "Organization"
},
"familyName": "Linnaus",
"givenName": "Andrew",
"id": "sg:person.01124432507.14",
"sameAs": [
"https://app.dimensions.ai/discover/publication?and_facet_researcher=ur.01124432507.14"
],
"type": "Person"
},
{
"affiliation": {
"alternateName": "Penn State Milton S. Hershey Medical Center",
"id": "https://www.grid.ac/institutes/grid.240473.6",
"name": [
"Clinical Simulation Center, Penn State College of Medicine, Hershey, PA, USA"
],
"type": "Organization"
},
"familyName": "Murray",
"givenName": "WB",
"id": "sg:person.01142553436.45",
"sameAs": [
"https://app.dimensions.ai/discover/publication?and_facet_researcher=ur.01142553436.45"
],
"type": "Person"
}
],
"citation": [
{
"id": "https://doi.org/10.1097/01.mej.0000195680.08533.57",
"sameAs": [
"https://app.dimensions.ai/details/publication/pub.1006613556"
],
"type": "CreativeWork"
},
{
"id": "https://doi.org/10.1097/01.mej.0000195680.08533.57",
"sameAs": [
"https://app.dimensions.ai/details/publication/pub.1006613556"
],
"type": "CreativeWork"
},
{
"id": "https://doi.org/10.3357/asem.2492.2009",
"sameAs": [
"https://app.dimensions.ai/details/publication/pub.1007492903"
],
"type": "CreativeWork"
},
{
"id": "sg:pub.10.1007/bf03021507",
"sameAs": [
"https://app.dimensions.ai/details/publication/pub.1015096348",
"https://doi.org/10.1007/bf03021507"
],
"type": "CreativeWork"
},
{
"id": "sg:pub.10.1007/bf03021507",
"sameAs": [
"https://app.dimensions.ai/details/publication/pub.1015096348",
"https://doi.org/10.1007/bf03021507"
],
"type": "CreativeWork"
},
{
"id": "https://doi.org/10.1046/j.1365-2044.2003.03407.x",
"sameAs": [
"https://app.dimensions.ai/details/publication/pub.1022117616"
],
"type": "CreativeWork"
},
{
"id": "https://doi.org/10.1111/j.1365-2044.2004.03778.x",
"sameAs": [
"https://app.dimensions.ai/details/publication/pub.1031540903"
],
"type": "CreativeWork"
},
{
"id": "https://doi.org/10.1097/eja.0b013e328328f572",
"sameAs": [
"https://app.dimensions.ai/details/publication/pub.1035809303"
],
"type": "CreativeWork"
},
{
"id": "https://doi.org/10.1097/eja.0b013e328328f572",
"sameAs": [
"https://app.dimensions.ai/details/publication/pub.1035809303"
],
"type": "CreativeWork"
},
{
"id": "https://doi.org/10.1097/eja.0b013e328328f572",
"sameAs": [
"https://app.dimensions.ai/details/publication/pub.1035809303"
],
"type": "CreativeWork"
},
{
"id": "https://doi.org/10.1213/ane.0b013e318167cc7c",
"sameAs": [
"https://app.dimensions.ai/details/publication/pub.1043288868"
],
"type": "CreativeWork"
},
{
"id": "https://doi.org/10.1213/ane.0b013e318167cc7c",
"sameAs": [
"https://app.dimensions.ai/details/publication/pub.1043288868"
],
"type": "CreativeWork"
},
{
"id": "https://doi.org/10.1111/j.1365-2044.2004.03967.x",
"sameAs": [
"https://app.dimensions.ai/details/publication/pub.1047368527"
],
"type": "CreativeWork"
}
],
"datePublished": "2010-12",
"datePublishedReg": "2010-12-01",
"description": "BACKGROUND: The Bonfils intubating fiberscope has a limited upward tip angle of 40 degrees and requires retromolar entry into the hypopharynx. These factors may make its use less desirable when managing the difficult airway because most anesthesia providers are well versed in midline oral intubation rather than the lateral retromolar approach. The Center for Advanced Technology and Telemedicine at the University of Nebraska Medical Center has developed a novel fiberscope with a more anterior 60 degrees curve to allow for easier midline insertion and intubation. The objective of this work was to evaluate the novel fiberscope, in comparison to the Bonfils intubating fiberscope, in terms of use and function in difficult airway intubation.\nMETHODS: Twenty-two anesthesia providers participated in simulated intubations of a difficult airway mannequin to compare the Bonfils intubating fiberscope with the novel curved Boedeker intubating fiberscope. The intubations were assessed based upon the following variables: recorded Cormack Lehane airway scores, requests for cricoid pressure, time to intubation, number of intubation attempts and success or failure of the procedure.\nRESULTS: Participants using the Bonfils fiberscope recorded an average Cormack Lehane (CL) airway score of 1.67 +/- 1.02 (median = 1); with the novel fiberscope, the recorded average airway grade improved to 1.18 +/- 0.50 (median = 1). The difference in airway scores was not statistically significant (p = 0.34; Fishers Exact Test comparing CL grades 1&2 vs. 3&4). There was, however, a statistically significant difference in intubation success rates between the two devices. With the Bonfils fiberscope, 68% (15/22) of participants were successful in intubation compared to a 100% success rate in intubation with the novel fiberscope (22/22) (p = 0.008). After the intubation trial, the majority of participants (95%) indicated a preference for the novel fiberscope (n = 20).\nCONCLUSIONS: With this data, we can infer that the novel fiberscope curvature appears to improve or maintain the quality of an intubation attempt (airway score, cricoid pressure requirement, intubation time, number of attempts, placement success). The data indicate that the novel fiberscope offers a superior intubation experience to currently available best practices. The instrument was well received and would be welcomed by most study participants should the device become clinically available in the future.",
"genre": "research_article",
"id": "sg:pub.10.1186/1471-227x-10-11",
"inLanguage": [
"en"
],
"isAccessibleForFree": true,
"isPartOf": [
{
"id": "sg:journal.1024938",
"issn": [
"1471-227X"
],
"name": "BMC Emergency Medicine",
"type": "Periodical"
},
{
"issueNumber": "1",
"type": "PublicationIssue"
},
{
"type": "PublicationVolume",
"volumeNumber": "10"
}
],
"name": "Improving rigid fiberoptic intubation: a comparison of the Bonfils Intubating Fiberscope\u2122 with a novel modification",
"pagination": "11",
"productId": [
{
"name": "readcube_id",
"type": "PropertyValue",
"value": [
"a312c7697346ae4313b6701aea39668cebfcfd95d2740610ab320cd37709bc8c"
]
},
{
"name": "pubmed_id",
"type": "PropertyValue",
"value": [
"20507596"
]
},
{
"name": "nlm_unique_id",
"type": "PropertyValue",
"value": [
"100968543"
]
},
{
"name": "doi",
"type": "PropertyValue",
"value": [
"10.1186/1471-227x-10-11"
]
},
{
"name": "dimensions_id",
"type": "PropertyValue",
"value": [
"pub.1034233171"
]
}
],
"sameAs": [
"https://doi.org/10.1186/1471-227x-10-11",
"https://app.dimensions.ai/details/publication/pub.1034233171"
],
"sdDataset": "articles",
"sdDatePublished": "2019-04-10T14:03",
"sdLicense": "https://scigraph.springernature.com/explorer/license/",
"sdPublisher": {
"name": "Springer Nature - SN SciGraph project",
"type": "Organization"
},
"sdSource": "s3://com-uberresearch-data-dimensions-target-20181106-alternative/cleanup/v134/2549eaecd7973599484d7c17b260dba0a4ecb94b/merge/v9/a6c9fde33151104705d4d7ff012ea9563521a3ce/jats-lookup/v90/0000000001_0000000264/records_8660_00000489.jsonl",
"type": "ScholarlyArticle",
"url": "http://link.springer.com/10.1186/1471-227X-10-11"
}
]Download the RDF metadata as: json-ld nt turtle xml License info
JSON-LD is a popular format for linked data which is fully compatible with JSON.
curl -H 'Accept: application/ld+json' 'https://scigraph.springernature.com/pub.10.1186/1471-227x-10-11'
N-Triples is a line-based linked data format ideal for batch operations.
curl -H 'Accept: application/n-triples' 'https://scigraph.springernature.com/pub.10.1186/1471-227x-10-11'
Turtle is a human-readable linked data format.
curl -H 'Accept: text/turtle' 'https://scigraph.springernature.com/pub.10.1186/1471-227x-10-11'
RDF/XML is a standard XML format for linked data.
curl -H 'Accept: application/rdf+xml' 'https://scigraph.springernature.com/pub.10.1186/1471-227x-10-11'
This table displays all metadata directly associated to this object as RDF triples.
155 TRIPLES
21 PREDICATES
42 URIs
26 LITERALS
14 BLANK NODES